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What is your stepwise approach to the management of culprit STEMI lesions with very high thrombotic burden in spite of multiple runs of mechanical thrombectomy?

When would be your threshold to administer intracoronary aggrastat or alteplase?
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Has the use of intracoronary aggrastat been helpful in restoring flow to highly thrombotic lesions during STEMIs?

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1 Answer
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Cardiology · Medical College Of Wisconsin Medical School
Answered on

We would typically add a double bolus of Integrilin in such a case.

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