"Fogarty-like" removal of large coronary thrombus.
In order to avoid distal embolization in patients undergoing emergency percutaneous coronary intervention for ST-elevation myocardial infarction, both thrombectomy and distal protection devices have been evaluated with conflicting effects on myocardial perfusion. However, the removal of massive coronary thrombus is always problematic, and failure of standard approaches might result in severe microvascular damage. We report a case of the unusual use, in a "Fogarty-like" fashion, of the Spidertrade mark filter to trap and remove a large thrombus that was refractory to aspiration and balloon dilatation before stent implantation in a proximal, infarct-related coronary artery.
Trani
Carlo
C
Catholic University of the Sacred Heart, Institute of Cardiology, Rome, Italy. carlotrani@rm.unicatt.it
Ferrante
Giuseppe
G
Mazzari
Mario Attilio
MA
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D002408:Catheters, Indwelling; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy; D015607:Stents; D017131:Thrombectomy / Q000295:instrumentation* / Q000379:methods*; D016306:Vena Cava Filters