title: Direct aspiration of large thrombi in acute myocardial infarction using a standard 6 Fr guide catheter via the transradial approach.
abstract: A large thrombus load on the culprit coronary artery of patients with acute myocardial infarction (MI) is associated with increased procedural complications and adverse coronary events following angioplasty. This case series describes effective removal of large, occlusive thrombi in acute MI via direct aspiration using a standard 6 Fr guide catheter, following failed conventional catheter aspiration. This procedure is a simple and rapid alternative for challenging thrombi-containing coronary lesions when current thrombectomy catheters fail.
authors.affiliation: Cardiovascular Center, Shiroyama Hospital, 2-8-1 Habikino, Habikino City, Osaka, Japan. shimada@shiroyama-hsp.or.jp
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Shimada
authors.forename: Naoto
authors.initials: N
authors.lastname: Kino
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Fukumoto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D062906:Cardiac Catheters; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D004562:Electrocardiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation / Q000379:methods; D017534:Radial Artery; D013396:Suction / Q000295:instrumentation / Q000379:methods; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome