Pershad Ashish, Hoelzinger David, Patel Shirish
St. Luke's Medical Center, Heart and Vascular Center of Arizona, Phoenix, Arizona, USA.
J Invasive Cardiol. 2006 Jun;18(6):E191-4.
Primary angioplasty has emerged as the treatment of choice in acute ST-elevation myocardial infarction. While the timely restoration of infarct artery patency is central, close attention needs to be paid to microvascular integrity for successful restoration of normal myocardial metabolism. Clearance of thrombus burden is central to restoring normal myocardial metabolism. Available therapies do not efficiently remove thrombus in a timely and simple fashion. Microthrombi can be treated with appropriate pharmacological therapy, whereas larger macrothrombi should be treated with commercially available thrombectomy devices. In these case reports, the use of the Pronto (Vascular Solutions, Inc., Minneapolis, Minnesota) catheter is described as a quick, simple, and timely tool for the management of thrombus in the setting of an acute right coronary artery myocardial infarction.
直接血管成形术已成为急性ST段抬高型心肌梗死的首选治疗方法。虽然梗死动脉通畅的及时恢复至关重要，但为成功恢复正常心肌代谢，需要密切关注微血管完整性。清除血栓负荷是恢复正常心肌代谢的关键。现有治疗方法无法及时、简便地有效清除血栓。微血栓可用适当的药物治疗，而较大的大血栓则应用市售的血栓切除术器械治疗。在这些病例报告中，Pronto导管（血管解决方案公司，明尼阿波利斯，明尼苏达州）被描述为在急性右冠状动脉心肌梗死情况下管理血栓的快速、简单且及时的工具。
