急性ST段抬高型心肌梗死的手动抽吸血栓切除术：新的金标准。
Manual aspiration thrombectomy in acute ST elevation myocardial infarction: New gold standard.
作者信息
Rochon Brent, Chami Youssef, Sachdeva Rajesh, Bissett Joe K, Willis Nick, Uretsky Barry F
机构信息
Brent Rochon, Youssef Chami, Rajesh Sachdeva, Joe K Bissett, Nick Willis, Barry F Uretsky, Department of Medicine, Central Arkansas Veterans Health System, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States.
出版信息
World J Cardiol. 2011 Feb 26;3(2):43-7. doi: 10.4330/wjc.v3.i2.43.
Abstract
Percutaneous coronary intervention (PCI) is the preferred method to treat ST segment myocardial infarction (STEMI). The use of thrombus aspiration (TA) may be particularly helpful as part of the PCI process, insofar as the presence of thrombus is essentially a universal component of the STEMI process. This article reviews evidence favoring the routine use of TA, and the limitations of these data. Based on current evidence, we consider TA to be an important maneuver during STEMI PCI, even in the absence of visible angiographic thrombus, and recommend it whenever the presence of thrombus is likely.
摘要
经皮冠状动脉介入治疗（PCI）是治疗ST段抬高型心肌梗死（STEMI）的首选方法。血栓抽吸术（TA）作为PCI过程的一部分可能特别有用，因为血栓的存在基本上是STEMI过程的一个普遍组成部分。本文回顾了支持常规使用TA的证据以及这些数据的局限性。基于目前的证据，我们认为TA是STEMI PCI过程中的一项重要操作，即使在血管造影未发现可见血栓的情况下也是如此，并且建议在可能存在血栓时使用TA。
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