Does manual thrombus aspiration help optimize stent implantation in ST-segment elevation myocardial infarction?
| Autor: | Ignacio Ferreira, Juan García-Picart, M. Cardona, Salvatore Brugaletta, Diego Fernández-Rodríguez, Luis Alvarez-Contreras, Manel Sabaté, Vicens Martí, Marta De Antonio, Victoria Martin-Yuste |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Thrombus aspiration business.industry medicine.medical_treatment Population Observational Study Percutaneous coronary intervention Stent Thrombolysis medicine.disease Surgery Lesion surgical procedures operative Internal medicine cardiovascular system medicine Cardiology ST segment cardiovascular diseases Myocardial infarction medicine.symptom Cardiology and Cardiovascular Medicine education business |
| Zdroj: | World Journal of Cardiology. 6:1030 |
| ISSN: | 1949-8462 |
| DOI: | 10.4330/wjc.v6.i9.1030 |
| Popis: | AIM: To evaluate the impact of thrombus aspiration (TA) on procedural outcomes in a real-world ST-segment elevation myocardial infarction (STEMI) registry. METHODS: From May 2006 to August 2008, 542 consecutive STEMI patients referred for primary or rescue percutaneous coronary intervention were enrolled and the angiographic results and stent implantation characteristics were compared according to the performance of manual TA. RESULTS: A total of 456 patients were analyzable and categorized in TA group (156 patients; 34.2%) and non-TA (NTA) group (300 patients; 65.8%). Patients treated with TA had less prevalence of multivessel disease (39.7% vs 54.7%, P = 0.003) and higher prevalence of initial thrombolysis in myocardial infarction flow < 3 (P < 0.001) than NTA group. There was a higher rate of direct stenting (58.7% vs 45.5%, P = 0.009), with shorter (24.1 ± 11.8 mm vs 26.9 ± 15.7 mm, P = 0.038) and larger stents (3.17 ± 0.43 mm vs 2.93 ± 0.44 mm, P < 0.001) in the TA group as compared to NTA group. The number of implanted stents (1.3 ± 0.67 vs 1.5 ± 0.84, P = 0.009) was also lower in TA group. CONCLUSION: In an “all-comers” STEMI population, the use of TA resulted in more efficient procedure leading to the implantation of less number of stents per lesion of shorter lengths and larger sizes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|