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Dual antiplatelet agents and Rivaroxaban for massive intracoronary thrombus in STEMI
Authors:Nasiruddin Jamal  Mustaafa Bapumia
Institution:1. The Aga Khan Hospital, Barack Obama Drive, Dar es Salaam, Tanzania;2. Nasiruddin Jamal, Director of Cardiology;3. The Aga Khan Hospital, Barack Obama Drive, P.O. Box 2289, Dar es Salaam, Tanzania. Tel: +255 22 2115151;4. Fax: +255 22 2115904;5. E‐mail:
Abstract:Management of intracoronary thrombus in patients presenting more than 12 hours after the onset of ST elevation myocardial infarction is challenging. We present such a case which had massive thrombus in left anterior descending artery. It was managed successfully with dual antiplatelet agents and factor Xa inhibitor rivaroxaban administered orally.
Keywords:Factor Xa inhibitor  massive thrombus burden
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