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Published in: Cardiovascular Intervention and Therapeutics 2/2013

01-04-2013 | Case Report

Inadvertent coronary endarterectomy during aspiration thrombectomy with a Thrombuster III GR catheter in a patient with acute coronary syndrome

Authors: Eiji Taguchi, Tomohiro Sakamoto, Takihiro Kamio, Yoshihiro Kotono, Hiroto Suzuyama, Takashi Fukunaga, Shinzo Miyamoto, Kazuhiro Nishigami, Koichi Nakao

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2013

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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.
Literature
1.
go back to reference Topol EJ, Yadav JS. Recognition of the importance of embolization in atherosclerotic vascular disease. Circulation. 2000;101:570–80.PubMedCrossRef Topol EJ, Yadav JS. Recognition of the importance of embolization in atherosclerotic vascular disease. Circulation. 2000;101:570–80.PubMedCrossRef
2.
go back to reference Kotani J, Nanto S, Mintz GS, et al. Plaque gruel of atheromatous coronary lesion may contribute to the no-reflow phenomenon in patients with acute coronary syndrome. Circulation. 2002;106:1672–7.PubMedCrossRef Kotani J, Nanto S, Mintz GS, et al. Plaque gruel of atheromatous coronary lesion may contribute to the no-reflow phenomenon in patients with acute coronary syndrome. Circulation. 2002;106:1672–7.PubMedCrossRef
3.
go back to reference Stone GW, Webb J, Cox DA, et al. Distal microcirculatory protection during percutaneous coronary intervention in acute ST-segment elevation myocardial infarction: a randomized controlled trial. JAMA. 2005;293:1063–72.PubMedCrossRef Stone GW, Webb J, Cox DA, et al. Distal microcirculatory protection during percutaneous coronary intervention in acute ST-segment elevation myocardial infarction: a randomized controlled trial. JAMA. 2005;293:1063–72.PubMedCrossRef
4.
go back to reference Burzotta F, Trani C, Romagnoli E, et al. Manual thrombus-aspiration improves myocardial reperfusion: the randomized evaluation of the effect of mechanical reduction of distal embolization by thrombus-aspiration in primary and rescue angioplasty (REMEDIA) trial. J Am Coll Cardiol. 2005;46:371–6.PubMedCrossRef Burzotta F, Trani C, Romagnoli E, et al. Manual thrombus-aspiration improves myocardial reperfusion: the randomized evaluation of the effect of mechanical reduction of distal embolization by thrombus-aspiration in primary and rescue angioplasty (REMEDIA) trial. J Am Coll Cardiol. 2005;46:371–6.PubMedCrossRef
5.
go back to reference De Luca G, Suryapranata H, Chiariello M, et al. Aspiration thrombectomy and primary percutaneous coronary intervention. Heart. 2006;92:867–9.PubMedCrossRef De Luca G, Suryapranata H, Chiariello M, et al. Aspiration thrombectomy and primary percutaneous coronary intervention. Heart. 2006;92:867–9.PubMedCrossRef
6.
go back to reference Silva-Orrego P, Colombo P, Bigi R, et al. Thrombus aspiration before primary angioplasty improves myocardial reperfusion in acute myocardial infarction: the DEAR-MI (Dethrombosis to Enhance Acute Reperfusion in Myocardial Infarction) study. J Am Coll Cardiol. 2006;48:1552–9.PubMedCrossRef Silva-Orrego P, Colombo P, Bigi R, et al. Thrombus aspiration before primary angioplasty improves myocardial reperfusion in acute myocardial infarction: the DEAR-MI (Dethrombosis to Enhance Acute Reperfusion in Myocardial Infarction) study. J Am Coll Cardiol. 2006;48:1552–9.PubMedCrossRef
7.
go back to reference Svilaas T, Vlaar PJ, van der Horst IC, et al. Thrombus Aspiration during Primary Percutaneous Coronary Intervention. N Engl J Med. 2008;358:557–67.PubMedCrossRef Svilaas T, Vlaar PJ, van der Horst IC, et al. Thrombus Aspiration during Primary Percutaneous Coronary Intervention. N Engl J Med. 2008;358:557–67.PubMedCrossRef
8.
go back to reference De Luca G, Dudek D, Sardella G, Marino P, Chevalier B, Zijlstra F. Adjunctive manual thrombectomy improves myocardial perfusion and mortality in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: a meta-analysis of randomized trials. Eur Heart J. 2008; 29(24):3002–10. (Epub 2008 Sep 5). De Luca G, Dudek D, Sardella G, Marino P, Chevalier B, Zijlstra F. Adjunctive manual thrombectomy improves myocardial perfusion and mortality in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: a meta-analysis of randomized trials. Eur Heart J. 2008; 29(24):3002–10. (Epub 2008 Sep 5).
9.
go back to reference Alazzoni A, Velianou J, Jolly SS. Left main thrombus as a complication of thrombectomy during primary percutaneous coronary intervention. J Invasive Cardiol. 2011;23(2):E9–11.PubMed Alazzoni A, Velianou J, Jolly SS. Left main thrombus as a complication of thrombectomy during primary percutaneous coronary intervention. J Invasive Cardiol. 2011;23(2):E9–11.PubMed
10.
go back to reference Sanmartín M, Goicolea J, Ruiz-Salmerón R, Mantilla R, Sterling J, Meneses D, et al. Coronary perforation as a potential complication derived from coronary thrombectomy with the X-Sizer device. Catheter Cardiovasc Interv. 2002;56(3):378–82.PubMedCrossRef Sanmartín M, Goicolea J, Ruiz-Salmerón R, Mantilla R, Sterling J, Meneses D, et al. Coronary perforation as a potential complication derived from coronary thrombectomy with the X-Sizer device. Catheter Cardiovasc Interv. 2002;56(3):378–82.PubMedCrossRef
11.
go back to reference Gordon E. Arun Kuchela MD, Christopher E. Buller MD, Sanjeev Vaderah MD, Ronald G. Carere MD, et al. Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions. Catheter Cardiovasc Interv. 2004;63(2):177–82.CrossRef Gordon E. Arun Kuchela MD, Christopher E. Buller MD, Sanjeev Vaderah MD, Ronald G. Carere MD, et al. Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions. Catheter Cardiovasc Interv. 2004;63(2):177–82.CrossRef
12.
go back to reference Basso C, Morgaggni GL, Thiene G. Spontaneous coronary artery dissection: a neglected cause of a acute myocardial ischaemia and sudden death. Heart. 1996;75:451–4.PubMedCrossRef Basso C, Morgaggni GL, Thiene G. Spontaneous coronary artery dissection: a neglected cause of a acute myocardial ischaemia and sudden death. Heart. 1996;75:451–4.PubMedCrossRef
Metadata
Title
Inadvertent coronary endarterectomy during aspiration thrombectomy with a Thrombuster III GR catheter in a patient with acute coronary syndrome
Authors
Eiji Taguchi
Tomohiro Sakamoto
Takihiro Kamio
Yoshihiro Kotono
Hiroto Suzuyama
Takashi Fukunaga
Shinzo Miyamoto
Kazuhiro Nishigami
Koichi Nakao
Publication date
01-04-2013
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 2/2013
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-012-0151-y

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