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. 2021 Oct 7;5(Suppl 2):e12589. doi: 10.1002/rth2.12589
Date 06/2014 10/2015 03/2018 08/2019
AMI/Coronary artery STEMI/RCA STEMI/RCA STEMI/RCA STEMI/RCA
Angiographic Findings 100% occlusion of RCA Thrombosis of RCA Acute thrombus; severe in‐stent‐restenosis at the previous distal stent at bifurcation of rPDA & rPLV Acute thrombus of RCA
Treatment Thrombectomy + DESx1 to RCA; DAPT + warfarin. Warfarin switched to rivaroxaban after 6 months Thrombectomy + DESx3 to RCA; DAPT + warfarin Angioplasty to rPLV + DESx1; DAPT + therapeutic enoxaparin Intravascular aspiration; clopidogrel + rivaroxaban
Comorbid VTE Right common femoral vein DVT Left gastrocnemius vein DVT None None
Preceding Anticoagulation None Rivaroxaban stopped due to financial burden 1 month prior Warfarin stopped 1 week prior for colonoscopy Therapeutic enoxaparin stopped 10 days prior due to expanding gluteal hematoma with lower extremity paresthesia and acute anemia
Comorbid Malignancy Gleason 7 T3bN1M0 prostate cancer Bone metastatic prostate cancer None (PSA undetectable, not on active treatment) None (PSA undetectable, not on active treatment)

AMI = acute myocardial infarction; STEMI = ST‐elevation myocardial infarction; RCA = right coronary artery

rPDA = right posterior descending artery; rPLV = right posterior‐lateral ventricular branch

DES = drug‐eluting stent; DAPT = dual‐antiplatelet therapy; VTE = venous thromboembolism

DVT = deep vein thrombosis; PSA = prostate‐specific antigen