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Thrombus Aspiration before Angioplasty in Primary Coronary Intervention for STEMI – Comparison with Conventional Strategy
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| Author:
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UPLOADED BY-ADMIN, DIPAL S. PATEL, I. S. ANAND
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| Abstract:
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The primary percutaneous coronary intervention is the preferred method to treat ST- segment elevated myocardial
infarction. Large thrombus burden remains challenging in the setting of acute myocardial infarct. In recent years, many
efforts have been made in order to improve the results of percutaneous coronary intervention in terms of myocardial
perfusion. We describe a thrombus reduction technique in this setting using the Aspiration Device for primary
thrombosuction before actual angioplasty. Thrombus aspiration is applicable in a large majority of patients with acute
myocardial infarction and results in better reperfusion and clinical outcomes compared with percutaneous coronary
intervention alone. Adjunct thrombi Aspiration reduce mortality in patients undergoing percutaneous coronary intervention
for ST- segment elevated myocardial infarction with high risk angiographic characteristic. This Aspiration thrombectomy
has received a Class IIa indication with primary percutaneous coronary intervention in the recent 2007, American College of
Cardiology / American Heart Association and European Society of Cardiology Guidelines.
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| Keyword:
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Thrombus Aspiration, Acute Myocardial Infraction, Percutaneous Coronary Intervention, Export Aspiration Catheter.
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| EOI:
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| DOI:
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| Download:
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