Adjunctive Devices for Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention
Explanation of Thrombectomy Devices Included in the CER
Catheter aspiration thrombectomy uses a catheter that is advanced over a guidewire to the thrombus whereby syringe suction is used to aspirate the debris. Devices used for this procedure include the DiverTM, DiverTM CE, Export®, ProntoTM, RescueTM, Thrombuster®, and TransVascular Aspiration Catheter®.
Mechanical thrombectomy devices apply energy through saline jets or a rotating catheter head to facilitate breakup of the thrombus prior to its active aspiration. These devices include the AngioJet® and X-Sizer®.
- Bavry AA, Kumbhani DJ, Bhatt DL. Role of adjunctive thrombectomy and embolic protection devices in acute myocardial infarction: a comprehensive meta-analysis of randomized trials. Eur Heart J 2008;29:2989-3001. PMID: 18812323.
- Sobieraj DM, White CM, Kluger J, et al. Adjunctive Devices for Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention. Comparative Effectiveness Review No. 42 (Prepared by the University of Connecticut/Hartford Hospital Evidence-based Practice Center under Contract No. 290-2007-10067-I). Rockville, MD: Agency for Healthcare Research and Quality; December 2011. AHRQ Publication No. 11(12)-EHC089-EF. Available at www.effectivehealthcare.ahrq.gov/thrombusacs.cfm.
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