Hemostasis Today
NewsFeed
Headlines Hematology Health Medicine VTE ASH Plasma Donation
September, 2026
September 2026
M T W T F S S
 123456
78910111213
14151617181920
21222324252627
282930  
Rohit Mody: Subacute Stent Thrombosis with IVUS Guided Diagnosis and ELCA Treatment
Rohit Mody/parkhospital.in
May 4, 2026, 16:19

Rohit Mody: Subacute Stent Thrombosis with IVUS Guided Diagnosis and ELCA Treatment

Rohit Mody, HOD and Director Cardiology at Mody Cardiac Institute and Research Centre, Bathinda, shared a post on LinkedIn:

“55-year-old. Subacute stent thrombosis. A mechanical failure, not just a drug failure.

Under-deployed, overlapping, malapposed stents lead to a perfect setup for thrombosis.

We avoided the usual reflexes (no POBA, no thrombus aspiration).
Went early with Intravascular Ultrasound to understand the problem.

Then came the game changer – Excimer Laser Coronary Atherectomy (ELCA).

Why ELCA made the difference 

  • Melts thrombus, doesn’t push it leading to heavy clot becoming a mild burden
  • No distal embolization, leading to diagonals preserved
  • Makes lesion workable, changing it from hostile to treatable
  • Repeatable tooll, so in re-thrombosis after IVUS, another ELCA run, clean again
  • Less trauma, avoiding aggressive ballooning in thrombus-rich setting
  • Improves imaging, resulting in clearer IVUS and better decisions

Final step:

IVUS-guided optimization and targeted stenting corrected the real problem (underexpansion and malapposition)

Take-home

Subacute thrombosis is often a stent problem, not just a clot problem.

ELCA doesn’t just treat thrombus — it creates control.

Fix the cause, not just the consequence.”

Rohit Mody

Stay updated with Hemostasis Today.

Blood Cardiology ELCA Embolization Health Hemostasis News Hemostasis Today Intravascular Ultrasound IVUS Medicine POBA Rohit Mody Subacute stent thrombosis thrombosis
NewsFeed