Abstract
Angiographic thrombus is associated with poorer procedural and clinical outcomes. We report our experience with the X-Sizer thrombectomy device (EndiCOR Medical) from March 2001 to December 2002. Indications for use in 44 patients (33 male; mean age, 60) included myocardial infarction (27), unstable angina (6), periprocedural thrombosis (2), acute (< 24 hr) stent thrombosis (1), and subacute (> 24 hr) stent thrombosis (8). Three cases involved vein grafts. Deployment was successful in 42/44. Difficulty traversing the stent occurred in 5/9 cases of in-stent thrombosis. Median TIMI flow increased from 1 to 2 (P = 0.01) postthrombectomy. Median final TIMI flow was 3. Complications included dissection (1), perforation, device jam on stent (1), disruption of a covered stent (1), distal macro-embolization (4), and transient no-reflow (5). The X-Sizer thrombectomy device improves TIMI flow but does not always prevent distal embolization. Care is needed when treating in-stent thrombosis.
References
Mar 1, 1987·Catheterization and Cardiovascular Diagnosis·J CameronS N Oesterle
Sep 15, 1988·The American Journal of Cardiology·R A HackworthyJ L Anderson
Nov 1, 1987·Circulation·F W Denny
Sep 1, 1994·Journal of the American College of Cardiology·D C WarthM Buchbinder
Dec 31, 1997·The American Journal of Cardiology·D L BrownM Buchbinder
Mar 9, 1994·Journal of Interventional Cardiology·P HallJ M Tobis
Apr 13, 1999·Clinical Cardiology·A A AdgeyM T Harbinson
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A KiniS K Sharma
Dec 23, 1999·The New England Journal of Medicine·J M RankinC E Buller
Jun 20, 2001·Revista española de cardiología·R MorenoJ Luis López-Sendón
Aug 9, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·J D WoodyR A White
Jan 5, 2002·Medizinische Klinik·M BrueckW G Daniel
Feb 9, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·On-Hing KwokJeffrey J Popma
May 9, 2002·Heart·S ConstantinidesM F Shiu
May 22, 2002·Circulation·Gilbert BeranPeter Siostrzonek
May 31, 2002·International Journal of Cardiovascular Interventions·Carlo BriguoriAntonio Colombo
Jul 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marcelo SanmartínFrancisco Calvo
Sep 11, 2002·Zeitschrift für Kardiologie·H von KornJ Ludwig
Mar 8, 2003·Revista española de cardiología·Ramón López-PalopMariano Valdés
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gregg W StoneUNKNOWN X-TRACT Investigators
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ran KornowskiAbid Assali
Dec 30, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gordon PateJohn Webb
Citations
Dec 1, 2012·Cardiovascular Intervention and Therapeutics·Eiji TaguchiKoichi Nakao
Feb 20, 2007·American Heart Journal·Francesco BurzottaCarlo Trani
May 19, 2005·Revista española de cardiología·Eulogio García
May 2, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Danish S SiddiquiEhtisham Mahmud