Aspiration Thrombectomy

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The Rise and Fall of Aspiration Thrombectomy.

SEE PAGE 126 T he hallmark of ST-segment elevation myocardial infarction (STEMI) is thrombotic occlusion of an epicardial vessel. As many as 50% of patients undergoing primary percutaneous coronary intervention (PCI) demonstrate distal embolization and microvascular obstruction despite achieving normalized epicardial flow. This is associated with increased infarct size, reduced recovery of vent...

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Aspiration thrombectomy using the penumbra catheter.

Editor: Thromboembolic diseases are among the most prevalent medical problems today and cause stroke, myocardial ischemia, acute limb ischemia, and pulmonary embolism. Various treatment modalities exist, ranging from medical therapy to endovascular techniques. In the management of a thromboembolic condition causing a threatened limb, common options for treatment include surgical thromboembolect...

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Percutaneous Aspiration Thrombectomy for Arterial Thromboembolism during Infrainguinal Endovascular Recanalization

OBJECTIVES To evaluate the efficacy of percutaneous aspiration thrombectomy (PAT) for infrainguinal arterial thromboembolism in patients undergoing endovascular recanalization (EVR) and to investigate the predictors for thromboembolic complications. MATERIALS AND METHODS In total, 23 patients (23 limbs) who underwent PAT for thromboembolism (PAT group, PG) during EVR and 237 patients (302 lim...

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Manual Aspiration Thrombectomy in Acute Myocardial Infarction: A Clinical Experience.

Multiple clinical studies have failed to establish the role of routine use of thrombectomy in ST-elevation myocardial infarction (STEMI) patients. There is a paucity of data on the impact of thrombectomy in unselected STEMI patients outside clinical trials. We sought to evaluate the clinical variables and outcomes associated with the performance of thrombectomy in STEMI patients. We retrospecti...

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Aspiration Thrombectomy After Intravenous Alteplase Versus Intravenous Alteplase Alone.

BACKGROUND AND PURPOSE Thrombectomy, primarily with stent retrievers with or without adjunctive aspiration, provided clinical benefit across multiple prospective randomized trials. Whether this benefit is exclusive to stent retrievers is unclear. METHODS THERAPY (The Randomized, Concurrent Controlled Trial to Assess the Penumbra System's Safety and Effectiveness in the Treatment of Acute Stro...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2015

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2014.10.077