Aspiration catheters and protection filters

Dhruv Mahtta, Islam Y. Elgendy, Ahmed N. Mahmoud, Anthony A. Bavry

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Intracoronary thrombus is frequently encountered during primary percutaneous coronary intervention, especially in patients presenting with an acute ST-segment elevation myocardial infarction. During coronary intervention, the presence of thrombus, as well as subsequent liberation and embolization of the thrombus, is linked with worse clinical outcomes and higher incidence of major adverse cardiac events. Since the late 1990s, various modalities have been developed and carefully examined for optimal management of coronary thrombus while ensuring minimal embolization. Two modalities that have surfaced and gained attention include aspiration thrombectomy catheters and embolic protection devices (EPDs). In this chapter, we will present a comprehensive review of aspiration thrombectomy technology and EPDs. We will also focus on key landmark trials that have shaped our current perception regarding these modalities and how they relate to the management of intracoronary thrombus, prevention of distal embolization, and clinical outcomes.

Original languageEnglish (US)
Title of host publicationCardiovascular Thrombus
Subtitle of host publicationFrom Pathology and Clinical Presentations to Imaging, Pharmacotherapy and Interventions
PublisherElsevier
Pages249-260
Number of pages12
ISBN (Electronic)9780128126158
ISBN (Print)9780128126165
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Keywords

  • Aspiration thrombectomy
  • Coronary thrombus
  • Distal embolic filter device
  • Distal embolization
  • Distal occlusion device
  • Embolic protection device
  • Major adverse cardiac event
  • No-reflow phenomenon
  • Proximal occlusion device
  • St-segment elevation myocardial infarction
  • Systemic embolization

ASJC Scopus subject areas

  • Medicine(all)

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