What is coronary thrombectomy?

A mechanical thrombectomy catheter is advanced to the right coronary artery. The catheter breaks the clot up into smaller pieces, which are then removed from the artery. End result of the procedure following a re-opening of the right coronary artery and stent implantation.

What is a thrombectomy device?

Simple thrombectomy devices are intracoronary catheters with a central aspiration lumen through which the thrombus can be extracted. These rapid-exchange devices are passed over an intracoronary guidewire into the IRA.

What is the most common device used for endovascular thrombectomy currently?

Stent retrievers and the most recent thrombectomy trials. Today, stent retrievers are considered to be the most advanced types of thrombectomy devices. Therefore, they were employed in several of the most recent randomized control trials comparing endovascular therapy to medical management of acute ischemic stroke.

What type of catheter is used for a thrombectomy?

Aspiration thrombectomy uses an 8 or 9F guiding catheter placed through a 10F arrow sheath to form a double-layered catheter.

How do you perform a thrombectomy?

The doctor will make a cut in the area above your blood clot. He or she will open the blood vessel and take out the clot. In some cases, a balloon attached to a thin tube (catheter) will be used in the blood vessel to remove any part of the clot that remains. A stent may be put in the blood vessel to help keep it open.

When should thrombectomy be performed?

While thrombolysis can only be given up to four and a half hours after a stroke, NHS England has approved thrombectomy for use up to six hours after stroke symptoms begin. There are some very specific and rare circumstances in which thrombectomy may be given up to 12 or even 24 hours after the onset of stroke.

Who performs mechanical thrombectomy?

In a nationally representative cohort of elderly patients with stroke, most mechanical thrombectomies were performed by radiologists, neurologists, and neurosurgeons.

What types of devices are used to macerate blood clots?

Rheolytic embolectomy – These devices inject pressurized saline through the catheter’s distal tip and the macerated thrombus is aspirated through a catheter port. Rotational embolectomy – A rotating device at the catheter tip is used to fragment the clot and fragments are aspirated by the catheter.

What is a penumbra thrombectomy device?

The Penumbra System® is a fully-integrated system designed specifically for mechanical thrombectomy. It is intended for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusions.

What is the difference between atherectomy and thrombectomy?

Atherectomy is an endovascular procedure in which atheromatous plaque is excised by a cutting, rotating or laser catheter. Thrombectomy is the endovascular removal of an obstructing blood clot or foreign material from a blood vessel at the point of its formation.

How long is a thrombectomy procedure?

A thrombectomy usually takes 1 to 2 hours, but the preparation and recovery time may add several hours. The procedure is usually done in the catheterization lab. Check with your doctor about the details of your procedure.

Who performs a thrombectomy?

The interventional radiologist will insert a 3 mm plastic tube (called a sheath) into the base of your skull or your groin. They will guide the sheath to the blood clot. There are a number of different techniques for this procedure.