keyword
Keywords Thrombus aspiration , myocardi...

Thrombus aspiration , myocardial infarction

https://read.qxmd.com/read/37258112/comparison-of-percutaneous-coronary-intervention-procedures-and-outcomes-for-recent-and-acute-st-elevation-myocardial-infarction
#21
JOURNAL ARTICLE
Yusuke Hosokawa, Takeshi Yamamoto, Shuhei Tara, Noritomo Narita, Kenta Onodera, Keishi Suzuki, Junya Matsuda, Kosuke Kadooka, Toshinori Ko, Hideto Sangen, Mitsunobu Kitamura, Jun Nakata, Hideki Miyachi, Yukichi Tokita, Koichi Akutsu, Hitoshi Takano, Wataru Shimizu, Kuniya Asai
Although the primary percutaneous coronary intervention (PCI) is an established treatment for acute ST-elevation myocardial infarction (STEMI), relevant guidelines do not recommend it for recent-STEMI cases with a totally occluded infarcted related artery (IRA). However, PCI is allowed in Japan for recent-STEMI cases, but little is known regarding its outcomes. We aimed to examine the details and outcomes of PCI procedures in recent-STEMI cases with a totally occluded IRA and compared the findings with those in acute-STEMI cases...
2023: International Heart Journal
https://read.qxmd.com/read/37240950/atrial-fibrillation-related-coronary-embolism-diagnosis-in-the-focus
#22
JOURNAL ARTICLE
László Balogh, Péter Óvári, Christopher Uwaafo Ugbodaga, Zoltán Csanádi
Atrial fibrillation (AF) is the most common arrhythmia in myocardial infarction (MI). AF can be caused by ischemia, and MI can be caused by AF. Additionally, 4-5% of MI cases are related to coronary embolism (CE), and one-third of cases are attributed to AF. Our aim was to investigate the prevalence of AF-related CE cases among 3 consecutive years of STEMI cases. We also aimed to reveal the diagnostic accuracy of the Shibata criteria scoring system and the role of thrombus aspiration. Among 1181 STEMI patients, 157 had AF (13...
April 30, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/37211770/sudden-cardiac-death-caused-by-a-right-coronary-artery-aneurysm-complicated-with-acute-myocardial-infarction-a-case-report
#23
JOURNAL ARTICLE
Peng Wu, Haibo Zhang, Ping Ren, Shixi Luo, Xin Zhao
Coronary aneurysms are defined as coronary artery ectasia (CAE) more than 1.5 times the normal adjacent segment diameter or the maximum coronary artery diameter. Although most CAE patients are asymptomatic, some patients present with acute coronary syndrome (ACS), such as angina pectoris, myocardial infarction (MI), and even sudden cardiac death. Sudden death due to coronary artery dilatation is very rare. However, we report a case of a patient with aneurysm-like dilatation of both the left and right coronary arteries, with acute inferior ST segment elevation myocardial infarction and sudden death due to third-degree atrioventricular block...
May 2023: Journal of International Medical Research
https://read.qxmd.com/read/37207005/novel-use-of-dual-guiding-catheters-technique-to-prevent-distal-embolization-and-slow-flow-during-pci-of-coronary-stent-thrombosis
#24
Vijay Kumar Trehan, Gagan Jain, Puneet Gupta
Despite having an incidence of 0.5 to 2%, stent thrombosis has an in-hospital mortality of 15% and myocardial infarction (MI) incidence of 67%. Even with the usage of thrombus aspiration devices and microvasculature vasodilators such as nitroprusside, verapamil, adenosine, and Gp2b/3a inhibitors, the angiographic result of percutaneous coronary intervention of coronary stent thrombosis remains frequently suboptimal due to distal embolization and subsequent slow flow. We describe a novel use of dual guide catheter technique, where one guide acts as conduit for thrombus aspiration catheter and the other for distal placement of balloon trap to prevent distal embolization while managing a case of coronary stent thrombosis to improve the angiographic outcome in this scenario...
