Work

Management of Refractory Thrombus in the Right Coronary Artery: Innovative Techniques in a Single Case

Year: 2025

Type: article

Abstract: Managing a significant thrombus burden during acute myocardial infarction (AMI) presents a considerable challenge in percutaneous coronary intervention (PCI). Traditional thrombus aspiration catheters can sometimes prove insufficient, necessitating novel strategies. We present a case in which an innovative approach using a guide extension catheter for direct thrombus aspiration successfully restored flow in a refractory and massive thrombotic occlusion of the right coronary artery (RCA). This case also underscores the remarkable potential of innovative interventional techniques, particularly the use of a kinked wire in conjunction with a thrombus aspiration catheter, to effectively ensnare and extract thrombus, even in the most challenging cases of coronary thrombectomy.

Source: Catheterization and Cardiovascular Interventions

DOI: 10.1002/ccd.31539

Authors: Anuj Sarda, Swapnil Bhedodkar, Yogesh Zanwar

Institution: National Heart Institute

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4409621327

FWCI:

Cites: 16

Cited by:

Related to: 10