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Thrombectomy with rescue percutaneous thrombectomy catheter: our initial experience
C G Bahuleyan1, K Sunitha, K Sivaprasad
1Professor and Head, Department of Cardiology, Medical College Hospital, Thiruvananthapuram, Kerala State, India. bahuleyan2001@yahoo.co.uk
The Journal of Invasive Cardiology
|December 25, 2002
Summary
The Rescue Percutaneous Thrombectomy Catheter effectively removed coronary artery thrombus, even one month after acute myocardial infarction. This mechanical thrombectomy facilitated successful angioplasty and restored blood flow.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Coronary artery thrombosis, often resulting from plaque rupture, is a critical cause of myocardial infarction.
- Mechanical devices are employed for thrombus removal in coronary arteries.
Observation:
- This case report details the application of the Rescue Percutaneous Thrombectomy Catheter in a patient with significant thrombus burden in the right coronary artery.
- The procedure was performed one month after an acute myocardial infarction event.
Findings:
- Successful thrombectomy using the Rescue Percutaneous Thrombectomy Catheter was achieved.
- Post-thrombectomy, the underlying arterial stenosis was clearly visualized.
- Subsequent balloon angioplasty resulted in TIMI 3 flow without distal embolization.
Implications:
- The Rescue Percutaneous Thrombectomy Catheter demonstrates efficacy in treating coronary artery thrombus, extending its utility beyond the acute phase of myocardial infarction.
- This device offers a viable option for managing subacute or chronic thrombus in coronary arteries, improving procedural outcomes.