Usefulness of a 6 fr right judkins catheter for mechanically extracting a massive intracoronary thrombus from an ectasic right coronary artery: a report on two different cases of thrombectomy.

Japanese heart journal Pub Date : 2004-07-01 DOI:10.1536/jhj.45.673

Satoru Onoda, Makoto Mutoh, Tetsuya Ishikawa, Hiroshi Sakamoto, Junichi Yamaguchi, Hisayuki Okada, Tetsushi Tsurusaki, Takeyuki Kubota, Shinichiro Takizawa, Hidenori Yagi, Chikara Mori, Hidetaka Nagasawa, Takahiro Shibata, Satoru Yoshida, Kamon Imai, Toshinobu Horie, Seibu Mochizuki

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引用次数: 9

Abstract

In order to bail out the slow-flow phenomenon (slow flow) created by a massive thrombus in an ectasic right coronary artery, a thrombus was mechanically extracted with a 6 Fr right Judkins (JR) catheter, which proved to be more useful than a usual thrombectomy using a Rescue PT system catheter (Rescue). In case 1, the Rescue was used in combination with thrombolysis but failed to alleviate the slow flow that was implicated in a large infarction. On the other hand, in case 2, aggressive thrombectomy with a 6 Fr JR catheter with an 8 Fr Amplatz guiding catheter successfully extracted the massive intracoronary thrombus, restoring good coronary flow. Therefore, mechanical extraction with a 6 Fr JR catheter is safe and useful in cases of massive thrombus when diffuse coronary artery ectasia complicates an acute myocardial infarction. In addition, this method should be applicable to cases of acute coronary syndrome with massive thrombus.

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6倍径右judkins导管在机械提取大面积右冠状动脉内血栓中的作用:两例不同的血栓切除术报告。

为了消除由扩张的右冠状动脉内大块血栓造成的慢血流现象(慢血流)，用6 Fr右Judkins (JR)导管机械取出血栓，事实证明，这比使用Rescue PT系统导管(Rescue)通常的取栓更有用。在病例1中，救援与溶栓联合使用，但未能缓解与大面积梗死有关的血流缓慢。另一方面，病例2采用6 Fr JR导管+ 8 Fr Amplatz导尿管积极取栓，成功取出了大量冠状动脉内血栓，恢复了良好的冠状动脉血流。因此，在弥漫性冠状动脉扩张并发急性心肌梗死时，使用6 Fr JR导管进行机械拔管是安全有效的。此外，该方法应适用于急性冠状动脉综合征合并大块血栓的病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Japanese heart journal

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