title: [Aspiration of large intracoronary thrombus after apparently successful angioplasty. Therapeutic implications].
abstract: We present a case in which, after performing an optimal angioplasty after an acute myocardial infarction with intracoronary thrombus, normal coronary flow was not achieved. After aspirating through the guiding catheter we obtained a large thrombus that the histopathologic study confirmed as a recent thrombus and, subsequently, normal flow was reestablished. The procedure was completed with a successful intracoronary stent implantation, with an uneventful clinical course. The therapeutic and diagnostic implications of this case are discussed.
authors.affiliation: Unidad de Hemodinámica y Cardiología Intervencionista, Hospital Clínico San Carlos, Madrid.
authors.forename: C
authors.initials: C
authors.lastname: Hernández
authors.forename: J
authors.initials: J
authors.lastname: Goicolea
authors.forename: A
authors.initials: A
authors.lastname: Fernández-Ortiz
authors.forename: R
authors.initials: R
authors.lastname: Hernández
authors.forename: P
authors.initials: P
authors.lastname: Aragoncillo
authors.forename: C
authors.initials: C
authors.lastname: Macaya
mesh_terms: D000368:Aged; D017130:Angioplasty; D003328:Coronary Thrombosis / Q000628:therapy*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy*; D013396:Suction