AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

Giombolini, Claudio; Notaristefano, Salvatore; Santucci, S.; Notaristefano, Francesco; Notaristefano, Antonio; Ambrosio, Giuseppe

doi:10.4081/hi.2006.94

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Owing to the high burden of related thrombosis, thrombus aspiration is often performed as additional therapy. 11 Our patient had a large thrombus in the dilated right coronary artery, and thrombus aspiration was incomplete. Therefore, we performed intracoronary thrombolysis, and right coronary artery blood flow reached thrombus in myocardial infarction (TIMI) level 3, with only a small amount of the thrombus remaining.…”

Section: Discussionmentioning

confidence: 73%

Sudden cardiac death caused by a right coronary artery aneurysm complicated with acute myocardial infarction: a case report

Wu¹,

Shen²,

Ren³

et al. 2023

J Int Med Res

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Coronary aneurysms are defined as coronary artery ectasia (CAE) more than 1.5 times the normal adjacent segment diameter or the maximum coronary artery diameter. Although most CAE patients are asymptomatic, some patients present with acute coronary syndrome (ACS), such as angina pectoris, myocardial infarction (MI), and even sudden cardiac death. Sudden death due to coronary artery dilatation is very rare. However, we report a case of a patient with aneurysm-like dilatation of both the left and right coronary arteries, with acute inferior ST segment elevation myocardial infarction and sudden death due to third-degree atrioventricular block. After cardiopulmonary resuscitation, the patient underwent emergency coronary intervention. After thrombus aspiration and intracoronary thrombolysis in the right coronary artery, the atrioventricular block returned to normal on the fifth day of hospitalization. Following anticoagulant therapy, coronary angiography was repeated and showed that the thrombus had disappeared. The patient is recovering well after active rescue at the time of writing.

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Section: Discussionmentioning

confidence: 73%

Sudden cardiac death caused by a right coronary artery aneurysm complicated with acute myocardial infarction: a case report

Wu¹,

Shen²,

Ren³

et al. 2023

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…To avoid this phenomenon in the presence of a high-burden thrombus during ACS, some case reports described more specific approaches. Giombolini et al [21] reported the usefulness of the rheolytic thrombectomy system AngioJet to remove soft material immediately before PCI or stenting permitting identification of lesion specifics and more sitespecific treatment of the underlying culprit lesion, particularly in patients with total occlusion. A few case reports described the use of an aspiration catheter.…”

Section: Discussionmentioning

confidence: 99%

Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome

Furugen

Takagawa

2011

Cardiovasc Interv and Ther

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Coronary artery ectasia (CAE), which is reported in 0.3-5.3% of coronary angiograms, is known as a risk factor of acute coronary syndrome (ACS). Optimal treatment of CAE in ACS has not yet been established because of few clinical reports and no randomized trial. We describe a 78-year-old woman in whom thrombolysis with recombinant tissue-plasminogen activator, heparin and dual antiplatelet therapy were performed, and an angiogram after 3 days revealed the disappearance of massive thrombus in the CAE of the left circumflex coronary artery. Staged percutaneous coronary intervention and multidisciplinary procedure are feasible to treat ACS with massive thrombus.

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“…Rheolytic thrombectomy techniques, specifically the AngioJet percutaneous mechanical thrombectomy system, initially create a fluid suction by introducing high-pressure saline and pro-thrombotic medication through catheter openings around the target, which produces a subsequent inwards flow, aspirating the resultant debris as the devices move proximally in the clot [8]. The thrombus is subsequently fragmented by jets as it enters the catheter, which introduces thrombolytics [9][10][11]. The AngioJet thrombectomy portfolio is used across the spectrum of embolic and thrombotic events, being implemented in large arteries and targeting coronary occlusions, with respective systems designed for each use case that has a different working length [12].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Cardiovascular Complications and Causes of AngioJet Failure: A Post-Marketing Surveillance Study Based on the MAUDE (Manufacturer and User Facility Device Experience) Database

Dandu,

Patel,

Naughton

et al. 2023

Cureus

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Background and objectiveAspiration thrombectomy devices, such as the AngioJet Solent Omni (Boston Scientific Corporation, Marlborough, MA) have been approved by the US FDA for the treatment of thrombi in peripheral arterial disease, venous disease, and AV fistulas. However, there is a dearth of real-world data on the most common modes of failure and complications associated with the AngioJet Solent Omni. In this study, we aimed to address this scarcity of data. MethodsThe MAUDE (Manufacturer and User Facility Device Experience) database was queried for reports of device failure and adverse events spanning the period from October 2012 to December 2021. ResultsA total of 499 events were reported during the study period. After the exclusion of duplicate reports, the final analysis included 450 reports. The most common mode of failure was catheter breakage/kinking during suction thrombectomy with 137 reports (30%). The most common vessel associated with events was the superficial femoral artery or vein, which was documented in 82 reports (18.2%). The most common adverse clinical outcome was the embedding of a piece of the device in the patient, which occurred in seven reports (1.6%). There were seven (1.6%) events of death reported during the period studied. ConclusionsBased on our findings, theAngioJet Solent Omni device provides promising results; however, it is important to evaluate device safety. It is associated with complications including device embedment, catheter breakage/kinking, and death, and these adverse events are linked to patient characteristics and risk factors.

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AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

Cited by 4 publications

References 11 publications

Sudden cardiac death caused by a right coronary artery aneurysm complicated with acute myocardial infarction: a case report

Sudden cardiac death caused by a right coronary artery aneurysm complicated with acute myocardial infarction: a case report

Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome

The Prevalence of Cardiovascular Complications and Causes of AngioJet Failure: A Post-Marketing Surveillance Study Based on the MAUDE (Manufacturer and User Facility Device Experience) Database

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