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
    StatePublished - Oct 1 2004

    Keywords

    • Coronary
    • Stent
    • Vein graft

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging
    • Cardiology and Cardiovascular Medicine

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    Pate, G. E., Lowe, R., Kuchela, A., Buller, C. E., Vaderah, S., Carere, R. G., Ricci, D. R., Hamburger, J. N., & 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