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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

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