Primary percutaneous thrombus aspiration alone as definitive intervention for left main coronary artery occlusion presenting as acute anterior wall ST elevation myocardial infarction
| Autor: | S. Ajit Mullasari, Balaji Pakshirajan, Vijayakumar Subban, Kalaichelvan Udayakumaran, Ramkumar Soli Rajaram, Ezhilan Janakiraman, Latchumanadhas Kalidoss, Anitha Lakshmanan |
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| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Cardiac Catheterization Percutaneous Thrombus aspiration Mechanical Thrombolysis medicine.medical_treatment Myocardial Infarction Coronary thrombosis Internal medicine medicine Humans cardiovascular diseases Myocardial infarction Cardiac catheterization Ejection fraction business.industry Coronary Thrombosis Middle Aged medicine.disease Radiography surgical procedures operative cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business Perfusion |
| Zdroj: | Heart, lungcirculation. 23(2) |
| ISSN: | 1444-2892 |
| Popis: | Primary angioplasty and stenting remains the standard of care for patients presenting with acute ST-segment elevation myocardial infarction. Recently, thrombus aspiration has been shown to improve the myocardial perfusion and outcomes in STEMI. In a subset of patients thrombus aspiration may result in optimal perfusion and minimal residual stenosis. These patients may be managed without additional stenting. Three patients with anterior wall STEMI were successfully managed with thrombus aspiration alone without additional stenting. All three are doing well at 30 day follow up with significant improvement in left ventricular ejection fraction. |
| Databáze: | OpenAIRE |
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