title: Inadvertent coronary endarterectomy during aspiration thrombectomy with a Thrombuster III GR catheter in a patient with acute coronary syndrome.
abstract: We describe a 41-year-old woman who presented with acute ST-segment elevation myocardial infarction. Emergent percutaneous intervention was performed with aspiration thrombectomy followed by coronary artery stenting. White material was extracted from the aspiration catheter. Reperfusion therapy after stenting was successful. After undergoing a cardiac rehabilitation program, she was discharged from hospital on day 10. Pathological examination revealed that the aspirated material consisted of normal vascular components including endothelial and smooth muscle cells. Aspiration thrombectomy is a commonly used procedure with a low complication rate. This case presents the previously unreported complication of coronary artery injury.
authors.affiliation: Division of Cardiology, Cardiovascular Center, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Minami-ku, Kumamoto 861-4193, Japan. eiji-taguchi@saiseikaikumamoto.jp
authors.forename: Eiji
authors.initials: E
authors.lastname: Taguchi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Takihiro
authors.initials: T
authors.lastname: Kamio
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kotono
authors.forename: Hiroto
authors.initials: H
authors.lastname: Suzuyama
authors.forename: Takashi
authors.initials: T
authors.lastname: Fukunaga
authors.forename: Shinzo
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nishigami
authors.forename: Koichi
authors.initials: K
authors.lastname: Nakao
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D017225:Atherectomy, Coronary; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000628:therapy; D004452:Echocardiography; D004562:Electrocardiography; D004691:Endarterectomy; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000628:therapy; D015425:Myocardial Reperfusion; D062645:Percutaneous Coronary Intervention; D015607:Stents; D017131:Thrombectomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods