A rare mechanism of embolic stroke complicating coronary thrombus aspiration

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 t...

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Autores principales: Shiomura, Reiko, Miyachi, Hideki, Yamamoto, Takeshi, Takano, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944055/
https://www.ncbi.nlm.nih.gov/pubmed/36846182
http://dx.doi.org/10.1002/ccr3.6951
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author Shiomura, Reiko
Miyachi, Hideki
Yamamoto, Takeshi
Takano, Hitoshi
author_facet Shiomura, Reiko
Miyachi, Hideki
Yamamoto, Takeshi
Takano, Hitoshi
author_sort Shiomura, Reiko
collection PubMed
description 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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spelling pubmed-99440552023-02-23 A rare mechanism of embolic stroke complicating coronary thrombus aspiration Shiomura, Reiko Miyachi, Hideki Yamamoto, Takeshi Takano, Hitoshi Clin Case Rep Case Report 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. John Wiley and Sons Inc. 2023-02-21 /pmc/articles/PMC9944055/ /pubmed/36846182 http://dx.doi.org/10.1002/ccr3.6951 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shiomura, Reiko
Miyachi, Hideki
Yamamoto, Takeshi
Takano, Hitoshi
A rare mechanism of embolic stroke complicating coronary thrombus aspiration
title A rare mechanism of embolic stroke complicating coronary thrombus aspiration
title_full A rare mechanism of embolic stroke complicating coronary thrombus aspiration
title_fullStr A rare mechanism of embolic stroke complicating coronary thrombus aspiration
title_full_unstemmed A rare mechanism of embolic stroke complicating coronary thrombus aspiration
title_short A rare mechanism of embolic stroke complicating coronary thrombus aspiration
title_sort rare mechanism of embolic stroke complicating coronary thrombus aspiration
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944055/
https://www.ncbi.nlm.nih.gov/pubmed/36846182
http://dx.doi.org/10.1002/ccr3.6951
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