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Manual thrombosuction during primary angioplasty in an ectatic coronary artery with large thrombus burden carries the risk of incomplete thrombus extraction and thrombus migration. Here, the authors describe a case in which a novel mechanical thrombosuction device with a large lumen and sustained power aspiration enabled the safe and effective complete extraction of a large unfragmented clot. Further studies with such devices are required to shed light on the efficacy and safety of mechanical thrombosuction in coronary interventions.

Novel Mechanical Thrombosuction in an Ectatic Right Coronary Artery with Large Thrombus Burden: A Case Report