Successful aspiration of an LAD thrombus ‘cast’ using an Export catheter

The use of a mechanical device to aspirate thrombus prior to stent deployment during primary angioplasty is currently not routinely recommended as results are often disappointing. However, we report a remarkable case during which we were able to successfully aspirate a 31 mm continuous length of thrombus using an Export catheter with subsequent dramatic improvement in both TIMI-flow and ST-segment resolution.