title: Usefulness of a 6 fr right judkins catheter for mechanically extracting a massive intracoronary thrombus from an ectasic right coronary artery: a report on two different cases of thrombectomy.
abstract: In order to bail out the slow-flow phenomenon (slow flow) created by a massive thrombus in an ectasic right coronary artery, a thrombus was mechanically extracted with a 6 Fr right Judkins (JR) catheter, which proved to be more useful than a usual thrombectomy using a Rescue PT system catheter (Rescue). In case 1, the Rescue was used in combination with thrombolysis but failed to alleviate the slow flow that was implicated in a large infarction. On the other hand, in case 2, aggressive thrombectomy with a 6 Fr JR catheter with an 8 Fr Amplatz guiding catheter successfully extracted the massive intracoronary thrombus, restoring good coronary flow. Therefore, mechanical extraction with a 6 Fr JR catheter is safe and useful in cases of massive thrombus when diffuse coronary artery ectasia complicates an acute myocardial infarction. In addition, this method should be applicable to cases of acute coronary syndrome with massive thrombus.
authors.affiliation: Division of Cardiology, Saitama Cardiovascular and Respiratory Center, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Onoda
authors.forename: Makoto
authors.initials: M
authors.lastname: Mutoh
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sakamoto
authors.forename: Junichi
authors.initials: J
authors.lastname: Yamaguchi
authors.forename: Hisayuki
authors.initials: H
authors.lastname: Okada
authors.forename: Tetsushi
authors.initials: T
authors.lastname: Tsurusaki
authors.forename: Takeyuki
authors.initials: T
authors.lastname: Kubota
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Takizawa
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yagi
authors.forename: Chikara
authors.initials: C
authors.lastname: Mori
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Nagasawa
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shibata
authors.forename: Satoru
authors.initials: S
authors.lastname: Yoshida
authors.forename: Kamon
authors.initials: K
authors.lastname: Imai
authors.forename: Toshinobu
authors.initials: T
authors.lastname: Horie
authors.forename: Seibu
authors.initials: S
authors.lastname: Mochizuki
mesh_terms: D000328:Adult; D000368:Aged; D006328:Cardiac Catheterization / Q000295:instrumentation; D003327:Coronary Disease / Q000150:complications; D003328:Coronary Thrombosis / Q000150:complications / Q000628:therapy*; D004108:Dilatation, Pathologic / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D015425:Myocardial Reperfusion / Q000295:instrumentation*; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome