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Published on: February 26, 2013

"Fogarty-like" removal of large coronary thrombus

Carlo Trani1, Giuseppe Ferrante, Mario Attilio Mazzari

  • 1Catholic University of the Sacred Heart, Institute of Cardiology, Rome, Italy. carlotrani@rm.unicatt.it

The Journal of Invasive Cardiology
|October 2, 2007
PubMed

Insights

This case report details using a Spidertrade mark filter like a Fogarty catheter to remove a large coronary thrombus during emergency percutaneous coronary intervention for ST-elevation myocardial infarction, improving treatment options.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Research
  • Medical Device Technology

Background:

  • Distal embolization is a risk during percutaneous coronary intervention for ST-elevation myocardial infarction.
  • Thrombectomy and distal protection devices show conflicting results in improving myocardial perfusion.
  • Massive coronary thrombus removal remains challenging, risking microvascular damage.

Observation:

  • A case of ST-elevation myocardial infarction with a large, proximal coronary thrombus refractory to standard aspiration and balloon dilatation is presented.
  • The Spidertrade mark filter was adapted in a "Fogarty-like" manner for thrombus removal.
  • This novel application aimed to prevent distal embolization and facilitate stent implantation.

Findings:

  • The "Fogarty-like" use of the Spidertrade mark filter successfully trapped and removed the large coronary thrombus.
  • This approach addressed the limitations of standard methods in managing massive thrombus burden.
  • Successful thrombus removal paved the way for subsequent stent implantation.

Implications:

  • This technique offers a potential alternative for managing complex coronary thrombus during ST-elevation myocardial infarction interventions.
  • It may help reduce distal embolization and improve microvascular function in challenging cases.
  • Further investigation into this "Fogarty-like" filter application could refine interventional cardiology strategies.

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