June 2023: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://read.qxmd.com/read/37202333/local-intracoronary-fibrinolysis-with-distal-occlusion-a-series-of-cases-using-marinade-technique
#25
REVIEW
Leire Unzué, Eulogio García, Miguel Rodríguez Del Río, Julio Osende, Rodrigo Teijeiro-Mestre, Leticia Fernandez-Friera
No-reflow phenomenon is frequent in patients with ST-segment elevation myocardial infarction (STEMI) and has proven to be a strong predictor of mortality. Local fibrinolytic infusion with distal coronary occlusion (previously described as "marinade technique") can be useful in patients with acute myocardial infarction and intraluminal thrombus refractory to aspiration enabling the local effect of the drug, directly applied inside the thrombus, while protecting the microvasculature with prolonged inflation of a distal balloon...
May 9, 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/37189493/use-of-autotransfusion-following-percutaneous-thrombectomy-for-cardiogenic-shock-due-to-pulmonary-embolism-in-a-single-session-a-case-report
#26
Franz Haertel, Laura Baez, Marcus Franz, Jurgen Bogoviku, Friederike Klein, Gudrun Dannberg, P Christian Schulze, Sven Möbius-Winkler
A 64-year-old male patient was admitted to the catheterization laboratory with a suspected myocardial infarction and in cardiogenic shock. Upon further investigation, a massive bilateral pulmonary embolism with signs of right heart dysfunction was discovered, leading to a decision to perform a direct interventional treatment with a thrombectomy device for thrombus aspiration. The procedure was successful in removing almost the entirety of the thrombotic material from the pulmonary arteries. The patient's hemodynamics stabilized and oxygenation improved instantly...
April 11, 2023: Diagnostics
https://read.qxmd.com/read/37172867/manual-thrombus-aspiration-in-patients-with-st-elevation-myocardial-infarction-with-high-thrombus-burden-and-a-total-ischemic-time-greater-or-equal-than-3-hours-mini-review
#27
REVIEW
Cesar Nicolás Conde Vela, Norma Nicole Gamarra-Valverde, Katherine E Inga, Percy Durand
Manual Thrombus Aspiration (MTA) reduces thrombus burden and improves myocardial reperfusion markers in patients with ST-segment elevation myocardial infarction (STEMI), however its clinical benefit is controversial due to conflicting results from randomized clinical trials, which is why the benefit of its application during primary angioplasty (PA) remains uncertain. Reports such as that of Doo Sun Sim, et al. suggest that the impact of MTA may become clinically relevant in patients with a longer total ischemia time1 ...
May 10, 2023: Current Problems in Cardiology
https://read.qxmd.com/read/37093352/thrombus-containing-lesions-strategies-during-primary-percutaneous-coronary-interventions-in-st-segment-elevation-myocardial-infarction-insights-from-orpki-national-registry
#28
JOURNAL ARTICLE
Tomasz Rakowski, Michał Węgiel, Krzysztof P Malinowski, Zbigniew Siudak, Wojciech Zasada, Barbara Zdzierak, Tomasz Tokarek, Łukasz Rzeszutko, Dariusz Dudek, Stanisław Bartuś, Andrzej Surdacki, Artur Dziewierz
In the era of potent P2Y12 inhibitors, according to current guidelines, treatment with glycoprotein IIb/IIIa inhibitors (GPIs) should be limited to bail-out and/or highly thrombotic situations. Similarly, the recommendation for aspiration thrombectomy (AT) is downgraded to very selective use. We examine the prevalence, and predictors of GPI and AT use in STEMI patients referred to primary percutaneous coronary intervention (PCI). Data on 116,873 consecutive STEMI patients referred to primary PCI in Poland between 2015 and 2020 were analyzed...
