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The use of a distal occlusion balloon protection device in acute coronary syndrome

Steven S L Li1, C W Lam, Y C So

  • 1Division of Cardiology, Department of Medicine, Queen Elizabeth Hospital, Kowloon, Hong Kong. listevensl@yahoo.com

International Journal of Cardiology
|December 9, 2003
PubMed

Insights

The PercuSurge GuardWire Plus system demonstrated safety and feasibility as a distal protection device during percutaneous coronary intervention for acute coronary syndrome and myocardial infarction patients.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Acute coronary syndrome (ACS) and acute myocardial infarction (AMI) are critical cardiovascular conditions.
  • Percutaneous coronary intervention (PCI) is a common treatment, but distal embolization remains a concern.
  • Distal protection devices aim to mitigate risks during PCI.

Purpose of the Study:

  • To evaluate the early clinical experience with the PercuSurge GuardWire Plus system.
  • To assess the safety and feasibility of this distal protection device in ACS and AMI patients undergoing PCI.

Main Methods:

  • A prospective study involving 43 patients with ACS/AMI undergoing PCI.
  • The PercuSurge GuardWire Plus system was used as a distal protection device.
  • Outcomes included procedural success, device deployment, and major adverse clinical events (MACE).

Main Results:

  • The GuardWire Plus system was successfully deployed in 41 of 43 patients.
  • Post-PCI, TIMI III flow was achieved in all 41 patients with native coronary vessels.
  • No procedure-related or device-related MACE occurred during the procedure or at 30-day follow-up.

Conclusions:

  • The PercuSurge GuardWire Plus system is safe and feasible for use in patients with ACS and AMI.
  • The device effectively facilitated successful PCI with favorable hemodynamic outcomes.
  • This early experience suggests the GuardWire Plus system is a valuable tool in managing high-risk PCI patients.

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