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Manual aspiration thrombectomy in acute ST elevation myocardial infarction: New gold standard.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。
World J Cardiol. 2011 Feb 26;3(2):43-7. doi: 10.4330/wjc.v3.i2.43.
2
Thrombus Aspiration in ST-Segment-Elevation Myocardial Infarction: An Individual Patient Meta-Analysis: Thrombectomy Trialists Collaboration.ST 段抬高型心肌梗死患者血栓抽吸:一项个体患者荟萃分析:血栓切除术试验者协作组。
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Thrombus Aspiration for ST-Segment-Elevation Myocardial Infarction in Modern Era: Still an Issue of Debate?当代经皮冠状动脉介入治疗时代的血栓抽吸治疗急性 ST 段抬高型心肌梗死:仍有争议?
Circ Cardiovasc Interv. 2017 Oct;10(10). doi: 10.1161/CIRCINTERVENTIONS.117.005739.
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Outcomes after thrombus aspiration for ST elevation myocardial infarction: 1-year follow-up of the prospective randomised TOTAL trial.ST段抬高型心肌梗死血栓抽吸术后的结局:前瞻性随机TOTAL试验的1年随访
Lancet. 2016 Jan 9;387(10014):127-35. doi: 10.1016/S0140-6736(15)00448-1. Epub 2015 Oct 22.
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The randomized physiologic assessment of thrombus aspiration in patients with acute ST-segment elevation myocardial infarction trial (PATA STEMI): study rationale and design.急性ST段抬高型心肌梗死患者血栓抽吸的随机生理学评估试验(PATA STEMI):研究原理与设计
J Interv Cardiol. 2014 Aug;27(4):341-7. doi: 10.1111/joic.12105. Epub 2014 Feb 26.
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Comparison of Successful Myocardial Reperfusion and Adverse Events in Patients With ST-Elevation Myocardial Infarction Who Underwent Rescue Percutaneous Coronary Intervention After Failed Fibrinolytic Therapy With Versus Without Manual Coronary Thrombus Aspiration.接受纤维蛋白溶解疗法失败后行补救性经皮冠状动脉介入治疗的ST段抬高型心肌梗死患者,行与不行手动冠状动脉血栓抽吸术的心肌再灌注成功情况及不良事件比较
Am J Cardiol. 2015 Oct 15;116(8):1185-92. doi: 10.1016/j.amjcard.2015.07.035. Epub 2015 Jul 30.
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Thrombus Aspiration in Patients With ST-Segment Elevation Myocardial Infarction Presenting Late After Symptom Onset.症状发作后晚期出现 ST 段抬高型心肌梗死患者的血栓抽吸。
JACC Cardiovasc Interv. 2016 Jan 25;9(2):113-22. doi: 10.1016/j.jcin.2015.09.010.
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Circadian dependence of manual thrombus aspiration benefit in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention.在接受直接经皮冠状动脉介入治疗的 ST 段抬高型心肌梗死患者中,手动血栓抽吸获益的昼夜节律依赖性。
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Aspiration thrombectomy during primary percutaneous coronary intervention as adjunctive therapy to early (in-ambulance) abciximab administration in patients with acute ST elevation myocardial infarction: an analysis from Leiden MISSION! acute myocardial infarction treatment optimization program.急性 ST 段抬高型心肌梗死患者行直接经皮冠状动脉介入治疗时行抽吸血栓术作为早期(救护车中)应用阿昔单抗辅助治疗:莱顿 MISSION!急性心肌梗死治疗优化项目的分析。
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Manual Thrombus Aspiration Is Not Associated With Reduced Mortality in Patients Treated With Primary Percutaneous Coronary Intervention: An Observational Study of 10,929 Patients With ST-Segment Elevation Myocardial Infarction From the London Heart Attack Group.手动血栓抽吸术与直接经皮冠状动脉介入治疗 ST 段抬高型心肌梗死患者死亡率降低无关:来自伦敦心肌梗死研究组的 10929 例患者的观察性研究。
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引用本文的文献

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Medicine (Baltimore). 2018 Apr;97(17):e0496. doi: 10.1097/MD.0000000000010496.
2
Thrombus aspiration in acute myocardial infarction: Rationale and indication.急性心肌梗死中的血栓抽吸:原理与适应证
World J Cardiol. 2014 Sep 26;6(9):924-8. doi: 10.4330/wjc.v6.i9.924.

