Thrombus Embolisation: Prevention is Better than Cure

Thrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we...

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Detalles Bibliográficos
Autores principales: Choudry, Fizzah A, Weerackody, Roshan P, Jones, Daniel A, Mathur, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radcliffe Cardiology 2019
Materias:
Coronary
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545997/
https://www.ncbi.nlm.nih.gov/pubmed/31178936
http://dx.doi.org/10.15420/icr.2019.11
Descripción
Sumario:Thrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we discuss the clinical implications of thrombus embolisation and angiographic predictors of embolisation, and provide an update of current evidence for some preventative strategies, both pharmacological and mechanical, in this setting.

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