Figure 4: The Use of Excimer Laser Coronary Atherectomy in Intra-coronary Thrombus.

A 73-year-old man presented inferior ST elevation with a thrombotically occluded right coronary artery (A). Initial thrombectomy restored Thrombolysis In Myocardial Infarction (TIMI) 2 flow, but a large volume of thrombus remained in the artery despite repeated passage. excimer laser coronary atherectomy was therefore undertaken, using a 1.4-mm 6F compatible catheter; 4,500 pulses were delivered over 15 trains with a dramatic improvement in thrombotic burden and obstructive stenosis. The case was completed with overlapping drug-eluting stent with an excellent final angiographic result.