[Aspiration of large intracoronary thrombus after apparently successful angioplasty. Therapeutic implications].
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.
Hernández
C
C
Unidad de Hemodinámica y Cardiología Intervencionista, Hospital Clínico San Carlos, Madrid.
Goicolea
J
J
Fernández-Ortiz
A
A
Hernández
R
R
Aragoncillo
P
P
Macaya
C
C
D000368:Aged; D017130:Angioplasty; D003328:Coronary Thrombosis / Q000628:therapy*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy*; D013396:Suction