Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
De Luca G, Dudek D, Sardella G, Marino P, Chevalier B, Zijlstra F. Adjunctive manual thrombectomy improves myocardial perfusion and mortality in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: a meta-analysis of randomized trials. Eur Heart J. 2008;29(24):3002–10.
Svilaas T, Vlaar PJ, van der Horst IC, Diercks GF, de Smet BJ, van den Heuvel AF, Anthonio RL, Jessurun GA, Tan ES, Suurmeijer AJ, et al. Thrombus aspiration during primary percutaneous coronary intervention. N Engl J Med. 2008;358(6):557–67.
Burzotta F, Trani C, Romagnoli E, Mazzari MA, Rebuzzi AG, De Vita M, Garramone B, Giannico F, Niccoli G, Biondi-Zoccai GG, et al. Manual thrombus-aspiration improves myocardial reperfusion: the randomized evaluation of the effect of mechanical reduction of distal embolization by thrombus-aspiration in primary and rescue angioplasty (REMEDIA) trial. J Am Coll Cardiol. 2005;46(2):371–6.
Luna M, Papayannis A, Holper EM, Banerjee S, Brilakis ES. Transfemoral use of the GuideLiner catheter in complex coronary and bypass graft interventions. Catheter Cardiovasc Interv. 2012;80(3):437–46.
Park CI, Noble S, Bonvini RF. Guideliner microcatheter to improve back-up support during a complex coronary stenting procedure through a tortuous left internal mammary graft. J Invasive Cardiol. 2012;24(4):E77–9.
Ramanathan PK, Redfern R. Use of guideliner catheter for anomalous right coronary artery angiography and intervention. J Invasive Cardiol. 2013;25(1):E20–2.
Chang YC, Fang HY, Chen TH, Wu CJ. Left main coronary artery bidirectional dissection caused by ejection of guideliner catheter from the guiding catheter. Catheter Cardiovasc Interv. 2013;82(3):E215–20.
Dardas PS, Mezilis N, Ninios V, Tsikaderis D, Theofilogiannakos EK. The use of the GuideLiner catheter as a child-in-mother technique: an initial single-center experience. Heart Vessel. 2012;27(5):535–40.
Mamas MA, Fath-Ordoubadi F, Fraser DG. Distal stent delivery with Guideliner catheter: first in man experience. Catheter Cardiovasc Interv. 2010;76(1):102–11.
Mozid AM, Davies JR, Spratt JC. The utility of a guideliner catheter in retrograde percutaneous coronary intervention of a chronic total occlusion with reverse cart-the “capture” technique. Catheter Cardiovasc Interv. 2014;83(6):929–32.
Vo M, Brilakis ES. Faster, easier, safer: “guideliner reverse CART” for retrograde chronic total occlusion interventions. Catheter Cardiovasc Interv. 2014;83(6):933–5.
Stys AT, Stys TP, Rajpurohit N, Khan MA. A novel application of GuideLiner catheter for thrombectomy in acute myocardial infarction: a case series. J Invasive Cardiol. 2013;25(11):620–4.
Mani AJ. Novel use of a guide extension mother-and-child catheter for adjunctive thrombectomy during percutaneous coronary intervention for acute coronary syndromes. J Invasive Cardiol. 2014;26(6):249–54.
Numasawa Y, Kohsaka S, Miyata H, Kawamura A, Noma S, Suzuki M, Nakagawa S, Momiyama Y, Sato Y, Fukuda K. Safety of transradial approach for percutaneous coronary intervention in relation to body mass index: a report from a Japanese multicenter registry. Cardiovasc Interv Ther. 2013;28(2):148–56.
Numasawa Y, Kohsaka S, Miyata H, Noma S, Suzuki M, Ishikawa S, Nakamura I, Nishi Y, Ohki T, Negishi K, et al. Gender differences in in-hospital clinical outcomes after percutaneous coronary interventions: an insight from a Japanese multicenter registry. PLoS One. 2015;10(1):e0116496.
Brueck M, Bandorski D, Kramer W, Wieczorek M, Holtgen R, Tillmanns H. A randomized comparison of transradial versus transfemoral approach for coronary angiography and angioplasty. JACC Cardiovasc Interv. 2009;2(11):1047–54.
Dauvergne C, Araya M, Uriarte P, Novoa O, Novoa L, Maluenda G. ‘Mother-in-child’ thrombectomy technique: a novel and effective approach to decrease intracoronary thrombus burden in acute myocardial infarction. Cardiovasc Revasc Med. 2013;14(1):14–7.
Yamada T, Mizuguchi Y, Taniguchi N, Hata T, Nakajima S, Takahashi A. Mother-child aspiration technique. Int Heart J. 2014;55(5):455–8.
Numasawa Y, Motoda H, Yamazaki H, Kuno T, Hashimoto O, Takahashi T. Successful percutaneous thrombectomy in an elderly patient with massive pulmonary embolism with cardiogenic shock. Cardiovasc Interv Ther. 2014;29(1):70–5.
Seto A, Kern M. The Guideliner: keeping your procedure on track or derailing it? Catheter Cardiovasc Interv. 2012;80(3):451–2.
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Numasawa, Y., Motoda, H., Yamazaki, H. et al. Use of the GuideLiner catheter for aspiration thrombectomy in a patient with ST-elevation myocardial infarction with a large intracoronary thrombus. Cardiovasc Interv and Ther 31, 164–169 (2016). https://doi.org/10.1007/s12928-015-0334-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12928-015-0334-4