# A Case Report of Stuck Thrombus Aspiration Catheter (Thrombuster) in Left Anterior Descending Artery of A 59‐Year‐Old Patient Undergoing PCI for Revascularization

## TL;DR

A 59-year-old man had a stuck thrombus aspiration catheter during heart surgery, requiring emergency surgery to remove it and perform a bypass.

## Contribution

This case report highlights a rare complication of hardware entrapment during PCI and its management.

## Key findings

- Thrombus aspiration catheter became stuck in a previously placed stent during PCI.
- Emergency surgical retrieval was required when percutaneous methods failed.
- Coronary bypass was performed simultaneously during the surgical retrieval.

## Abstract

Hardware entrapment during percutaneous coronary intervention is a significant complication necessitating proactive anticipation by interventionists. Here we present a case of a 59‐year‐old man with a history of stent placement in LAD 1 month back, who now presented with stent thrombosis and acute ST‐elevation MI. Percutaneous intervention was done for thrombus aspiration through the previously deployed stent, but the thrombus aspiration device (thrombuster) got stuck in the stent. Despite attempted percutaneous retrieval methods, the device remained inaccessible, leading to emergency surgical device retrieval and simultaneous coronary bypass.