Primary percutaneous coronary intervention is the standard treatment in patients with ST-segment elevation myocardial infarction achieving a TIMI 3 flow in more than 90% of patients. However, despite a brisk epicardial coronary flow in the infarct-related artery, frequently post-ischemic microvascular damage limits the efficacy of primary PCI. Recent studies suggest that thrombectomy during primary PCI, in patients with intracoronary angiographically visible thrombus, represents a useful adjunct to pharmacotherapy able to prevent distal embolization.
La trombectomia nell’angioplastica primaria / Sardella, Gennaro; Mancone, Massimo; DI ROMA, Angelo; Benedetti, Giulia; Fedele, Francesco. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1827-6806. - STAMPA. - 10:10(2008), pp. 659-665.
La trombectomia nell’angioplastica primaria
SARDELLA, Gennaro;MANCONE, Massimo;DI ROMA, Angelo;BENEDETTI, Giulia;FEDELE, Francesco
2008
Abstract
Primary percutaneous coronary intervention is the standard treatment in patients with ST-segment elevation myocardial infarction achieving a TIMI 3 flow in more than 90% of patients. However, despite a brisk epicardial coronary flow in the infarct-related artery, frequently post-ischemic microvascular damage limits the efficacy of primary PCI. Recent studies suggest that thrombectomy during primary PCI, in patients with intracoronary angiographically visible thrombus, represents a useful adjunct to pharmacotherapy able to prevent distal embolization.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
