Successful aspiration of an LAD thrombus 'cast' using an Export catheter.
The use of a mechanical device to aspirate thrombus prior to stent deployment during primary angioplasty is currently not routinely recommended as results are often disappointing. However, we report a remarkable case during which we were able to successfully aspirate a 31 mm continuous length of thrombus using an Export catheter with subsequent dramatic improvement in both TIMI-flow and ST-segment resolution.
Wells
T A
TA
Whelan
A
A
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy; D018570:Risk Assessment; D015607:Stents; D013396:Suction / Q000295:instrumentation; D016896:Treatment Outcome