Thrombus Embolisation: Prevention is Better than Cure

Thrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we...

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Main Authors: Fizzah A Choudry, Roshan P Weerackody, Daniel A Jones, Anthony Mathur
Format: Article
Language:English
Published: Radcliffe Medical Media 2019-05-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articles/thrombus-embolisation-prevention-better-cure
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author Fizzah A Choudry
Roshan P Weerackody
Daniel A Jones
Anthony Mathur
author_facet Fizzah A Choudry
Roshan P Weerackody
Daniel A Jones
Anthony Mathur
author_sort Fizzah A Choudry
collection DOAJ
description Thrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we discuss the clinical implications of thrombus embolisation and angiographic predictors of embolisation, and provide an update of current evidence for some preventative strategies, both pharmacological and mechanical, in this setting.
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spelling doaj.art-953c6698f6de4016a02ef24f105602732024-04-20T16:01:18ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852019-05-011429510110.15420/icr.2019.11Thrombus Embolisation: Prevention is Better than CureFizzah A Choudry0Roshan P Weerackody1Daniel A Jones2Anthony Mathur3Department of Cardiology, Barts Health NHS Trust, London, UK; Queen Mary University of London, London, UKDepartment of Cardiology, Barts Health NHS Trust, London, UKDepartment of Cardiology, Barts Health NHS Trust, London, UK; Queen Mary University of London, London, UKDepartment of Cardiology, Barts Health NHS Trust, London, UK; Queen Mary University of London, London, UKThrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we discuss the clinical implications of thrombus embolisation and angiographic predictors of embolisation, and provide an update of current evidence for some preventative strategies, both pharmacological and mechanical, in this setting.https://www.icrjournal.com/articles/thrombus-embolisation-prevention-better-cure
spellingShingle Fizzah A Choudry
Roshan P Weerackody
Daniel A Jones
Anthony Mathur
Thrombus Embolisation: Prevention is Better than Cure
Interventional Cardiology: Reviews, Research, Resources
title Thrombus Embolisation: Prevention is Better than Cure
title_full Thrombus Embolisation: Prevention is Better than Cure
title_fullStr Thrombus Embolisation: Prevention is Better than Cure
title_full_unstemmed Thrombus Embolisation: Prevention is Better than Cure
title_short Thrombus Embolisation: Prevention is Better than Cure
title_sort thrombus embolisation prevention is better than cure
url https://www.icrjournal.com/articles/thrombus-embolisation-prevention-better-cure
work_keys_str_mv AT fizzahachoudry thrombusembolisationpreventionisbetterthancure
AT roshanpweerackody thrombusembolisationpreventionisbetterthancure
AT danielajones thrombusembolisationpreventionisbetterthancure
AT anthonymathur thrombusembolisationpreventionisbetterthancure