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Coronary interventional devices: balloon, atherectomy, thrombectomy and distal protection devices

Samin K Sharma1, Victor Chen

  • 1Cardiac Catheterization Laboratory, Cardiovascular Institute, Mount Sinai Hospital, One Gustave Levy Place, New York, NY 10029, USA. samin.sharma@msnyuhealth.org

Cardiology Clinics
|June 20, 2006
PubMed

Insights

Interventional cardiologists increasingly treat complex coronary lesions with drug-eluting stents. Adjunctive devices are sometimes needed for optimal stent deployment and to prevent embolization, especially in challenging cases.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Devices

Background:

  • Increasing complexity of coronary lesions treated with drug-eluting stents.
  • Advancements in operator experience and device technology drive complex interventions.

Purpose of the Study:

  • To highlight the role of adjunctive devices in complex coronary lesion preparation.
  • To discuss the utility of thrombectomy and distal protection devices.

Main Methods:

  • Review of current interventional cardiology practices for complex coronary lesions.
  • Analysis of the indications for adjunctive device use in stent implantation.

Main Results:

  • Complex lesions like thrombotic, calcified, and chronic total occlusions are increasingly addressed.
  • Adjunctive devices are essential in 5%-10% of cases for successful stent deployment and expansion.
  • Thrombectomy and distal protection devices are effective for saphenous vein graft lesions.

Conclusions:

  • Adjunctive devices are crucial for lesion preparation in a subset of complex coronary interventions.
  • Further research is needed to establish the role of thrombectomy and distal protection in acute myocardial infarctions.

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