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Published on: September 25, 2016
A rare mechanism of embolic stroke complicating coronary thrombus aspiration
Reiko Shiomura1, Hideki Miyachi1, Takeshi Yamamoto1
1Division of Cardiovascular Intensive Care Nippon Medical School Hospital Tokyo Japan.
Abstract:
Aspiration thrombectomy is often performed in patients with acute myocardial infarction with high thrombus burden. Current guidelines, however, recommend against it because of stroke risk. We report a case of embolic stroke complicating coronary thrombus aspiration in a 62-year-old man. Aspiration thrombectomy during percutaneous coronary intervention migrated thrombus to the proximal right coronary artery (RCA), and the thrombus was subsequently released into the aorta by backflow of the contrast injection causing aspiration thrombectomy-associated stroke. This is an extremely rare mechanism by which complications arise from failed aspiration thrombectomy.
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