enVast
NEW! TROMBECTOMIA MECANICA CON EL STENT NEVA EN EL IAMCEST MECHANICAL THROMBECTOMY WITH THE NEVA STENT* TO TREAT STEMI
Thrombectomy in the context of ST-segment elevation acute myocardial infarction (STEMI) is infrequently employed, primarily due to a lack of conclusive evidence regarding its efficacy and concerns about an elevated risk of stroke compared to balloon dilation. Despite these reservations, managing STEMI cases with substantial thrombotic burden presents an ongoing challenge. This report details the inaugural implementation of a novel thrombectomy system in Spain.
The subject is a 53-year-old male with a medical history encompassing type 2 diabetes mellitus, obesity, and a smoking habit. He was admitted to our hospital following an episode of lower STEMI. Coronary angiography revealed a thrombotic occlusion in the mid-segment of the right coronary artery, characterized by a notably high thrombotic load.
After failure of multiple attempts with balloon dilation and conventional thrombectomy techniques, the decision was made to employ the enVast system (NeVa, Vesalio, United States) as an alternative approach.
Two BMW guidewires were strategically placed at the posterior and posterolateral descending arteries. The posterior descending artery guidewire facilitated the insertion of a microcatheter up to the occlusion site. Subsequently, enVast was navigated through the microcatheter, which was then removed. To ensure continuous aspiration during retrieval, a guide catheter extension, equipped with three luerlock syringes, was utilized. This meticulous process with enVast effectively removed macroscopic thrombotic material and allowed for the visualization of the artery’s opening. The procedure was concluded with the implantation of two stents.
*enVast™
Dr Regina D. Costabile
Dr Salvatore Brugaletta
IDIBAPS, University of Barcelona, Spain
THE FIRST ENVAST CASE IN SWEDEN
enVast™ 4.5 x 37 mm
Dr Katona Andras, Örebro University Hospital, Sweden
nightmares during primary pci: large thrombus burden management in an ectatic left anterior descending coronary artery
enVast™ 4.5 x 37 mm
Dr Marco Valgimigli & Dr Antonio Landi,
Cardiocentro Ticino Institute – Lugano, Switzerland
ENVAST MECHANICAL THROMBECTOMY AFTER THROMBUS ASPIRATION FAILURE IN A STEMI WITH A MASSIVE THROMBOTIC BURDEN
enVast™ 4.5 x 46 mm
Dario Bongiovanni, Francesco Loizzi, Antonio Landi, Léa Utsch, Marco Araco, Michael Joner, Marco Valgimigli
Cardiocentro Ticino Institute – Lugano, Switzerland; Humanitas Research
Hospital – Milan, Italy; Technical University of Munich – Munich, Germany.
