Usefulness of a 6 Fr Right Judkins Catheter for Mechanically Extracting a Massive Intracoronary Thrombus From an Ectasic Right Coronary Artery: A report on two different cases of thrombectomy
| Autor: | Seibu Mochizuki, Chikara Mori, Takahiro Shibata, Satoru Onoda, Hisayuki Okada, Takeyuki Kubota, Toshinobu Horie, Tetsushi Tsurusaki, Hiroshi Sakamoto, Junichi Yamaguchi, Satoru Yoshida, Hidetaka Nagasawa, Hidenori Yagi, Shinichiro Takizawa, Kamon Imai, Makoto Mutoh, Tetsuya Ishikawa |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome business.industry medicine.medical_treatment Coronary artery ectasia Infarction Thrombolysis medicine.disease Catheter Internal medicine Right coronary artery medicine.artery cardiovascular system medicine Cardiology cardiovascular diseases Myocardial infarction Radiology Thrombus Cardiology and Cardiovascular Medicine business |
| Zdroj: | Japanese Heart Journal. 45:673-678 |
| ISSN: | 1348-673X 0021-4868 |
| Popis: | In order to bail out the slow-flow phenomenon (slow flow) created by a massive thrombus in an ectasic right coronary artery, a thrombus was mechanically extracted with a 6 Fr right Judkins (JR) catheter, which proved to be more useful than a usual thrombectomy using a RescueTM PT system catheter (Rescue). In case 1, the Rescue was used in combination with thrombolysis but failed to alleviate the slow flow that was implicated in a large infarction. On the other hand, in case 2, aggressive thrombectomy with a 6 Fr JR catheter with an 8 Fr Amplatz guiding catheter successfully extracted the massive intracoronary thrombus, restoring good coronary flow. Therefore, mechanical extraction with a 6 Fr JR catheter is safe and useful in cases of massive thrombus when diffuse coronary artery ectasia complicates an acute myocardial infarction. In addition, this method should be applicable to cases of acute coronary syndrome with massive thrombus. |
| Databáze: | OpenAIRE |
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