The role of manual aspiration thrombectomy in the management of STEMI: a TOTALly different TASTE of TAPAS.
نویسندگان
چکیده
منابع مشابه
Coronary microvascular obstruction--a puzzle with many pieces.
Prompt referral for mechanical reperfusion by urgent primary percutaneous coronary intervention (PCI) represents a pivotal step in the current management of ST-segment elevation myocardial infarction (STEMI).1 Yet, in a sizable proportion of patients, this intervention reopens the obstructed epicardial coronary artery but does not achieve myocardial reperfusion because of coronary microvascular...
متن کاملAnother chapter in the story of thrombectomy in ST-elevation myocardial infarction: a story not yet finished.
Microvascular perfusion after primary percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI) has been clearly linked to mortality. It seems logical that by removing thrombus prior to PCI, thrombectomy could prevent distal embolization, improve microvascular perfusion and improve outcomes in STEMI. The early small randomized clinical trials of distal protection de...
متن کاملClinic Predictive Factors for Insufficient Myocardial Reperfusion in ST-Segment Elevation Myocardial Infarction Patients Treated with Selective Aspiration Thrombectomy during Primary Percutaneous Coronary Intervention
Background. Insufficient data are available on the potential benefit of selective aspiration and clinical predictors for no-reflow in STEMI patients undergoing primary percutaneous coronary intervention (PPCI) adjunct with aspiration thrombectomy. Objective. The aim of our study was to investigate clinical predictors for insufficient reperfusion in patients with high thrombus burden treated wit...
متن کاملDesign and rationale of the TOTAL trial: a randomized trial of routine aspiration ThrOmbecTomy with percutaneous coronary intervention (PCI) versus PCI ALone in patients with ST-elevation myocardial infarction undergoing primary PCI.
BACKGROUND A major limitation of primary percutaneous coronary intervention (PPCI) for the treatment of ST-elevation myocardial infarction (STEMI) is impaired microvascular perfusion due to embolization and obstruction of microcirculation with thrombus. Manual thrombectomy has the potential to reduce distal embolization and improve microvascular perfusion. Clinical trials have shown mixed resul...
متن کاملIntracoronary abciximab and aspiration thrombectomy in patients with large anterior myocardial infarction: the INFUSE-AMI randomized trial.
CONTEXT Thrombus embolization during percutaneous coronary intervention (PCI) in ST-segment elevation myocardial infarction (STEMI) is common and results in suboptimal myocardial perfusion and increased infarct size. Two strategies proposed to reduce distal embolization and improve outcomes after primary PCI are bolus intracoronary abciximab and manual aspiration thrombectomy. OBJECTIVE To de...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
دوره 12 1 شماره
صفحات -
تاریخ انتشار 2016