Aspiration of Intracoronary Thrombus via Guiding Catheter During Percutaneous Coronary Intervention

A-44-years old man without prior history of cardiac disease was admitted to emergency department due to resting angina and transferred to coronary care unit with the diagnosis of unstable angina pectoris. Early invasive intervention was planned and the patient was transferred to cardiac catheterisation laboratory. Coronary angiographic examination revealed a 95% stenosis in proximal right coronary artery and subsequently coronary angioplasty was applied. After the stent implantation an intracoronary filling defect was observed. Aspiration was applied with a guiding catheter and a thrombus was observed inside of the catheter after pulling back. The filling defect in the coronary artery lumen disappeared at the control coronary angiography. Three days later patient was discharged from the hospital.