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Posts Tagged ‘tornus catheter’

The key word for  successful  primary PCI  is

  •  Suction &  Aspiration of thrombus  with   micro catheters like  export catheters
  • One can do away with a stent during primary PCI but can never do away aspiration
  • Distal protection as concept is rapidly dying out as we aim to remove all the thrombus .

Tips for effective thrombus aspiration

  • Apply continuous negative pressure once catheter reaches the thrombus do not release  it till you enter back into the guide.
  • Make sure  you are sucking only  blood  products  not the  endothelium
  • Watch out for  side branch spill over.
  • 7F sheath 7F catheter ideal for aspirating  with a  micro catheter
  • Please be informed some thrombus require more negative pressure especially  in the late  presenters of STEMI

* During dire emergency when you do not have a specialized suction catheter do not hesitate to push  even a diagnostic catheter into the coronary .We have  saved few lives !

Crazy   questions  in primary PCI  ( or Is  it futuristic )

Can we connect the suction apparatus into LAD micro catheter ?

Do we have camera guided suction catheter ?

Can you flush the thrombus if you are not succeeding in aspiration ?

Is ultrasonic desiccation  of thrombus possible ?

Acknowledgement

Some of the tips were  gathered from the recently concluded  India Live  2012  conference   in New Delhi .

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