Routine aspiration thrombectomy improves the diagnosis and management of embolic myocardial infarction
| Autor: | Michael R. Ward, Ravinay Bhindi, Gregory I.C. Nelson, Gemma A. Figtree, Warren Yan, Alex L. Huang, Soon Y. Soo Hoo, Peter S. Hansen, Elizabeth Shaw, Anne Loxton, J. Conleth Murphy, Helge H. Rasmussen, Rebecca Kozor |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Infarction Atrial fibrillation Aspiration Thrombectomy General Medicine 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Anticoagulant therapy Embolism Embolus Internal medicine medicine Cardiology Radiology Nuclear Medicine and imaging cardiovascular diseases 030212 general & internal medicine Myocardial infarction Thrombus Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Interventions. 87:642-647 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.26047 |
| Popis: | Objectives Assess the effect of aspiration thrombectomy on diagnosis and management of embolic acute myocardial infarction. Background Discrimination of embolic acute myocardial infarction from atherosclerotic plaque rupture/erosion prompts oral anticoagulation treatment of source of embolus, as well as avoiding unnecessary stenting and dual antiplatelet therapy. However, detection is difficult without aspiration. Methods We compared rates of diagnosis of embolic infarction for 2.5 years prior to (pre-RAT) and 2.5 years post routine aspiration thrombectomy (post-RAT). Baseline demographics, outcomes, and treatment strategies were also compared between the embolic infarction and atherosclerotic infarction. Results Diagnosed embolic infarction rose from 1.2% in the pre-RAT era to 2.8% in the post-RAT period (P |
| Databáze: | OpenAIRE |
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