eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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1/2022
vol. 18
 
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abstract:
Short communication

Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction

Jacek Klaudel
1
,
Dariusz Surman
1
,
Krzysztof Pawłowski
2
,
Wojciech Trenkner
1

  1. Department of Invasive Cardiology and Interventional Radiology, St. Adalbert’s Hospital, Copernicus PL, Gdansk, Poland
  2. Department of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, Wejherowo, Poland
Adv Interv Cardiol 2022; 18, 1 (67): 65–69
DOI: https://doi.org/10.5114/aic.2022.115299
Online publish date: 2022/04/11
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Despite inconclusive and conflicting results of trials and meta-analyses assessing aspiration thrombectomy in ST-segment elevation myocardial infarction (STEMI), trends toward reduced mortality were observed in the high thrombus burden subgroup [1–3]. With a large thrombus being one of the strongest predictors of the no flow phenomenon, manual thromboaspiration remains an effective method of its prevention, especially in patients who cannot undergo a staged procedure after IIB/IIIA inhibitor administration because satisfactory reperfusion has not been achieved during the initial intervention [4–8]. Since standard monorail coronary aspiration devices are often ineffective in the case of a large thrombus, guide extension catheters have been used for clot extraction. Their bigger lumen comes at a cost of worse trackability and a higher risk of artery dissection [9].
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