Thrombus Aspiration and Balloon Pumps – what's the bottom line? - Yousif Ahmad

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Summary

Yousif Ahmad discusses adjunctive treatments for ACS in the catheter laboratory such as thrombus aspiration and balloon pumps (IABP)

  • When and when not to use
  • Real benefits and justification for thrombus aspiration and IABP use following clinical trials results

Thrombus aspiration

  • Theoretical advantages of thrombus aspiration
    • Reduce Embolisation
    • Reduce thrombus burden
    • Reduce no-reflow
    • Visualise anatomy better
    • Facilitate direct stenting
    • Facilitate shorter stents
  • TOTAL - No mortality benefit.  But, numerically small, but significantly small increase in stroke with thrombus aspiration.
  • Class III recommendation in USA for routine use of aspiration.  This suggests that it is of no certain benefit, and maybe harmful.  

Intra-arterial balloon pump (IABP)

  • Theoretical benefits in cardiogenic shock
    • Decrease afterload
    • Increase diastolic coronary perfusion
    • Augment blood pressure
  • Previously considered class I indication for treatment of shock, now (2016) Class III indication.  
  • No evidence of benefit in randomised trials
  • No evidence of benefit in observational trials

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Target Audience

  • Interventional cardiology trainees
  • Cardiology trainees
  • General practictioners with specialist interest in cardiology
  • Clinical fellows
  • Physiologists
  • Cath lab staff
  • Aspiring cardiology trainees


This course is organised and run by Simple Education and is kindly supported by Medtronic and Volcano.

Learning Objectives

The Simple Education Essential Guide to Coronary Angiography and Right Heart Catheterisation has a refreshing style, and is innovative in format  comprising short lectures all filmed with HD and is centred on real cases and video demonstrations.

  • Feel more confident in the cardiac catheter lab
  • Instantly know what to do when things go wrong during procedures 
  • Familarise yourself with Emergencies 
  • Learn about different catheters, for native arteries and grafts
  • Watch live case practical demonstrations
  • Learn about access routes and vascular closure 

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