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Published on: February 18, 2020
Novel method for extraction of a massive refractory coronary thrombus after stent implantation
Yi-Ming Yang1, Gregg W Stone, Jeffrey W Moses
1College of Physicians and Surgeons, Columbia University and the Cardiovascular Research Foundation, New York, New York 10021, USA.
Insights
A novel FilterWire device successfully retrieved a large, difficult coronary thrombus after stent implantation. This approach offers a new option for managing complex thrombotic coronary lesions.
Area of Science:
- Interventional Cardiology
- Cardiovascular Research
- Medical Device Technology
Background:
- Percutaneous coronary interventions (PCI) for thrombotic lesions carry risks.
- Massive coronary thrombus can be challenging to manage with standard techniques.
Observation:
- A case of massive, refractory native coronary thrombus occurred post-drug-eluting stent implantation.
- The FilterWire distal protection device was utilized for thrombus retrieval.
Findings:
- The FilterWire device demonstrated successful retrieval of the massive, refractory coronary thrombus.
- This represents a novel application of a distal protection device.
Implications:
- This technique may offer a viable solution for complex thrombotic coronary lesion management.
- Further research could explore the broader utility of FilterWire in similar scenarios.
Abstract:
Percutaneous treatment of thrombotic coronary lesions is associated with an increased incidence of complications. In particular, management of massive coronary thrombus refractory to traditional methods of removal may be especially problematic. We report a novel application of the FilterWire distal protection device to retrieve a massive refractory native coronary thrombus present after drug-eluting stent implantation.
