Dual Role of Guide Extension Catheters for the Management of High Thrombus Burden in STEMI: Case Report and Mini Review

Juan I Damonte; Alejandro D Fernández; Carla R Agatiello; Ignacio M Seropian

doi:10.1016/j.carrev.2022.07.008

Dual Role of Guide Extension Catheters for the Management of High Thrombus Burden in STEMI: Case Report and Mini Review

Cardiovasc Revasc Med. 2022 Dec:45:74-77. doi: 10.1016/j.carrev.2022.07.008. Epub 2022 Jul 27.

Authors

Juan I Damonte¹, Alejandro D Fernández¹, Carla R Agatiello¹, Ignacio M Seropian²

Affiliations

¹ Interventional Cardiology Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
² Interventional Cardiology Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: Ignacio.seropian@hospitalitaliano.org.ar.

PMID: 35909034
DOI: 10.1016/j.carrev.2022.07.008

Abstract

High thrombus burden in ST segment elevation myocardial infarction (STEMI) patients increases the risk of adverse events. In this report, we review current strategies for high thrombus burden and present a case report with the combination of two different techniques: aspiration through a guide extension catheter followed by local intracoronary thrombolysis with 'marinade' technique.

Keywords: Case report; Percutaneous coronary intervention; STEMI; Thrombectomy; Thrombolytics.

Publication types

Case Reports
Review

MeSH terms

Humans
ST Elevation Myocardial Infarction* / diagnostic imaging
ST Elevation Myocardial Infarction* / therapy