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Angioscopic Appearance and Histopathology of Coronary Artery Thrombi

Division of Intensive Care Unit
¹ Division of Pathology, Chiba Hokusoh Hospital, Nippon Medical School, Chiba, Japan

For reprint information contact: Noritake Hata, MD Tel: 81 476 99 1111 Fax: 81 476 99 1911 email: hata-n{at}nms.ac.jp Division of Intensive Care Unit, Chiba Hokusoh Hospital, Nippon Medical School, 1715 Kamagari, Inbamura, Inbagun, Chiba 270-1694, Japan.

A 70-year-old woman presented with acute coronary syndrome. Coronary angiography documented occlusion of the left circumflex coronary artery, and coronary angioscopy showed large red thrombi at the site of occlusion. These thrombi were aspirated using a RESCUE thrombectomy catheter, after which coronary flow was reestablished. Histological examination of the aspirated thrombi revealed platelets, irregularly intermingled erythrocytes, and a large number of leukocytes (mainly neutrophils); tissue resembling vascular endothelium also was present.