A rare mechanism of embolic stroke complicating coronary thrombus aspiration.
Reiko ShiomuraHideki MiyachiTakeshi YamamotoHitoshi TakanoPublished in: Clinical case reports (2023)
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.
Keyphrases
- ultrasound guided
- coronary artery
- atrial fibrillation
- acute myocardial infarction
- acute ischemic stroke
- percutaneous coronary intervention
- coronary artery disease
- pulmonary artery
- magnetic resonance
- st segment elevation myocardial infarction
- cerebral ischemia
- heart failure
- acute coronary syndrome
- computed tomography
- risk factors
- magnetic resonance imaging
- pulmonary hypertension
- left ventricular
- aortic stenosis
- coronary artery bypass grafting
- blood brain barrier
- clinical practice
- ejection fraction