Thrombus Management for STEMI Interventions

Mehta, Sameer; Reynbakh, Olga; Rodríguez, Daniel; Zhang, Tracy; Schweitzer, Michael; Reina, Maria Teresa Bedoya; Arango, Miguel Vega; Arango, Juanita Gonzalez; Urrea, Maria Botero

doi:10.1002/9781119095446.ch7

Cited by 1 publication

(1 citation statement)

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“…Interestingly, the use of thrombectomy in this study was more frequent in those with significantly impaired LV dysfunction, which is perhaps secondary to more prolonged ischemic times and therefore a greater degree of infarction, which may be a confounder in this setting [41]. Mehta et al [42] have suggested a 'selective strategy' for the management of thrombus in STEMI. Direct stenting is recommended for low-grade thrombus, thrombus aspiration for moderate thrombus, and the consideration of rheolytic therapy for significant and persistent thrombus.…”

Section: Intravascular Imaging and Thrombus Burden Assessmentmentioning

confidence: 93%

Thrombus aspiration in acute myocardial infarction

Vandermolen

Marciniak²,

Byrne³

et al. 2016

Coronary Artery Disease

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The pathogenesis that underlies acute myocardial infarction is complex and multifactorial. One of the most important components, however, is the role of thrombus formation following atherosclerotic plaque rupture, leading to sudden coronary occlusion and subsequent ischemia and infarction. Thrombus aspiration provides the opportunity of intracoronary clot extraction with the aim to improve coronary and myocardial perfusion, by reducing the risk of no-reflow secondary to distal embolization of thrombus. The utility of thrombus aspiration during primary percutaneous coronary intervention has been assessed in an increasing number of observational and randomized studies. This article reviews the contemporary data and provides insights into the validity of thrombus aspiration in the setting of acute myocardial infarction.

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Section: Intravascular Imaging and Thrombus Burden Assessmentmentioning

confidence: 93%