Diverse Findings in Calcified Thrombus Between Histopathology and In Vivo Imaging Including Intravascular Ultrasound, Optical Coherence Tomography, and Angioscopy

Int Heart J. 2015;56(6):661-3. doi: 10.1536/ihj.15-117. Epub 2015 Nov 9.

Abstract

A 46-year-old woman on hemodialysis due to end-stage renal disease was admitted for repeated thrombus formation in previously implanted drug-eluting stents in the right coronary artery. We could successfully aspirate this thrombus, and histopathology revealed a calcified thrombus comprising multiple microcalcifications and fibrinous materials. This is the first report showing how a calcified thrombus is visualized in vivo by intracoronary imaging modalities including intravascular ultrasound, optical coherence tomography, and angioscopy.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / methods
  • Angioscopy / methods
  • Calcinosis / diagnosis
  • Calcinosis / etiology
  • Coronary Artery Disease* / complications
  • Coronary Artery Disease* / surgery
  • Coronary Restenosis* / diagnosis
  • Coronary Restenosis* / etiology
  • Coronary Thrombosis* / diagnosis
  • Coronary Thrombosis* / etiology
  • Coronary Vessels / pathology*
  • Drug-Eluting Stents / adverse effects*
  • Female
  • Humans
  • Kidney Failure, Chronic* / complications
  • Kidney Failure, Chronic* / therapy
  • Middle Aged
  • Postoperative Complications / diagnosis*
  • Renal Dialysis / methods
  • Reproducibility of Results
  • Thrombectomy / methods
  • Tomography, Optical Coherence / methods
  • Treatment Outcome
  • Ultrasonography, Interventional / methods