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An aspiration catheter stuck in a patient with acute coronary syndrome: an unanticipated complication

Akihiro Ikuta1, Ryosuke Murai2, Hiroyuki Tanaka1

  • 1Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, 710-8602, Japan.

Cardiovascular Intervention and Therapeutics
|January 31, 2023
PubMed

Insights

Aspiration catheter use during myocardial infarction treatment led to a tear in the wire lumen. The damaged catheter became irretrievable, requiring removal of the entire system.

Area of Science:

  • Interventional Cardiology
  • Medical Device Technology

Background:

  • ST-elevation myocardial infarction (STEMI) requires prompt reperfusion therapy.
  • Aspiration thrombectomy is a common procedure for removing thrombi during percutaneous coronary intervention.

Observation:

  • During STEMI intervention, an aspiration catheter's wire lumen tore upon removal.
  • The torn catheter became lodged and could not be retracted into the guiding catheter.

Findings:

  • Catastrophic failure of the aspiration catheter occurred.
  • Complete system retrieval, including the guiding catheter, was necessary due to the complication.

Implications:

  • Highlights potential risks and mechanical complications associated with aspiration thrombectomy devices.
  • Underscores the importance of device integrity and careful procedural technique in interventional cardiology.
  • Suggests a need for improved aspiration catheter design to prevent intraprocedural failures.

Keywords:
Acute coronary syndromeComplicationThrombus aspiration catheter

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