Utility of Thrombectomy in Primary Percutaneous Coronary Intervention

Carl A Dragstedt; Anthony A Bavry

doi:10.1016/j.iccl.2012.11.004

Utility of Thrombectomy in Primary Percutaneous Coronary Intervention

Interv Cardiol Clin. 2013 Apr;2(2):361-374. doi: 10.1016/j.iccl.2012.11.004. Epub 2013 Mar 27.

Authors

Carl A Dragstedt¹, Anthony A Bavry²

Affiliations

¹ Division of Cardiovascular Medicine, University of Florida, 1600 Southwest Archer Road, Gainesville, FL 32610-0277, USA.
² Division of Cardiovascular Medicine, University of Florida, 1600 Southwest Archer Road, Gainesville, FL 32610-0277, USA. Electronic address: bavryaa@medicine.ufl.edu.

PMID: 28582142
DOI: 10.1016/j.iccl.2012.11.004

Abstract

Thrombectomy in the setting of primary percutaneous coronary intervention allows for improved macrovascular and microvascular perfusion, possible limitation of infarct size, and the preservation of left ventricular function and myocardial viability. The beneficial tissue level effects of thrombectomy have translated into an improvement in cardiovascular mortality. A variety of thrombectomy devices are currently available, including aspiration thrombectomy catheters and rheolytic catheters. A review of the various types of thrombectomy devices available, clinical evidence for their use, clinical pearls for use, and device troubleshooting are presented.

Keywords: Aspiration; Coronary artery disease; Myocardial infarction; Primary percutaneous coronary intervention; Rheolytic; Suction; Thrombectomy; Thrombus.

Publication types

Review