Guiding catheter thrombectomy during percutaneous coronary interventions for acute coronary syndromes

Mauro Moscucci, Kirti Punamiya, Mark J. Ricciardi

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Despite the advancements in the pharmacological and mechanical treatment of acute coronary syndromes, intracoronary thrombus and distal embolization remain among the major limitations of percutaneous transluminal coronary interventions. We describe three cases in which intragraft or intracoronary thrombus was completely aspirated during PTCI using the guiding catheter. In the first case, a 4-cm-long unfragmented embolized thrombus was effectively and completely aspirated from a saphenous vein graft, with immediate restoration of normal flow. In the second case, multiple fragments of embolized thrombus were aspirated from a large right coronary artery, while in the third case, intragraft thrombus was electively aspirated. In each case, the index lesions were then successfully stented without complications. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish (US)
Pages (from-to)192-196
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume49
Issue number2
DOIs
StatePublished - 2000

Keywords

  • Acute coronary syndromes
  • Coronary thrombus
  • Percutaneous transluminal coronary angioplasty
  • Saphenous vein graft
  • Stents
  • Thrombectomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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