Management of Refractory Thrombus in the Right Coronary Artery: Innovative Techniques in a Single Case

Managing a significant thrombus burden during acute myocardial infarction (AMI) presents a considerable challenge in percutaneous coronary intervention (PCI). Traditional thrombus aspiration catheters can sometimes prove insufficient, necessitating novel strategies. We present a case in which an innovative approach using a guide extension catheter for direct thrombus aspiration successfully restored flow in a refractory and massive thrombotic occlusion of the right coronary artery (RCA). This case also underscores the remarkable potential of innovative interventional techniques, particularly the use of a kinked wire in conjunction with a thrombus aspiration catheter, to effectively ensnare and extract thrombus, even in the most challenging cases of coronary thrombectomy.