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Updated: Aug 10, 2026
10:19
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
To aspirate or not!: The question may be not if, but when
1Cardiac Catheterization Laboratories, NorthShore University Health System, Cardiovascular Institute, Skokie, Illinois.
Summary
Current guidelines suggest aspiration thrombectomy (AT) is a last resort. However, this review explores potential broader applications for AT catheters beyond "bail-out" scenarios in endovascular procedures.
Area of Science:
- Endovascular therapy
- Interventional neurology
- Vascular surgery
Background:
- Current guidelines assign aspiration thrombectomy (AT) a level III indication, primarily for "bail-out" situations.
- The definition and scope of "bail-out" indications for AT remain inadequately defined in existing literature.
- This highlights a potential gap in understanding the full utility of AT catheters.
Discussion:
- Aspiration thrombectomy catheters may possess utility beyond emergency interventions.
- Potential alternative uses include targeted distal contrast delivery for enhanced imaging.
- Exploration of localized drug delivery via AT catheters is also a promising avenue.
Key Insights:
- The restrictive indication for AT may overlook its versatile applications.
- Further research is warranted to define and validate expanded uses for AT catheters.
- Optimizing AT catheter utilization could improve patient outcomes in various vascular interventions.
Outlook:
- Future guidelines may incorporate broader indications for aspiration thrombectomy.
- Development of novel techniques for contrast and drug delivery using AT catheters is anticipated.
- This could lead to more refined and effective endovascular treatment strategies.
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