Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction
Despite inconclusive and conflicting results of trials and meta-analyses assessing aspiration thrombectomy in ST-segment elevation myocardial infarction (STEMI), trends toward reduced mortality were observed in the high thrombus burden subgroup [1–3]. With a large thrombus being one of the strongest...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2022-04-01
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| Series: | Advances in Interventional Cardiology |
| Online Access: | https://www.termedia.pl/Stroke-thrombectomy-catheter-for-aspiration-of-refractory-or-inaccessible-clot-in-acute-myocardial-infarction,35,46830,1,1.html |
| _version_ | 1811302601673670656 |
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| author | Jacek Klaudel Dariusz Surman Krzysztof Pawłowski Wojciech Trenkner |
| author_facet | Jacek Klaudel Dariusz Surman Krzysztof Pawłowski Wojciech Trenkner |
| author_sort | Jacek Klaudel |
| collection | DOAJ |
| description | Despite inconclusive and conflicting results of trials and meta-analyses assessing aspiration thrombectomy in ST-segment elevation myocardial infarction (STEMI), trends toward reduced mortality were observed in the high thrombus burden subgroup [1–3]. With a large thrombus being one of the strongest predictors of the no flow phenomenon, manual thromboaspiration remains an effective method of its prevention, especially in patients who cannot undergo a staged procedure after IIB/IIIA inhibitor administration because satisfactory reperfusion has not been achieved during the initial intervention [4–8]. Since standard monorail coronary aspiration devices are often ineffective in the case of a large thrombus, guide extension catheters have been used for clot extraction. Their bigger lumen comes at a cost of worse trackability and a higher risk of artery dissection [9]. |
| first_indexed | 2024-04-13T07:32:12Z |
| format | Article |
| id | doaj.art-29d25d688d954b50ac74acab255caefb |
| institution | Directory Open Access Journal |
| issn | 1734-9338 1897-4295 |
| language | English |
| last_indexed | 2024-04-13T07:32:12Z |
| publishDate | 2022-04-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Advances in Interventional Cardiology |
| spelling | doaj.art-29d25d688d954b50ac74acab255caefb2022-12-22T02:56:20ZengTermedia Publishing HouseAdvances in Interventional Cardiology1734-93381897-42952022-04-01181656910.5114/aic.2022.11529946830Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarctionJacek KlaudelDariusz SurmanKrzysztof PawłowskiWojciech TrenknerDespite inconclusive and conflicting results of trials and meta-analyses assessing aspiration thrombectomy in ST-segment elevation myocardial infarction (STEMI), trends toward reduced mortality were observed in the high thrombus burden subgroup [1–3]. With a large thrombus being one of the strongest predictors of the no flow phenomenon, manual thromboaspiration remains an effective method of its prevention, especially in patients who cannot undergo a staged procedure after IIB/IIIA inhibitor administration because satisfactory reperfusion has not been achieved during the initial intervention [4–8]. Since standard monorail coronary aspiration devices are often ineffective in the case of a large thrombus, guide extension catheters have been used for clot extraction. Their bigger lumen comes at a cost of worse trackability and a higher risk of artery dissection [9].https://www.termedia.pl/Stroke-thrombectomy-catheter-for-aspiration-of-refractory-or-inaccessible-clot-in-acute-myocardial-infarction,35,46830,1,1.html |
| spellingShingle | Jacek Klaudel Dariusz Surman Krzysztof Pawłowski Wojciech Trenkner Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction Advances in Interventional Cardiology |
| title | Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction |
| title_full | Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction |
| title_fullStr | Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction |
| title_full_unstemmed | Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction |
| title_short | Stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction |
| title_sort | stroke thrombectomy catheter for aspiration of refractory or inaccessible clot in acute myocardial infarction |
| url | https://www.termedia.pl/Stroke-thrombectomy-catheter-for-aspiration-of-refractory-or-inaccessible-clot-in-acute-myocardial-infarction,35,46830,1,1.html |
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