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Lysis of intravascular thrombus prior to coronary stenting using the dispatch infusion catheter

R A Kerensky1, E A Franco, B D Bertolet

  • 1Section of Cardiology, University of Florida, Shands Hospital, Gainesville 32610-0277, USA.

Catheterization and Cardiovascular Diagnosis
|August 1, 1996
PubMed

Insights

Coronary stent placement is often contraindicated with thrombus. This study shows lysis of intracoronary thrombus using the Dispatch infusion catheter is feasible and safe before stenting.

Area of Science:

  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Angiographic thrombus historically contraindicates coronary stent placement.
  • Effective thrombus management is crucial for successful percutaneous coronary intervention.

Observation:

  • This report details four patients with angiographic thrombus.
  • The Dispatch infusion catheter was used to deliver urokinase for thrombus lysis.
  • Thrombus resolution was observed in all treated patients.

Findings:

  • Successful lysis of intracoronary thrombus was achieved in all four patients using the Dispatch catheter and urokinase.
  • Excellent angiographic outcomes were noted post-coronary stenting.
  • No complications were reported with this lysis technique.

Implications:

  • Lysis of intracoronary thrombus with the Dispatch infusion catheter appears feasible and safe.
  • Further clinical trials are warranted to evaluate its efficacy in reducing acute stent thrombosis.
  • This technique may offer a new approach for stent deployment in patients with coronary thrombus.

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