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, Pages 947-956 PDF (434.5 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2020.20727.1646 | ||
| Authors | ||
| Hisham Mohamed El-Dosh* 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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