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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 177-182 |
| Number of pages | 6 |
| Journal | Catheterization and Cardiovascular Interventions |
| Volume | 63 |
| Issue number | 2 |
| DOIs | |
| State | Published - Oct 2004 |
| Externally published | Yes |
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Keywords
- Coronary
- Stent
- Vein graft
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Radiology Nuclear Medicine and imaging
Cite this
Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions. / Pate, Gordon E.; Lowe, Robert; Kuchela, Arun; Buller, Christopher E.; Vaderah, Sanjeev; Carere, Ronald G.; Ricci, Donald R.; Hamburger, Jaap N.; Webb, John G.
In: Catheterization and Cardiovascular Interventions, Vol. 63, No. 2, 10.2004, p. 177-182.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions
AU - Pate, Gordon E.
AU - Lowe, Robert
AU - Kuchela, Arun
AU - Buller, Christopher E.
AU - Vaderah, Sanjeev
AU - Carere, Ronald G.
AU - Ricci, Donald R.
AU - Hamburger, Jaap N.
AU - Webb, John G.
PY - 2004/10
Y1 - 2004/10
N2 - 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.
AB - 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.
KW - Coronary
KW - Stent
KW - Vein graft
UR - http://www.scopus.com/inward/record.url?scp=4744348333&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=4744348333&partnerID=8YFLogxK
U2 - 10.1002/ccd.20109
DO - 10.1002/ccd.20109
M3 - Article
C2 - 15390253
AN - SCOPUS:4744348333
VL - 63
SP - 177
EP - 182
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
SN - 1522-1946
IS - 2
ER -