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Titolo:
Rheolytic thrombectomy during percutaneous revascularization for acute myocardial infarction: Experience with the AngioJet catheter
Autore:
Silva, JA; Ramee, SR; Cohen, DJ; Carrozza, JP; Popma, JJ; Lansky, AA; Dandreo, K; Baim, DS; George, BS; McCormick, DJ; Setum, CM; Kuntz, RE;
Indirizzi:
Brigham & Womens Hosp, Div Cardiovasc, Boston, MA 02215 USA Brigham & Womens Hosp Boston MA USA 02215 ardiovasc, Boston, MA 02215 USA Alton Ochsner Med Fdn & Ochsner Clin, New Orleans, LA 70121 USA Alton Ochsner Med Fdn & Ochsner Clin New Orleans LA USA 70121 A 70121 USA Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA Beth Israel Deaconess Med Ctr Boston MA USA 02215 r, Boston, MA 02215 USA Lenox Hill Hosp, New York, NY 10021 USA Lenox Hill Hosp New York NY USA 10021 x Hill Hosp, New York, NY 10021 USA Mid Ohio Cardiol Consultants, Columbus, OH USA Mid Ohio Cardiol Consultants Columbus OH USA nsultants, Columbus, OH USA Cardiol Consultants Philadelphia, Philadelphia, PA USA Cardiol ConsultantsPhiladelphia Philadelphia PA USA hiladelphia, PA USA Possis Med, Minneapolis, MN USA Possis Med Minneapolis MN USAPossis Med, Minneapolis, MN USA
Titolo Testata:
AMERICAN HEART JOURNAL
fascicolo: 3, volume: 141, anno: 2001,
pagine: 353 - 359
SICI:
0002-8703(200103)141:3<353:RTDPRF>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY ANGIOPLASTY; THROMBOLYTIC THERAPY; INTRACORONARY THROMBUS; IMMEDIATE ANGIOPLASTY; ANGIOGRAPHIC ANALYSIS; CARDIOGENIC-SHOCK; TRIAL; ATHERECTOMY; RISK; PTCA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Kuntz, RE Brigham & Womens Hosp, Div Cardiovasc, 75 Francis St, Boston, MA02215 USA Brigham & Womens Hosp 75 Francis St Boston MA USA 02215 2215 USA
Citazione:
J.A. Silva et al., "Rheolytic thrombectomy during percutaneous revascularization for acute myocardial infarction: Experience with the AngioJet catheter", AM HEART J, 141(3), 2001, pp. 353-359

Abstract

Background Although balloon angioplasty and stenting ore effective in the treatment of acute myocardial infarction (MI), reduced coronary flow and distal embolization frequently complicate interventions when thrombus is present. Adjunctive treatment with mechanical thrombectomy devices may reduce these complications. Methods and Results We evaluated the angiographic and clinical outcomes of70 patients with acute MI (16% with cardiogenic shock) and with angiographically evident thrombus who were treated with AngioJet rheolytic thrombectomy followed by immediate definitive treatment. Procedure success (residual diameter stenosis <50% and Thrombolysis in Myocardial Infarction [TIMI] Flow <greater than or equal to>2 after final treatment) was achieved in 93.8%. Clinical success (procedure success without major in-hospital cardiac events) was achieved in 87.5%, with an in-hospital mortality rate of 7.1%. Final TIMI 3 flow was achieved in 87.7%. AngioJet treatment resulted in a mean thrombus area reduction From 73.2 +/- 64.6 mm(2) at baseline to 15.5 +/- 30.1 post-thrombectomy (P < .001). Subsequent definitive treatment included stenting in 67% and balloon angioplasty alone in 26% of patients. Proceduralcomplications included distal embolization in six patients and perforationin two patients. There were no further major adverse events during 30-day follow-up. Conclusion Rheolytic thrombectomy can be performed safely and effectively in patients with acute MI, allowing far immediate definitive treatment in thrombus-containing lesions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 10:19:46