ArticleJACC. Case reports2025
Intracoronary Thrombectomy Using an Off-Label 7-F Power Aspiration System for Inferior STEMI With Large Thrombus Burden.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSignificant thrombus burden can hinder successful reperfusion after primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction. Thrombectomy devices may help reduce thrombus load, with recent advancements such as continuous vacuum aspiration now available through catheters connected to the Penumbra ENGINE. CASE SUMMARY: We present the case of a 79-year-old woman with inferior ST-segment elevation myocardial infarction and significant thrombus burden in an ectatic right coronary artery, in which the use of 7-F Lightning 7 aspiration tubing (Penumbra) achieved effective clot retrieval and enabled successful percutaneous coronary intervention. DISCUSSION: Lightning 7 aspiration tubing is not approved by the Food and Drug Administration for coronary intervention, making this, to our knowledge, the first reported case of successful coronary thrombus aspiration using a 7-F continuous aspiration catheter. Delivery to the distal right coronary artery required very supportive wires, and while the larger lumen enabled more effective thrombus removal, careful attention to blood loss is essential. TAKE-HOME MESSAGE: Lightning 7 aspiration tubing may be safe and feasible to use in appropriately sized coronary arteries; however, distal vessel access is limited.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.