April 24, 2023: Journal of Thrombosis and Thrombolysis
https://read.qxmd.com/read/37062981/association-of-ectatic-non-infarct-related-artery-with-1-month-stent-thrombosis-in-patients-with-st-elevation-myocardial-infarction
#29
JOURNAL ARTICLE
Gönül Zeren, İlhan İlker Avci, Mustafa Azmi Sungur, Barış Şimşek, Aylin Sungur, Mehmet Fatih Yılmaz, Fatma Can, Ufuk Gurkan, Can Yücel Karabay
BACKGROUND: Ectatic infarct-related artery (IRA) has been shown to be associated with higher thrombus burden, no-reflow, stent thrombosis (ST) and major adverse cardiovascular events in patients with ST-elevation myocardial infarction (STEMI). The effect of ectatic non-IRA on ST without ectatic IRA is not known. We aimed to assess the effect of ectatic non-IRA presence on ST within 1 month after primary percutaneous intervention (pPCI) in patients with STEMI. METHODS: A total of 1541 patients with a diagnosis of STEMI and underwent pPCI between 2015 and 2020 were retrospectively included in the study...
September 1, 2022: Postgraduate Medical Journal
https://read.qxmd.com/read/36894360/rationale-and-design-of-a-randomized-controlled-pilot-trial-to-assess-stent-retriever-thrombectomy-for-thrombus-burden-reduction-in-patients-with-acute-myocardial-infarction-the-retrieve-ami-study
#30
RANDOMIZED CONTROLLED TRIAL
Rafail A Kotronias, Federico Marin, Maria Emfietzoglou, Jeremy P Langrish, Andrew J Lucking, Keith M Channon, Adrian P Banning, Giovanni Luigi De Maria
BACKGROUND: ST-elevation myocardial infarction (STEMI) is typically caused by thrombotic occlusion of a coronary artery with subsequent hypoperfusion and myocardial necrosis. In approximately half of patients with STEMI, despite successful restoration of epicardial coronary patency, downstream myocardium perfusion remains impeded. Coronary microvascular injury is one of the key mechanisms behind suboptimal myocardial perfusion and it is primarily, yet not exclusively, related to distal embolization of atherothrombotic material following recanalization of the culprit artery...
July 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/36846182/a-rare-mechanism-of-embolic-stroke-complicating-coronary-thrombus-aspiration
#31
Reiko Shiomura, Hideki Miyachi, Takeshi Yamamoto, Hitoshi Takano
Aspiration thrombectomy is often performed in patients with acute myocardial infarction with high thrombus burden. Current guidelines, however, recommend against it because of stroke risk. We report a case of embolic stroke complicating coronary thrombus aspiration in a 62-year-old man. Aspiration thrombectomy during percutaneous coronary intervention migrated thrombus to the proximal right coronary artery (RCA), and the thrombus was subsequently released into the aorta by backflow of the contrast injection causing aspiration thrombectomy-associated stroke...
February 2023: Clinical Case Reports
https://read.qxmd.com/read/36802804/sustained-mechanical-aspiration-thrombectomy-for-high-thrombus-burden-coronary-vessel-occlusion-the-multicenter-cheetah-study
#32
MULTICENTER STUDY
S Jay Mathews, Sahil A Parikh, Willis Wu, D Christopher Metzger, Jeffrey W Chambers, Magdi G H Ghali, Michael James Sumners, Brian C Kolski, Duane S Pinto, Suhail Dohad
BACKGROUND: Poor myocardial reperfusion due to distal embolization and microvascular obstruction after percutaneous coronary intervention is associated with increased risk of morbidity and mortality. Prior trials have not shown a clear benefit of routine manual aspiration thrombectomy. Sustained mechanical aspiration may mitigate this risk and improve outcomes. The objective of this study is to evaluate sustained mechanical aspiration thrombectomy before percutaneous coronary intervention in high thrombus burden acute coronary syndrome patients...
