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Case ReportOpen Access
Cases Report: Experience with Rheolytic Thrombectomy Device (Angiojet) in Acute ST Elevation Myocardial Infarction with Large Amount of Coronary Thrombus
Chantadansuwan T 
,
Kehasukcharoen W ,
Hengrussamee K
,
Kehasukcharoen W ,
Hengrussamee K Background: Primary percutaneous coronary intervention (PCI) in acute ST elevation myocardial infarction (STEMI) is a clinical challenge. Adequate thrombus removal before stenting is an important factor that predicts procedural success, and finally reflects to clinical outcomes.
Cases Report: In the present report, 2 cases of acute STEMI underwent primary PCI. Coronary angiogram (CAG) in both cases showed a large amount of coronary thrombus (TIMI thrombus grade 4 & grade 5), with no response to several attempts of manual aspiration with thrombus aspiration catheter. Then, Angiojet rheolytic thrombectomy, a catheter-based, device was used antegradely. Repeated CAG showed thrombus was significantly eliminated. Both patients were successfully stented with direct stent technique at culprit arteries, resulted in good angiographic results and inhospital outcomes.
Conclusion: Angiojet, a rheolytic thrombectomy device, is a viable option to remove thrombus in primary PCI, especially in cases with massive thrombus load and failed manual aspiration.
Keywords: Rheolytic thrombectomy device, Mechanical thrombectomy device, Angiojet, ST elevation myocardial infarction, Percutaneous coronary intervention
Cases Report: In the present report, 2 cases of acute STEMI underwent primary PCI. Coronary angiogram (CAG) in both cases showed a large amount of coronary thrombus (TIMI thrombus grade 4 & grade 5), with no response to several attempts of manual aspiration with thrombus aspiration catheter. Then, Angiojet rheolytic thrombectomy, a catheter-based, device was used antegradely. Repeated CAG showed thrombus was significantly eliminated. Both patients were successfully stented with direct stent technique at culprit arteries, resulted in good angiographic results and inhospital outcomes.
Conclusion: Angiojet, a rheolytic thrombectomy device, is a viable option to remove thrombus in primary PCI, especially in cases with massive thrombus load and failed manual aspiration.
Keywords: Rheolytic thrombectomy device, Mechanical thrombectomy device, Angiojet, ST elevation myocardial infarction, Percutaneous coronary intervention
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