We report a 67-year-old man with ST-elevation myocardial infarction with a large intracoronary thrombus who was successfully treated with percutaneous thrombectomy using the GuideLiner catheter. This catheter is designed for the "Mother and Child" technique with a rapid exchange system and it has a larger internal diameter than conventional aspiration devices. When aspiration thrombectomy using a conventional aspiration catheter is not feasible or fails, use of the GuideLiner catheter for aspiration of thrombus is a reasonable alternative for primary percutaneous coronary intervention in patients with acute myocardial infarction.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12928-015-0334-4DOI Listing

Publication Analysis

Top Keywords

guideliner catheter
12
myocardial infarction
12
catheter aspiration
8
aspiration thrombectomy
8
st-elevation myocardial
8
infarction large
8
large intracoronary
8
intracoronary thrombus
8
conventional aspiration
8
aspiration
5

Similar Publications

Modes of failure of guide catheter extensions: Insights from the MAUDE database.

J Invasive Cardiol

January 2024

Florida Atlantic University, Boca Raton, Florida, USA; Memorial Healthcare System, Hollywood, Florida, USA.

Objectives: Guide catheter extensions (GCEs) are commonly used to facilitate percutaneous coronary interventions (PCIs). We investigated the incidence and modes of failure of GCEs..

View Article and Find Full Text PDF

Novel technique for high-risk coronary protection during implantation of transcatheter aortic valve implants.

Future Cardiol

February 2023

Veterans Affairs Loma Linda Healthcare System, 11201 Benton St, Loma Linda, CA 92357, USA.

Transcatheter aortic valve replacement (TAVR) has become increasingly common as the indications expanded to include valve-in-valve (ViV) applications and a wider patient population with lower surgical risk. Intra-operative coronary arterial occlusion remains a significant source of morbidity, particularly in ViV applications or cases with high-risk anatomy. We present a novel technique for coronary artery protection utilizing a guide extension catheter to secure coronary access during valve deployment and a ViV case demonstration in a patient with prior surgical aortic valve replacement.

View Article and Find Full Text PDF

GuideLiner Balloon Assisted Tracking for deep cathether intubation to address challenging distal coronary lesions.

Glob Cardiol Sci Pract

January 2023

Division of Cardiovascular Medicine, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.

As the medical treatment and survivability of coronary artery disease improve, patients requiring catheter-based coronary intervention present with increasingly challenging coronary anatomy. Navigating complicated coronary anatomy requires a diverse armamentarium of techniques to reach distal target lesions. Here, we discuss a case in which we used GuideLiner Balloon Assisted Tracking, a technique formerly used to achieve difficult radial access, to facilitate delivery of a drug-eluting stent to a challenging coronary target.

View Article and Find Full Text PDF

Coronary-pulmonary artery fistulas (CPF) are a rare malformation that is often asymptomatic but can be associated with dyspnea, angina, palpitation, dizziness, and syncope. Trans-catheter closure (TCC) with coil embolization is gaining prominence relative to surgical closure due to lower complications; however, there is a paucity of literature on the closure of CPFs with TCC. Here, we demonstrate a case series on the closure of a left anterior descending (LAD) artery to pulmonary artery (PA) fistula by advancing a guideliner into the coronary artery up to the origin of the coronary fistula in order to provide support for the advancement of the microcatheter and coil delivery.

View Article and Find Full Text PDF

Percutaneous intervention in anomalous coronary arteries originating from the opposite sinus of Valsalva is complicated by their unusual location and course, which makes selective cannulation difficult. The GuideLiner (Vascular Solutions, Inc.) is a monorail guide extension catheter designed to advance beyond the tip of a mother guide catheter to enable deep intubation of a coronary artery, provide extra support, and improve coaxial alignment.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!