February 2023: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/36746233/efficacy-of-thrombus-aspiration-in-cardiogenic-shock-complicating-acute-myocardial-infarction-and-high-thrombus-burden
#33
JOURNAL ARTICLE
Woochan Kwon, Ki Hong Choi, Jeong Hoon Yang, Yu Jin Chung, Taek Kyu Park, Joo Myung Lee, Young Bin Song, Joo-Yong Hahn, Seung-Hyuk Choi, Chul-Min Ahn, Cheol Woong Yu, Ik Hyun Park, Woo Jin Jang, Hyun-Joong Kim, Jang-Whan Bae, Sung Uk Kwon, Hyun-Jong Lee, Wang Soo Lee, Jin-Ok Jeong, Sang-Don Park, Hyeon-Cheol Gwon
INTRODUCTION AND OBJECTIVES: Current guidelines do not recommend routine thrombus aspiration in acute myocardial infarction (AMI) because no benefits were observed in previous randomized trials. However, there are limited data in cardiogenic shock (CS) complicating AMI. METHODS: We included 575 patients with AMI complicated by CS. The participants were stratified into the TA and no-TA groups based on use of TA. The primary outcome was a composite of 6-month all-cause death or heart failure rehospitalization...
September 2023: Revista Española de Cardiología
https://read.qxmd.com/read/36720761/an-aspiration-catheter-stuck-in-a-patient-with-acute-coronary-syndrome-an-unanticipated-complication
#34
JOURNAL ARTICLE
Akihiro Ikuta, Ryosuke Murai, Hiroyuki Tanaka, Yasushi Fuku, Kazushige Kadota
A 62-year-old man presented with ST-elevation myocardial infarction. Thrombectomy using an aspiration catheter was performed, but the wire lumen of the catheter had been torn during the catheter was removed. The aspiration catheter could not be retrieved into the guide catheter, and the entire system along with the guide catheter was removed.
January 31, 2023: Cardiovascular Intervention and Therapeutics
https://read.qxmd.com/read/36694197/successful-percutaneous-coronary-intervention-with-extracorporeal-membrane-oxygenation-in-a-patient-with-acute-inferior-wall-myocardial-infarction-complicated-by-electrical-storm-cardiogenic-shock-and-cardiac-arrest-a-case-report
#35
JOURNAL ARTICLE
Bixia Yan, Guoqi Zhang, Chaolong Huang, Zhengjiang Liu
BACKGROUND: High-risk patients with coronary heart disease who develop acute myocardial infarction (AMI) have severe coronary lesions. If severe complications occur, such as malignant ventricular arrhythmia, cardiogenic shock, and cardiac arrest, implementation of emergency percutaneous coronary intervention (PCI) may be hindered, leading to a higher perioperative mortality rate. Extracorporeal membrane oxygenation (ECMO) can pave the way for rapid myocardial reperfusion therapy. When cardiac arrest occurs, hemodynamic support with ECMO can facilitate revascularization with PCI, which can increase the time available for further salvage and treatment and reduce intraoperative risk during PCI...
January 24, 2023: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/36561775/case-report-pacemaker-lost-capture-after-acute-myocardial-infarction-in-a-patient-with-left-circumflex-coronary-artery-occlusion
#36
Zhihong Wu, Jianjun Tang, Qingyi Zhu, Lin Hu, Zhenjiang Liu, Xuping Li, Qiming Liu, Shenghua Zhou, Mingxian Chen
A 71-year-old female with a dual-chamber pacemaker presented to our hospital complaining of repeated chest pain. She was diagnosed with unstable angina. On day 7, the patient suddenly suffered cardiopulmonary arrest due to an inferior ST segment elevation myocardial infarction (STEMI). Pacemaker lost capture was suspected and was later confirmed by a pacemaker check with a high pacing threshold and a low sensing parameter. Emergency coronary angiography revealed that a large filling defect remained due to an extensive thrombus in the proximal left circumflex (LCX) with thrombolysis in myocardial infarction (TIMI) grade 2 flow, and then a repeat thrombus aspiration was performed...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/36542184/benefits-of-excimer-laser-coronary-angioplasty-over-thrombus-aspiration-therapy-for-patients-with-acute-coronary-syndrome-and-thrombolysis-in-myocardial-infarction-flow-grade-0
#37
JOURNAL ARTICLE
Tomoyuki Arai, Takaaki Tsuchiyama, Dai Inagaki, Kiyotaka Yoshida, Seiji Fukamizu
In primary percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS), the presence of a thrombus or unstable plaque can cause microvascular obstructions, which may increase infarct size and reduce survival. Excimer laser coronary angioplasty (ELCA) is a unique revascularization technique that can vaporize plaques and thrombi. However, to date, only few reports indicate the efficacy of ELCA for ACS. We retrospectively analyzed 113 consecutive ACS patients who underwent PCI with either ELCA or manual thrombus aspiration therapy (TA) before balloon angioplasty or stenting and who had a Thrombolysis in Myocardial Infarction flow (TIMI) grade 0 on the first contrast injection within 24 h of onset at our hospital from March 2011 to March 2020...
