title: Novel use of the Heartrail catheter as a thrombectomy device.
abstract: The presence of thrombus is independently associated with adverse outcomes during percutaneous coronary intervention (PCI), particularly in those cases involving a large thrombus burden such as in saphenous vein grafts (SVGs) or during primary PCI. Mechanical thrombectomy devices are used to reduce the thrombus burden in such high-risk procedures to reduce the risk of distal embolization and slow flow and no-reflow. Here we describe 3 cases of successful use of a stent delivery system with a wide-bore lumen, the "five-in-six" Heartrail catheter, as a thrombectomy device in SVG lesions and primary PCI following failure of conventional simple aspiration thrombectomy catheters.
authors.affiliation: Cardiology Department, University Hospital of Northern British Columbia, Prince George, B.C., Canada.
authors.forename: H M
authors.initials: HM
authors.lastname: Hadi
authors.forename: D G
authors.initials: DG
authors.lastname: Fraser
authors.forename: M A
authors.initials: MA
authors.lastname: Mamas
mesh_terms: D054058:Acute Coronary Syndrome; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization / Q000379:methods; D057785:Catheters; D054059:Coronary Occlusion / Q000628:therapy; D003328:Coronary Thrombosis / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation; D017131:Thrombectomy / Q000295:instrumentation* / Q000379:methods