Prevention of thrombus embolization during primary percutaneous intervention using a novel mesh covered stent.
Embolization of athero-thrombotic material during primary percutaneous coronary intervention is a common cause of periprocedural complication. Methods developed to reduce embolization include thrombus aspiration, and distal protection. We report five cases of primary percutaneous intervention to coronary arteries that contain large amounts of thrombus, using a novel mesh covered stent. The mesh covering of the stent is designed such that it is theoretically able to ensnare thrombus and thus prevent distal migration of embolic material. In all cases, TIMI grade III flow was achieved at the end of the procedure, despite the extensive thrombus burden.
Department of Cardiology, Bart's and The London NHS Trust, London, UK. martin.rothman@bartsandthelondon.nhs.uk
Ajay
A
Jain
Roshan
R
Weerackody
Simon
S
Kennon
Martin
M
Rothman
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D003326:Coronary Circulation; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D011474:Prosthesis Design; D015607:Stents; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome