Rheolytic thrombectomy of chronic coronary occlusion

✍ Scribed by Kim, Richard H. ;Fischman, David L. ;Dempsey, Colleen M. ;Savage, Michael P.

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 482 KB
• Volume: 43
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199804)43:4<483::aid-ccd31>3.0.co;2-i

✦ Synopsis

Percutaneous intervention in patients with intracoronary thrombus continues to pose a significant clinical challenge. In this report, we describe the successful treatment of a 44-year-old patient with an extensive chronic thrombotic occlusion of the right coronary artery using a rheolytic thrombectomy catheter. Despite angiographic documentation of coronary thrombosis 104 days prior to treatment and a voluminous thrombus burden (60 mm in length ؋ 3 mm in diameter), rapid recanalization was accomplished with this device without embolic complications. At 1 year clinical follow-up, the patient has remained symptom free. The design of this novel device and its mechanism of action are described.