Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions

Gordon E. Pate, Robert Lowe, Arun Kuchela, Christopher E. Buller, Sanjeev Vaderah, Ronald G. Carere, Donald R. Ricci, Jaap N. Hamburger, John G. Webb

Research output: Contribution to journalArticle

10 Scopus citations

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 languageEnglish (US)
Pages (from-to)177-182
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Volume63
Issue number2
DOIs
Publication statusPublished - Oct 2004
Externally publishedYes

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Keywords

  • Coronary
  • Stent
  • Vein graft

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Pate, G. E., Lowe, R., Kuchela, A., Buller, C. E., Vaderah, S., Carere, R. G., ... Webb, J. G. (2004). Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions. Catheterization and Cardiovascular Interventions, 63(2), 177-182. https://doi.org/10.1002/ccd.20109