本文引用的文献

1
Safety and efficacy of thrombectomy in patients undergoing primary percutaneous coronary intervention for acute ST elevation MI: a meta-analysis of randomized controlled trials.直接经皮冠状动脉介入治疗急性 ST 段抬高型心肌梗死患者血栓切除术的安全性和有效性:随机对照试验的荟萃分析。
BMC Cardiovasc Disord. 2010 Feb 26;10:10. doi: 10.1186/1471-2261-10-10.
2
Adjunctive thrombectomy for acute myocardial infarction: A bayesian meta-analysis.急性心肌梗死的辅助血栓切除术:贝叶斯荟萃分析。
Circ Cardiovasc Interv. 2010 Feb 1;3(1):6-16. doi: 10.1161/CIRCINTERVENTIONS.109.904037. Epub 2010 Jan 26.
3
Efficacy and safety of immediate angioplasty versus ischemia-guided management after thrombolysis in acute myocardial infarction in areas with very long transfer distances results of the NORDISTEMI (NORwegian study on DIstrict treatment of ST-elevation myocardial infarction).溶栓后直接行血管成形术与缺血指导管理对长距离转运地区急性心肌梗死的疗效和安全性:NORDISTEMI 研究(挪威 ST 段抬高型心肌梗死区域性治疗研究)结果。
J Am Coll Cardiol. 2010 Jan 12;55(2):102-10. doi: 10.1016/j.jacc.2009.08.007. Epub 2009 Sep 10.
4
Upfront thrombus aspiration in primary coronary intervention for patients with ST-segment elevation acute myocardial infarction: report of the VAMPIRE (VAcuuM asPIration thrombus REmoval) trial.ST段抬高型急性心肌梗死患者在直接冠状动脉介入治疗中预先进行血栓抽吸:VAMPIRE(真空抽吸血栓清除)试验报告
JACC Cardiovasc Interv. 2008 Aug;1(4):424-31. doi: 10.1016/j.jcin.2008.06.004.
5
Thrombus aspiration during primary percutaneous coronary intervention improves myocardial reperfusion and reduces infarct size: the EXPIRA (thrombectomy with export catheter in infarct-related artery during primary percutaneous coronary intervention) prospective, randomized trial.直接经皮冠状动脉介入治疗期间进行血栓抽吸可改善心肌再灌注并减小梗死面积:EXPIRA(直接经皮冠状动脉介入治疗期间梗死相关动脉使用出口导管进行血栓切除术)前瞻性随机试验。
J Am Coll Cardiol. 2009 Jan 27;53(4):309-15. doi: 10.1016/j.jacc.2008.10.017.
6
Two year follow-up after primary PCI with a paclitaxel-eluting stent versus a bare-metal stent for acute ST-elevation myocardial infarction (the PASSION trial): a follow-up study.紫杉醇洗脱支架与裸金属支架用于急性ST段抬高型心肌梗死的初次经皮冠状动脉介入治疗后两年随访(PASSION试验):一项随访研究
EuroIntervention. 2008 May;4(1):64-70. doi: 10.4244/eijv4i1a12.
7
ACC/AHA 2008 performance measures for adults with ST-elevation and non-ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures for ST-Elevation and Non-ST-Elevation Myocardial Infarction) Developed in Collaboration With the American Academy of Family Physicians and American College of Emergency Physicians Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, Society for Cardiovascular Angiography and Interventions, and Society of Hospital Medicine.美国心脏病学会/美国心脏协会2008年ST段抬高型和非ST段抬高型心肌梗死成人患者性能指标:美国心脏病学会/美国心脏协会性能指标特别工作组(制定ST段抬高型和非ST段抬高型心肌梗死性能指标写作委员会)报告,与美国家庭医师学会和美国急诊医师学会合作制定,得到美国心血管和肺康复协会、心血管造影和介入学会以及医院医学学会认可。
J Am Coll Cardiol. 2008 Dec 9;52(24):2046-99. doi: 10.1016/j.jacc.2008.10.012.
8
Presence of older thrombus is an independent predictor of long-term mortality in patients with ST-elevation myocardial infarction treated with thrombus aspiration during primary percutaneous coronary intervention.在接受直接经皮冠状动脉介入治疗时进行血栓抽吸的ST段抬高型心肌梗死患者中,陈旧性血栓的存在是长期死亡率的独立预测因素。
Circulation. 2008 Oct 28;118(18):1810-6. doi: 10.1161/CIRCULATIONAHA.108.780734. Epub 2008 Oct 13.
9
Cardiac death and reinfarction after 1 year in the Thrombus Aspiration during Percutaneous coronary intervention in Acute myocardial infarction Study (TAPAS): a 1-year follow-up study.急性心肌梗死经皮冠状动脉介入治疗中血栓抽吸研究(TAPAS)1年后的心源性死亡和再梗死:一项1年随访研究
Lancet. 2008 Jun 7;371(9628):1915-20. doi: 10.1016/S0140-6736(08)60833-8.
10
Bivalirudin during primary PCI in acute myocardial infarction.急性心肌梗死直接经皮冠状动脉介入治疗中使用比伐卢定。
N Engl J Med. 2008 May 22;358(21):2218-30. doi: 10.1056/NEJMoa0708191.

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.

DOI:10.4330/wjc.v3.i2.43
PMID:21390195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3051147/
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。