PMC4512022_01
Coronary angiography. a. Right anterior oblique and caudal view. b. Left anterior oblique and cranial view. A stent thrombosis is visible (arrowheads) in the in-stent segment of the proximal left anterior descending artery
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Fig1
She immediately received 5,000 units of unfractionated heparin in a single bolus, followed by another 5,000 units bolus in the catheterization laboratory, before undergoing emergent coronary angiography, which revealed the presence of stent thrombosis (ST) and TIMI 2 distal flow in the pLAD artery (Fig. 1).
Intravascular ultrasound. Fibrous thrombi are visible in the in-stent segment of the pLAD artery
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Fig2
An intravascular ultrasound study showed an in-stent fibrous thrombus in the pLAD artery (Fig. 2).
Aspirated thrombi. a. Several large thrombi (arrow) were aspirated during PCI and preserved in physiologic saline inside the aspiration device. b. Extracted thrombi on a Petri dish
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Fig3
After each aspiration of the thrombus with a special catheter, a large, red thrombus reappeared, requiring 10 consecutive aspirations over 45 min (Fig. 3).