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Netherlands Heart Journal
Gepubliceerd in:

01-09-2010 | Original article

Thrombus aspiration in a series of patients with stable or unstable angina pectoris and lesion-site thrombus formation

Auteurs: J. A. J. M. Hermens, G. K. van Houwelingen, F. H. A. F. de Man, H. W. Louwerenburg, C. von Birgelen

Gepubliceerd in: Netherlands Heart Journal | Uitgave 9/2010

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Extract

Coronary embolisation of atherothrombotic material during percutaneous coronary interventions (PCI) may cause necrosis of otherwise viable myocardium, which can result in reduction of contractile function.1 In primary PCI for ST-elevation myocardial infarction, thrombus aspiration prior to stent implantation can reduce both incidence and extent of angioplasty-induced atherothrombotic embolisation and myocardial necrosis.2-4 As recently demonstrated, this approach can improve long-term clinical outcome at one-year follow-up.5 …
vorige artikel Early versus late ST-segment resolution and clinical outcomes after percutaneous coronary intervention for acute myocardial infarction
volgende artikel Endovascular stenting for aortic (re)coarctation in adults
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Ito H, Okamura A, Iwakura K, Masuyama T, Hori M, Takiuchi S, Negoro S, et al. Myocardial perfusion patterns related to thrombolysis in myocardial infarction perfusion grades after coronary angioplasty in patients with acute anterior wall myocardial infarction. Circulation. 1996;93:1993-9.
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Silva-Orrego P, Colombo P, Bigi R, Gregori D, Delgado A, Salvade P, et al. Thrombus aspiration before primary angioplasty improves myocardial reperfusion in acute myocardial infarction. The DEAR-MI Study. J Am Coll Cardiol. 2006;48:1552-9.
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Svilaas T, Vlaar PJ, van der Horst IC, Diercks GF, de Smet BJ, van den Heuvel AF, et al. Thrombus aspiration during primary percutaneous coronary intervention. N Engl J Med. 2008;358:557-67.
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Stoel MG, von Birgelen C, Zijlstra F. Aspiration of embolized thrombus during primary percutaneous coronary intervention. Catheter Cardiovasc Interv. 2009;73:781-6
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Vlaar PJ, Svilaas T, van der Horst IC, Diercks GF, Fokkema ML, de Smet BJ. Cardiac death and reinfarction after 1 year in the Thrombus Aspiration during Pecrutaneous coronary intervention in Acute myocardial infarction Study (TAPAS): a 1-year follow-up study. Lancet. 2008;371:1915-20.
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Vlaar PJ, Diericks GF, Svilaas T, Vogelzang M, de Smet BJ, van den Heuvel AF, et al. The feasibility and safety of routine thrombus aspiration in patients with non-ST-elevation myocardial infarction. Catheter Cardiovasc Interv. 2008;72:937-42.
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ESC committee for practical guidelines. Guidelines for the diagnosis and treatment of non-ST segment elevation acute coronary syndromes. The task force for the diagnosis and treatment of non-ST segment elevation acute coronary syndromes of the European Society of Cardiology. Eur Heart J. 2007;28:1598-660.
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Van 't Hof AW, Liem A, Suryapranata H, Hoorntje JC, de Boer MJ, Zijlstra F. Angiographic assessment of myocardial reperfusion in patients treated with primary angioplasty for acute myocardial infarction: myocardial blush grade. Zwolle Myocardial Infarction Study Group. Circulation. 1998;97:2302-6.
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Bavry AA, Kumbhani DJ, Bhatt DL. Role of adjunctive thrombectomy and embolic protection devices in acute myocardial infarction: a comprehensive meta-analysis of randomized trials. Eur Heart J. 2008;29:2989-3001.
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De Vita M, Burzotta F, Biondi-Zoccai GG, Lefevre T, Dudek D, Antoniucci D, et al. Individual patient-data meta-analysis comparing clinical outcome in patients with ST-elevation myocardial infarction treated with percutaneous coronary intervention with or without prior thrombectomy. ATTEMPT study: a pooled Analysis of Trials on ThrombEctomy in acute Myocardial infarction based on individual PatienT data. Vasc Health Risk Manag. 2009;5:243-7.
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Kragel AH, Gertz SD, Roberts WC. Morphologic comparison of frequency and types of acute lesions in the major epicardial coronary arteries in unstable angina pectoris, sudden coronary death and acute myocardial infarction. J Am Coll Cardiol. 1991;18:801-8.
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Hartmann M, Mattern ES, Huisman J, van Houwelingen GK, de Man FH, Stoel MG, et al. Reproducibility and of volumetric intravascular ultrasound radio-frequency based analysis of coronary plaque composition in vivo. Int J Cardiovasc Imaging. 2009;25:13-23.
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Böse D, von Birgelen C, Zhou XY, Schmermund A, Philipp S, Sack S, et al. Impact of atherosclerotic plaque composition on coronary microembolization during percutaneous coronary interventions. Basic Res Cardiol. 2008;103:587-97.
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Von Birgelen C, Mintz GS, Böse D, Baumgart D, Haude M, Wieneke H, et al. Impact of moderate lesion calcium on mechanisms of coronary stenting as assessed with three-dimensional intravascular ultrasound in vivo. Am J Cardiol. 2003;92:5-10.
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Burzotta F, Trani C, Romagnoli E, Mazzari MA, Rebuzzi AG, De Vita M, et al. Manual thrombus-aspiration improves myocardial reperfusion: the randomized evaluation of the effect of mechanical reduction of distal embolisation by thrombus-aspiration in primary and rescue angioplasty (REMEDIA) Trial. J Am Coll Cardiol. 2005;46:371-6.
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Galiuto L, Garramone B, Burzotta F, Lombardo A, Barchetta S, Rebuzzi AG, et al. REMEDIA Investigators. Thrombus aspiration reduces microvascular obstruction after primary coronary intervention: A myocardial contrast echocardiography substudy of the REMEDIA Trial. J Am Coll Cardiol. 2006;48:1355-60.
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Vijayalakshmi K, Kunadian B, Whittaker VJ, Williams D, Wright RA, Sutton AG, et al. The impact of chronically diseased coronary arteries and stenting on the corrected TIMI frame count in elective coronary angiography and percutaneous coronary intervention procedures. Catheter Cardiovasc Interv. 2007;70:691-700.
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Van der Wal AC, Becker AE, Koch KT, Piek JJ, Teeling P, van der Loos CM, et al. Clinically stable angina pectoris is not necessarily associated with histologically stable atherosclerotic plaques. Heart. 1996;76:312-6
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Herrmann J, von Birgelen C, Haude M, Volbracht L, Malyar N, Eggebrecht H, et al. Prognostic implication of cardiac troponin T increase following stent implantation. Heart. 2002;87:549-53.
Metagegevens
Titel
Thrombus aspiration in a series of patients with stable or unstable angina pectoris and lesion-site thrombus formation
Auteurs
J. A. J. M. Hermens
G. K. van Houwelingen
F. H. A. F. de Man
H. W. Louwerenburg
C. von Birgelen
Publicatiedatum
01-09-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 9/2010
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03091809

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