Treating thrombus in the coronary arteries.
Primary percutaneous coronary intervention (PCI) has greatly improved outcomes in patients with ST-elevation myocardial infarction (STEMI) and has, therefore, become the preferred reperfusion strategy for this patient group. The goal of primary PCI is to achieve a thrombolysis in myocardial infarction (TIMI) 3 flow and also to restore adequate perfusion at the myocardial level. Distal thrombus embolization during primary PCI occurs frequently and is also associated with compromised long-term outcomes. In this article, we provide an overview of the treatment of thrombus and the role of thrombectomy in PCI for STEMI.
Cardiology Department, Kartal Kosuyolu Education and Research Hospital, Mevlanakapi Mah. Dingil Sok. No: 23/5, Sehremini/Fatih, İstanbul, Turkey.
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D003131:Combined Modality Therapy / Q000379:methods; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome