PMID- 23130480
OWN - NLM
STAT- MEDLINE
DCOM- 20121203
LR  - 20121107
IS  - 0125-2208 (Print)
IS  - 0125-2208 (Linking)
VI  - 95 Suppl 8
DP  - 2012 Aug
TI  - Cases report: Experience with rheolytic thrombectomy device (Angiojet) in acute 
      ST elevation myocardial infarction with large amount of coronary thrombus.
PG  - S83-8
AB  - 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 CA G 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.
FAU - Chantadansuwan, Thamarath
AU  - Chantadansuwan T
AD  - Cardiology & Intervention Department, Central Chest Institute, Nonthaburi, 
      Thailand. dansuwan_t@yahoo.co.th
FAU - Kehasukcharoen, Wirash
AU  - Kehasukcharoen W
FAU - Hengrussamee, Kriengkrai
AU  - Hengrussamee K
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Thailand
TA  - J Med Assoc Thai
JT  - Journal of the Medical Association of Thailand = Chotmaihet thangphaet
JID - 7507216
SB  - IM
MH  - Adult
MH  - Angioplasty, Balloon, Coronary/methods
MH  - Coronary Angiography/methods
MH  - Coronary Thrombosis/complications/pathology/physiopathology/*surgery
MH  - Coronary Vessels/pathology/*surgery
MH  - Electrocardiography/methods
MH  - Equipment Design
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Myocardial Infarction/diagnosis/etiology/physiopathology/therapy
MH  - *Thrombectomy/instrumentation/methods
MH  - Treatment Outcome
MH  - Vascular Access Devices
EDAT- 2012/11/08 06:00
MHDA- 2012/12/10 06:00
CRDT- 2012/11/08 06:00
PHST- 2012/11/08 06:00 [entrez]
PHST- 2012/11/08 06:00 [pubmed]
PHST- 2012/12/10 06:00 [medline]
PST - ppublish
SO  - J Med Assoc Thai. 2012 Aug;95 Suppl 8:S83-8.