Coronary perforation as a potential complication derived from coronary thrombectomy with the X‐Sizer device

Sanmartín, Marcelo; Goicolea, Javier; Ruíz-Salmerón, Rafael; Mantilla, Ramón; Sterling, Juan; Meneses, Daniel; Calvo, Francisco

doi:10.1002/ccd.10204

Cited by 14 publications

(4 citation statements)

References 14 publications

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“…Air embolism has been described previously and was more common during the early phase of use, particularly with the larger 2 mm device [17]. Dissection, perforation, and tamponade with this device have also been described by others (Table III) [18,19]. Such complications are not …”

mentioning

confidence: 69%

Procedural efficacy and complications of X‐Sizer thrombectomy in de novo and stented lesions

Pate

Lowe

Kuchela

et al. 2004

Cathet Cardio Intervent

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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.

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mentioning

confidence: 69%

Procedural efficacy and complications of X‐Sizer thrombectomy in de novo and stented lesions

Pate

Lowe

Kuchela

et al. 2004

Cathet Cardio Intervent

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show abstract

“…In our patient cohort, passage of the X‐SIZER device to the culprit lesion was unsuccessful in one patient; this, however, still resulted in improvement to TIMI 3 flow, presumably from thrombus disruption in a proximal position. Although coronary perforation was not observed, it has been reported 30 . Other reported complications include damage to a covered stent and fracture of the coronary guidewire 31,32 …”

Section: Discussionmentioning

confidence: 99%

Comparison of the X‐SIZER Thrombectomy Device with Adjunct Abciximab During Primary Angioplasty and Stenting for ST‐Segment Elevation Myocardial Infarction

Low

Lim

Teo

et al. 2005

J Interven Cardiology

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“…The device is limited by difficulties in traversing tortuous vessels and severe stenoses. Complications include dissection and coronary artery perforation, which covered stents have been used to repair [15, 16].…”

Section: Discussionmentioning

confidence: 99%

Damage to a covered stent by a thrombectomy device

Pate¹,

Carere²,

Webb³

2003

Cathet Cardio Intervent

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A 75-year-old with a history of coronary bypass grafting was found to have significant stenoses in a vein graft to the right coronary artery. Symbiot stents, with a polytetrafluoroethylene covering, were used to treat areas in the proximal and middle sections of the graft. The following day, she developed symptoms and signs consistent with an acute inferior infarction. The graft was found to be thrombosed. Thrombectomy was performed using an X-Sizer device, consisting of a helical cutter connected to a vacuum source. This resulted in damage to the stent lining, which led to jamming of the device and subsequent removal of a piece of the stent covering. Treatment was by way of deployment of a long stent within the damaged stent. Recovery was unremarkable. Caution or avoidance of this device appears warranted in the setting of covered stent procedures.

show abstract

Coronary perforation as a potential complication derived from coronary thrombectomy with the X‐Sizer device

Cited by 14 publications

References 14 publications

Procedural efficacy and complications of X‐Sizer thrombectomy in de novo and stented lesions

Procedural efficacy and complications of X‐Sizer thrombectomy in de novo and stented lesions

Comparison of the X‐SIZER Thrombectomy Device with Adjunct Abciximab During Primary Angioplasty and Stenting for ST‐Segment Elevation Myocardial Infarction

Damage to a covered stent by a thrombectomy device

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