Rheolytic thrombectomy of chronic coronary occlusion

Catheterization and Cardiovascular Diagnosis
R H KimM P Savage

Abstract

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 x 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.

References

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Citations

Oct 5, 2001·Journal of Vascular and Interventional Radiology : JVIR·S Müller-HülsbeckM Heller
Aug 13, 2002·Journal of Vascular and Interventional Radiology : JVIR·Stefan Müller-HülsbeckMartin Heller
Jul 10, 1999·Investigative Radiology·S Müller-HülsbeckM Heller
Nov 5, 1999·Investigative Radiology·S Müller-HülsbeckM Heller
Sep 30, 2002·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·L FengJ Pile-Spellman
Jan 1, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·On Topaz
Aug 26, 2003·Angiology·On TopazUri Rosenschein

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