The Solitaire device – on the cards for retrieval of recalcitrant thrombus in acute coronary syndrome

EuroIntervention Journal

Large intracoronary thrombus poses a challenge during percutaneous coronary intervention; current strategies to reduce thrombus burden have limitations

Stent retrievers are mechanical thrombectomy devices designed to extract large thrombus from occluded cerebral vessels. They have been shown to be safe and effective in acute ischaemic stroke; however, experience of stent retrievers in the setting of intracoronary thrombus is limited. The Solitaire™ (Medtronic, Minneapolis, MN, USA) is a self-expanding nitinol stent-based system with a closed-cell design. Available in diameters of 4 and 6 mm, it accommodates vessels of 2.0-4.0 mm and 3.0-5.5 mm, respectively. For device delivery, a microcatheter (inner lumen of 0.021” or 0.027”) is delivered over a standard angioplasty wire distal to the thrombus...

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