Balloon advanced into stent and inflated.

Angiography revealed TIMI-3 flow.

Clinical Course

  • Intervention performed on acutely occluded LCX using guide wire and over-the-wire balloon.
    • Angiography revealed restoration of TIMI-2 to TIMI-3 flow throughout stent with significant residual stenosis and thrombus visualized.
  • Thrombus¬†aspiration catheter advanced into occluded stent.
    • Angiography revealed excellent result with TIMI-3 flow throughout LCX.
  • Patient had resolution of ST elevation, complete resolution of chest discomfort.
  • Post-catheterization 2-D echo revealed 30-35% EF.