Extraction of large intracoronary thrombus in acute myocardial infarction by percutaneous Fogarty maneuver: intentional abuse of a novel interventional device.
Intracoronary thrombus in the infarct-related artery remains a challenge for interventional catheter-based techniques in acute myocardial infarction and may result in severe complications due to distal embolization. We describe a patient with acute myocardial infarction in whom a large intracoronary thrombus of the left anterior descending coronary artery was successfully removed by percutaneous Fogarty maneuver using an expanded filter protection device.
Eggebrecht
Holger
H
Department of Cardiology, Division of Internal Medicine, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany. holger.eggebrecht@uni-essen.de
Baumgart
Dietrich
D
Naber
Christoph
C
Dirsch
Olaf
O
Haude
Michael
M
Erbel
Raimund
R
D000328:Adult; D021721:Balloon Occlusion / Q000295:instrumentation; D002404:Catheterization / Q000295:instrumentation; D002408:Catheters, Indwelling; D003328:Coronary Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D017131:Thrombectomy / Q000295:instrumentation*; D018084:Ultrasonography, Interventional