Extraction of challenging intracoronary thrombi: multi-device strategies using guide catheters, distal vascular protection devices and aspiration catheters.
Patients with large intracoronary thrombi represent a difficult management problem for the interventional cardiologist. We report 10 cases of challenging thrombi treated percutaneously using varying combinations of deep guide catheter engagement, guide aspiration, dedicated catheter aspiration and withdrawal of a distal filter vascular protection device. These cases demonstrate interventional options which may be considered for such patients.
Pornratanarangsi
Suwatchai
S
Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
El-Jack
Seif S
SS
Webster
Mark W I
MW
McNab
Duncan
D
Stewart
James T
JT
Ormiston
John A
JA
Ruygrok
Peter N
PN