The thrombus laden coronary artery--forget the fancy stuff, just aspirate it!

Abstract:

:"No-reflow" is an important complication of percutaneous coronary intervention (PCI) in the setting of acute myocardial infarction and is associated with worse outcomes. Visible thrombus on the angiogram is a significant risk factor for "no-reflow". A variety of strategies have been employed to prevent this phenomenon including intracoronary vasodilators and distal protection systems. Randomized trials have not revealed any superiority of distal protection devices despite the theoretical rationale to their use. We describe a case of a thrombus-laden right coronary artery in which PCI would have likely resulted in significant "no-reflow". A simple aspiration catheter was used to significantly reduce the thrombus burden. Subsequent stenting was performed with no adverse events. This case illustrates the benefit of a less fancy approach to the thrombus-filled coronary artery - just aspirate it! Randomized trials are needed to test the role of simple aspiration prior to stenting in thrombus-laden coronary arteries.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Jafary FH,Najaf SM

doi

10.2143/AC.60.6.2004941

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

659-61

issue

6

eissn

0001-5385

issn

1784-973X

journal_volume

60

pub_type

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