December 21, 2022: Lasers in Medical Science
https://read.qxmd.com/read/36514961/effects-of-intracoronary-low-dose-prourokinase-administration-on-st-segment-elevation-in-patients-with-myocardial-infarction-and-a-high-thrombus-burden-a-randomized-controlled-trial
#38
RANDOMIZED CONTROLLED TRIAL
Mingkun Cao, Zhiyong Wang, Xiujie Meng, Zhiru Xu, Jiangfeng Gao, Wangliang Zhu, Suhua Yu, Haijun Zhang
OBJECTIVE: To evaluate the efficacy and safety of low-dose prourokinase (pro-UK) administration during primary percutaneous coronary intervention (PCI) for the treatment of acute ST-segment elevation myocardial infarction (STEMI) in patients with a high thrombus burden. METHODS: A prospective, randomized controlled trial was conducted at the Inner Mongolia People's Hospital, China. Patients with STEMI and a high thrombus burden who underwent thrombus aspiration and primary PCI were randomly allocated to pro-UK administration or control groups...
December 2022: Journal of International Medical Research
https://read.qxmd.com/read/36506496/neurointerventional-tools-and-techniques-for-coronary-thrombus-removal-a-case-based-review
#39
Jacek Klaudel, Wojciech Trenkner, Krzysztof Pawłowski, Dariusz Surman, Piotr Radowski, Włodzimierz Krasowski, Marek Szołkiewicz
UNLABELLED: Due to the negative results of randomized aspiration thrombectomy studies, its role in myocardial infarction has been limited to high thrombus burden and/or failed vessel recanalization, with little technological advancement over the last years. In contrast, there has been rapid progress in mechanical thrombectomy in stroke, which is understandable as most ischemic cerebrovascular accidents have an embolic etiology.We present three transradial procedures wherein neurointerventional catheters were used as a first-line device for en bloc removal of large clots lodged distally in tortuous coronary anatomy...
December 2022: Journal of Cardiology Cases
https://read.qxmd.com/read/36494628/a-successful-case-of-electrical-storm-rescue-after-acute-myocardial-infarction
#40
JOURNAL ARTICLE
Bin Liu, Bo Xie, Xun Chen, Ke Zhu, Cheng-Ming Wang, Shu-Hong Guo
BACKGROUND: Electrical storm (ES) is a heterogeneous clinical emergency that can present with malignant ventricular arrhythmias such as ventricular fibrillation (VF), ventricular tachycardia (VT), requiring the need for cardiac defibrillation. ES is a life-threatening condition with a high mortality rate. Successfully managing ES in the setting of acute myocardial infarction (MI) is expected to be known by physicians on call to reduce in-hospital mortality. CASE PRESENTATION: A 57-year-old man presenting with acute onset chest pain was found to have an infero-posterior ST-segment elevation myocardial infarction (STEMI) complicated by acute right ventricular MI secondary to total occlusion of the proximal right coronary artery (RCA)...
December 9, 2022: BMC Cardiovascular Disorders
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