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Cryptogenic left main thrombosis: Successful mechanical clot retrieval with a self‐expanding trapping device
Author(s) -
Otto Sylvia,
Mayer Thomas E.,
Figulla Hans R.
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25162
Subject(s) - medicine , intravascular ultrasound , cardiology , thrombosis , myocardial infarction , stenosis , lumen (anatomy) , coronary thrombosis , radiology
We present the case of a 52‐year‐old male with ST‐segment elevation myocardial infarction due to a spontaneous large left main thrombosis, without any angiographic evidence for coronary artery disease. After multiple unsuccessful attempts of thrombaspiration the large clot was mechanically retrieved by a flow restoration device that was primarily made for intracranial interventions. Intravascular ultrasound revealed marginal lumen narrowing after the intervention, but the final coronary angiogram showed a patent left main and there was no relevant stenosis remaining. © 2013 Wiley Periodicals, Inc.