Jain Ajay, Weerackody Roshan, Kennon Simon, Rothman Martin
Department of Cardiology, Bart's and The London NHS Trust, London, UK.
Catheter Cardiovasc Interv. 2009 Jul 1;74(1):88-93. doi: 10.1002/ccd.21981.
Embolization of athero-thrombotic material during primary percutaneous coronary intervention is a common cause of periprocedural complication. Methods developed to reduce embolization include thrombus aspiration, and distal protection. We report five cases of primary percutaneous intervention to coronary arteries that contain large amounts of thrombus, using a novel mesh covered stent. The mesh covering of the stent is designed such that it is theoretically able to ensnare thrombus and thus prevent distal migration of embolic material. In all cases, TIMI grade III flow was achieved at the end of the procedure, despite the extensive thrombus burden.
在初次经皮冠状动脉介入治疗期间，动脉粥样硬化血栓物质的栓塞是围手术期并发症的常见原因。为减少栓塞而开发的方法包括血栓抽吸和远端保护。我们报告了5例使用新型网孔覆盖支架对含有大量血栓的冠状动脉进行初次经皮介入治疗的病例。支架的网孔覆盖设计成理论上能够捕捉血栓，从而防止栓塞物质向远端迁移。在所有病例中，尽管血栓负荷广泛，但在手术结束时均实现了TIMI 3级血流。
