Utility of Thrombectomy in Primary Percutaneous Coronary Intervention.

Thrombectomy in the setting of primary percutaneous coronary intervention allows for improved macrovascular and microvascular perfusion, possible limitation of infarct size, and the preservation of left ventricular function and myocardial viability. The beneficial tissue level effects of thrombectomy have translated into an improvement in cardiovascular mortality. A variety of thrombectomy devices are currently available, including aspiration thrombectomy catheters and rheolytic catheters. A review of the various types of thrombectomy devices available, clinical evidence for their use, clinical pearls for use, and device troubleshooting are presented.