ArticleJACC. Case reports2026
Guidewire Retrieval Device as Bailout for Massive Coronary Thrombus in STEMI.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- Beyond Conventional Coronary Aspiration: Advances in Thrombus Management.JACC. Case reports · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with ST-segment elevation myocardial infarction (STEMI) and massive thrombus burden (TIMI flow grade 5) remain challenging to manage. Conventional aspiration thrombectomy often fails to achieve adequate thrombus reduction. CASE SUMMARY: A 52-year-old man presented with recurrent right coronary artery occlusion 5 days after initial intervention for acute inferior STEMI. After failed conventional aspiration, a guidewire retrieval device (Lawnest) integrated with an aspiration catheter was employed as a bailout. Optical coherence tomography confirmed significant thrombus reduction from TIMI flow grade 5 to grade 3, enabling successful drug-eluting stent implantation. DISCUSSION: This case demonstrates a novel bailout technique using a coronary-specific guidewire retrieval device integrated with aspiration catheter via a hemostasis valve for refractory massive thrombus when conventional thrombectomy fails. TAKE-HOME MESSAGE: Coronary-specific guidewire retrieval devices can serve as bailout techniques for refractory massive thrombus when integrated with aspiration catheters to minimize distal embolization risk.
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