Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.
El-Dosh, H., Hasanin, M., naguib, T., kandil, N. (2022). Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.. EKB Journal Management System, 28(5), 947-956. doi: 10.21608/zumj.2020.20727.1646
Hisham Mohamed El-Dosh; Mesbah Taha Hasanin; tarek ahmed naguib; nader talat kandil. "Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.". EKB Journal Management System, 28, 5, 2022, 947-956. doi: 10.21608/zumj.2020.20727.1646
El-Dosh, H., Hasanin, M., naguib, T., kandil, N. (2022). 'Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.', EKB Journal Management System, 28(5), pp. 947-956. doi: 10.21608/zumj.2020.20727.1646
El-Dosh, H., Hasanin, M., naguib, T., kandil, N. Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.. EKB Journal Management System, 2022; 28(5): 947-956. doi: 10.21608/zumj.2020.20727.1646

Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.

Zagazig University Medical Journal
Article 6, Volume 28, Issue 5, September 2022, Page 947-956  XML PDF (434.5 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.20727.1646
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Authors
Hisham Mohamed El-Dosh email 1; Mesbah Taha Hasanin2; tarek ahmed naguib3; nader talat kandil4
1Cardiology department,faculty of medicine,zagazig university,Sharkia,Egypt
2Cardiology department, Faculty of medicine, Zagazig university, Egypt
3Cardiology,Faculty of medicine,Zagazig Universty, Zagazig Egypt
4cardiovascular ,faculty of medicine,zagazig university ,sharkia,cairo
Abstract
Background:

In patients with STEMI, PCI cause thrombus dislodgment leadingto microvascular function impairment, which is a negative independent predictor of myocardial function recovery. Compared with conventional stenting, pretreatment with aspiration thrombectomy during PPCI has been proposed to prevent embolization in order to improve outcomes
Aim:
Evaluation of value of thrombus aspiration devices in primary PCI compared to conventional primary PCI.
Patients and methods:
The study included 60 patients with AMI undergoing primary PCI, patients were divided :
Group A: 30 patients subjected to primary PCI only
Group B: 30 patients subjected to thrombectomy device before primary PCI.
Results:
The study showed a statistically significant difference among both studied groups regarding post-thrombectomy TIMI flow grade.
Our study showed a statistically significant difference among both studied groups regarding post-thrombectomy thrombus score 1, 2 and 3%, as 93.3% of group II had score
Keywords
Thrombus Aspiration; Thrombectomy device,Acute Myocardial infarction
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