Aspiration thrombectomy and intracoronary tirofiban via GuideLiner® catheter for a thrombosed aneurysmal vessel. (March 2017)

• Record Type: Journal Article
• Authors: Fry, James; Naqvi, Ali; Bahia, Amit; Seto, Arnold
• Is Part Of: Future cardiology. Volume 13:Number 2(2017)
• Page Start: 131
• Page End: 135
• Publication Date: 2017-03
• Subjects: antiplatelet agents -- coronary aneurysm -- deferred stenting -- direct factor Xa inhibitor -- ectasia -- GuideLiner® -- interventional -- intra-coronary tirofiban -- Kawasaki disease -- thrombus aspiration; Cardiology -- Research -- Periodicals; 616.12005
• DOI: 10.2217/fca-2016-0065
• Languages: English
• ISSNs: 1479-6678

Abstract

A 52-year-old Asian male with no traditional risk factors for coronary artery disease presented with acute coronary syndrome. Coronary angiography showed complete thrombotic occlusion of the left circumflex with a large thrombus burden in the setting of diffuse aneurysmal enlargement of the coronary arteries consistent with antecedent Kawasaki disease. Manual thrombectomy with adjunctive intracoronary tirofiban was performed utilizing the GuideLiner catheter ® (Vascular Solutions, Inc., MN, USA). Stent implantation was deferred. Follow-up imaging 48 h later showed preserved coronary flow and decreased thrombus burden. The GuideLiner catheter, a monorail guiding device, served a novel role in thrombus aspiration and intracoronary medication delivery.