Guidewire-controlled advancement of the Amplatz thrombectomy device. 
The Amplatz Thrombectomy Device (ATD) is a percutaneous rotational catheter proven to homogenize thrombus.  The catheter design allows neither application over a coaxial running guidewire nor the use of the device as a monorail system.  We report a technical modification that provides guided advancement of the catheter over a wire in order to prevent failure of application and to facilitate the interventional procedure.