Guide catheter suction with novel double wire technique for successful management of large thrombus in occluded right coronary artery.

Patients with large intracoronary thrombi represent a difficult management problem for the interventional cardiologist. Deep guide catheter engagement and thrombus aspiration have been described but are associated with serious risk of dissection and vessel closure. We describe here thrombus aspiration using a guide catheter with novel double wire technique to achieve rapid reperfusion of the coronary artery while avoiding possible complications associated with the technique.