Rheolytic thrombectomy during percutaneous revascularization for acute myocardial infarction: Experience with the AngioJet catheter

Background Although balloon angioplasty and stenting are 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 th...

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Veröffentlicht in:	The American heart journal 2001-03, Vol.141 (3), p.353-359
Hauptverfasser:	Silva, Jose A., Ramee, Stephen R., Cohen, David J., Carrozza, Joseph P., Popma, Jeffrey J., Lansky, Alexandra A., Dandreo, Kim, Baim, Donald S., George, Barry S., McCormick, Daniel J., Setum, Cindy M., Kuntz, Richard E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty, Balloon, Coronary Biological and medical sciences Cardiology. Vascular system Coronary Angiography Coronary heart disease Female Heart Humans Male Medical sciences Middle Aged Myocardial Infarction - diagnostic imaging Myocardial Infarction - surgery Rheology Stents Thrombectomy
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Zusammenfassung:	Background Although balloon angioplasty and stenting are 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 of 70 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
ISSN:	0002-8703 1097-6744
DOI:	10.1067/mhj.2001.112997