Use of the GuideLiner catheter for aspiration thrombectomy in a patient with ST-elevation myocardial infarction with a large intracoronary thrombus

Numasawa, Yohei; Motoda, Hiroyuki; Yamazaki, Hiroyuki; Kuno, Toshiki; Kodaira, Masaki; Fujisawa, Taishi

doi:10.1007/s12928-015-0334-4

Cited by 10 publications

(8 citation statements)

References 17 publications

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“…Another potential benefit of the GuideLiner catheter is an internal diameter that is larger than most aspiration catheters making aspiration of larger clot more feasible. Previous case reports have described the use of the GuideLiner catheter for thrombectomy in acute myocardial infarction with good results .…”

Section: Discussionmentioning

confidence: 99%

Coronary artery embolism from infectious endocarditis treated with catheter thrombectomy using a GuideLiner catheter

Oestreich

Sommer

Armstrong

2015

Cathet Cardio Intervent

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A 27-year-old male with history of IV drug use and recurrent endocarditis necessitating bioprosthetic mitral and tricuspid valve replacements presented with 2 weeks of fevers and chest pain. ECG revealed inferior ST-elevation myocardial infarction and he was taken urgently to the cardiac catheterization laboratory. Coronary angiography revealed thrombotic occlusion of the distal right coronary artery (RCA) with no angiographic evidence of atherosclerotic disease. Aspiration thrombectomy was performed followed by rheolytic thrombectomy. Despite multiple attempts at thrombectomy, significant residual organized thrombus persisted in the distal RCA. Therefore, further thrombectomy was performed by placing a GuideLiner catheter (Vascular Solutions, Minneapolis, MN) deep within the right coronary artery near the bifurcation into the posterior descending and posterior left ventricular arteries. After repeat aspiration, there was significant improvement with thrombolysis in myocardial infarction 3 flow. Intravascular ultrasound of the RCA revealed a normal-appearing vessel without evidence of atherosclerotic disease and mild residual thrombus. The decision was made to not pursue stent placement, given the concern for a likely embolic source. Following the procedure, the patient's chest pain resolved and his ST-segments normalized.

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Section: Discussionmentioning

confidence: 99%

Coronary artery embolism from infectious endocarditis treated with catheter thrombectomy using a GuideLiner catheter

Oestreich

Sommer

Armstrong

2015

Cathet Cardio Intervent

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“…After solution, the pushing force imposed on the end of the guide wire was regarded as the maximal backup support of the guiding catheter while the guiding catheter disengaged from the coronary ostium (Figure ) . During the simulation, pushing force F increased from 0.4 N, each time increased by 0.1 N. It can be concluded from the simulation results that the maximal backup forces of JL 6 Fr 3.5 and 4.0 were 1.4 and 0.8 N, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…After solution, the pushing force imposed on the end of the guide wire was regarded as the maximal backup support of the guiding catheter while the guiding catheter disengaged from the coronary ostium ( Figure 4). 19 During the simulation, pushing force When the tip of the guiding catheter was cannulated into the ostium, the guiding catheter contacted with the inner wall of aortic arch at points A to C as shown in Figure 6A. Then, a pushing force In the finite element simulation, it was difficult to distinguish if a guiding catheter disengaged from the coronary ostium or not.…”

Section: Postprocessingmentioning

confidence: 99%

“…15,16 Delivery of a coronary stent is often failed in the treatment of complex coronary lesions such as severe calcification and extremely tortuosities. [17][18][19] Numerous techniques, such as stiffer guide wire, 20 buddy wires, 21 deep coronary intubation, 22 "mother-child" technique, 23 "mother-child-grandchild" technique, 24 anchor balloon technique, [25][26][27][28] and the GuideLiner catheter, 29 have been developed to enhance the backup support of guiding catheters. However, there have few studies that address the mechanics of a guiding catheter.…”

Section: Introductionmentioning

confidence: 99%

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Finite element analysis for mechanics of guiding catheters in transfemoral intervention

Wang

Wan

et al. 2019

J Card Surg

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Background During the percutaneous coronary intervention (PCI), the strong backup support of a guiding catheters is essential in reaching a target coronary lesion successfully. Nevertheless, it is difficult to explore the mechanics of a guiding catheter by analytical and experimental methods due to its complex deformation and interactions among guiding catheter, guide wire, and artery. In this study, the finite element method was used to analyze the backup support of a guiding catheter in transfemoral intervention (TFI). Methods A finite element model was established in the light of geometric, mechanical properties of the guiding catheter and boundary con ditions. To validate the finite element model, an arterial tree model was constructed to measure the backup force of the guiding catheters in TFI. Then, the process of the guiding catheter disengaged from the ostium was analyzed. Results The influencing rules of the geometric parameters of the guiding catheter on its backup support in TFI were obtained with the help of the finite element model. The result shows that the larger the outer diameter and wall thickness, the greater the backup support, 2.0 to 2.3 mm of the outer diameter was suggested. When designing a guiding catheter, it is wise to avoid α, the angle between the line and wall of the artery, being within 60° and 75° and it is a better choice if the contact length is between 5 and 12 mm. Conclusions This study sought to investigate the influencing rules of the geometric parameters of the guiding catheter on its backup support in transfemoral intervention. A finite element model for analyzing the backup support of a guiding catheter was validated by experiments. It indicated that the finite element method can analyze the varied laws of the guiding catheter with different geometric parameters.

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“…For example, GL has proved to represent a valuable adjunctive tool in the treatment of chronic total occlusions (CTO) and bypass graft-related lesions [1]. Moreover, GL may be of great help in the delivery of rotational atherectomy burr in patients with tortuous vessels [2,3] or even to facilitate coronary thrombus aspiration in the setting of ST-segment elevation myocardial infarction (STEMI) [4,5].…”

Section: Introductionmentioning

confidence: 99%

Mother-and-child catheter-facilitated optical coherence tomography: A novel approach to improve intracoronary imaging

et al. 2016

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Use of the GuideLiner catheter for aspiration thrombectomy in a patient with ST-elevation myocardial infarction with a large intracoronary thrombus

Cited by 10 publications

References 17 publications

Coronary artery embolism from infectious endocarditis treated with catheter thrombectomy using a GuideLiner catheter

Coronary artery embolism from infectious endocarditis treated with catheter thrombectomy using a GuideLiner catheter

Finite element analysis for mechanics of guiding catheters in transfemoral intervention

Mother-and-child catheter-facilitated optical coherence tomography: A novel approach to improve intracoronary imaging

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