title: Initial experience with an intracoronary flow support device providing localized drug infusion: the Scimed Dispatch catheter.
abstract: Two cases are presented illustrating the use of a new intracoronary infusion catheter providing flow support using a unique spiral coil design. Good clinical outcomes were obtained employing 4-hr inflations with localized infusion of urokinase at the site of dissection and extensive clot formation, respectively. This low-profile catheter-mounted device may provide an alternative to stent placement in cases of acute dissection complicated by thrombus formation.
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000188:drug therapy; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D002408:Catheters, Indwelling; D003131:Combined Modality Therapy; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000187:drug effects* / Q000502:physiology; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015912:Thrombolytic Therapy / Q000295:instrumentation*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage* / Q000009:adverse effects
chemical_list: D014568:Urokinase-Type Plasminogen Activator