Journal of Clinical Case Reports

Hiroshi Nishihara

Publications

• Case Report
  Successful and Safe Retrieval of a Thrombus from the Lumen of a Guiding Catheter during Percutaneous Coronary Intervention
  Author(s): Takao Konishi, Naohiro Funayama and Hiroshi NishiharaTakao Konishi, Naohiro Funayama and Hiroshi Nishihara
  
  A 57-year-old man was hospitalized with chest pain of 1-h duration. Emergency coronary angiography revealed a total occlusion of a non-collateralized distal (segment 3) right coronary artery by a large thrombus. Multiple aspiration thrombectomies of the segment 3 lesion were performed, after which the thrombus migrated inside the guiding catheter. To prevent systemic embolization at the time of extraction, a double guiding procedure was performed to ensure that no thrombus was protruding from the tip of the catheter. The guiding catheter and a large red thrombus were ultimately safely extracted, while maintaining negative pressure in the catheter lumen with a syringe. The patient was discharged from the hospital on the 14th day free from chest pain. The histopathology of the aspirated thrombus was consistent with a coronary arterial embolization. This case indicates that, in patients .. Read More»
  DOI: 10.4172/2165-7920.1000719

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