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Thrombus

Blood clot

Question: Why might a thrombus in the anterior descending branch of the left coronary artery cause sudden death? Why might a thrombus in the anterior descending branch of the left coronary artery cause sudden death?

Answer: The anterior descending branch of the LCA supplies a good portion of the Left Ventricle of the heart. This chamber requires more blood flow than any of the other 3 chambers of the 4 chambered human heart. This is due to the fact that the left ventricle must pump blood through the entire systemic circulation before it returns to the right atrium/right ventricle to be sent through the pulmonary circulation (lungs). The left and right atria are less important than the ventricles in pumping blood. Because the left ventricle must generate so much more force than the right ventricle, it is much more sensitive to deoxygenation than the right ventricle. Oxygen is required for the heart muscle to "pump." Thrombus blocks the bloodflow to heart muscle cells (to a certain extent). The other way (and more likely to cause very sudden death) is through the LAD's function as blood supply to the IV septum, where cardiac pacemaker cells are. Cardiac pacemaker cells (of various types) link your atrial contractions with ventricular contractions so that the muscle contracts in a smooth, uniform, motion. Without oxygen delivery to these cells, the various parts of the heart may attempt to contract out of sequence (or maybe all at the same time), leading to the blood not actually being pumped out of the heart. It can also cause other thrombi to be released within the atrium as a result of the awkward pumping mechanism that the heart is not used to.

 


Thrombus Related Products and News

Thrombus Aspiration in Primary PCI Has No Effect on Outcomes

Doctors Lounge
The use of manual or mechanical thrombus aspiration in adjunct to primary percutaneous coronary intervention does not affect the two-year incidence of major adverse cardiac events in patients with acute ST-segment elevation myocardial infarction, ...
 

Re: Simplified perfusion strategy for removing retroperitoneal tumors with ...

The Journal of Thoracic and Cardiovascular Surgery
1 They included in their series retroperitoneal renal tumors with level III-IV tumor thrombus extension; 56 (39%) and 88 (61%) underwent CPB and HCA, respectively. Since 1997, we have used liver transplant techniques for mobilization of the liver off ...
 

Natural history of untreated renal cell carcinoma with venous tumor thrombus ...

UroToday
OBJECTIVES: The natural history of untreated renal cell carcinoma (RCC) with venous tumor thrombus (VTT) is poorly characterized. We aimed to describe the natural history of this disease, and to identify prognostic factors associated with ...
 

Coronary Clot Aspiration Safe Long Term

dailyRx
Another method that may be used involves removing blood clots through thrombus aspiration (TA), but studies have shown mixed long-term results. A new study has found TA either through a manual aspirator or a disposable vacuum catheter designed to sheer ...
 

Post-PASSION Trial Analysis Finds Long-term Outcome Similar with Thrombus ...

HealthCanal.com
New research confirms thrombus aspiration (TA) during percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction (STEMI) provides long-term outcomes similar to conventional intervention with bare-metal or ...
 

Kerberos to Sell FDA Cleared Rinspiration Technology

MarketWatch (press release)
The Rinspiration Thrombectomy System, developed by Kerberos Proximal Solutions, enables simultaneous rinsing and aspiration for the removal of acute thrombus in occluded arteries. "I have used the Kerberos System in the most challenging circumstances, ...
 

Angioplasty.Org

Fractional Flow Reserve and Intravascular Imaging on Stage at EuroPCR
Angioplasty.Org
 

Cardio Notes: Stroke Imaging Not Always Timely

MedPage Today
A post-hoc analysis of the PASSION trial at 2 years follow-up found that thrombus aspiration did not increase rates of adverse cardiac events in STEMI patients given stents, according to a study published in Catheterization and Cardiovascular ...
 

TCTMD

Thrombectomy Results Underwhelming in AMI Patients
TCTMD
 

Watchman Viable Option in Select Afib Patients

MedPage Today
Note that there was a 1% to 3% complication rate each for device thrombus with serious consequences, pericardial effusion with tamponade, device embolization, and major bleeding. BOSTON -- In atrial fibrillation patients unable to take oral ...