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

✍ Scribed by Kerensky, Richard A. ;Franco, Elizabeth A. ;Bertolet, Barry D. ;Thomas, Gwen ;Wargovich, Thomas J.

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 506 KB
Volume: 38
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199608)38:4<410::aid-ccd19>3.0.co;2-i

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✦ Synopsis

The presence of angiographic evidence of thrombus is generally thought to be a contraindication to coronary stent placement. This report describes four patients in whom angiographic thrombus was lysed using the Dispatch infusion catheter prior to coronary stenting. Urokinase was infused via the Dispatch catheter with resolution of angiographic evidence of thrombus in all cases. No complications were encountered using this technique, and all patients had excellent aniographic results after stenting. We conclude that lysis of intracoronary thrombus using the Dispatch infusion catheter is feasible and appears safe in this small study. Further trials are needed to determine if this technique reduces the acute stent thrombosis rate compared to other techniques for stent deployment in the presence of angiographic evidence of thrombus. c 19% Wllsy-LIwJ. Inc.

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