title: The 'MAP strategy' (Maximum aspiration of atherothrombus and adjunctive glycoprotein IIb/IIIa inhibitor utilization combined with prolonged inflation of balloon/stent) for preventing no-reflow in patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention: A retrospective analysis of seventy-one cases.
abstract: 'No-reflow' phenomenon is a common occurrence in percutaneous coronary intervention (PCI). A three-component 'MAP strategy' was designed to prevent no-reflow by addressing both intralesional and intraluminal thrombus in patients with ST-segment elevation myocardial infarction (STEMI). In this analysis, we observed Thrombolysis In Myocardial Infarction (TIMI) flow grade 3 or 2 in all patients, with no incidence of no-reflow. Myocardial blush grade (MBG) 3 or 2 was observed in most (87.32%) patients. Left ventricular ejection fraction (LVEF) was improved, without any incidence of death up to 9-month follow-up. All patients safely tolerated the strategy-driven prolonged, 35-s inflation of the balloon/stent.
authors.affiliation: Director, Department of Cardiology, H.J. Doshi Ghatkopar Hindu Sabha Hospital, Mumbai, Maharashtra, India. Electronic address: parisoha2013@gmail.com.
authors.forename: Anil
authors.initials: A
authors.lastname: Potdar
authors.affiliation: Head of Department of Cardiology, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
authors.forename: Satyavan
authors.initials: S
authors.lastname: Sharma
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D003326:Coronary Circulation; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors*; D012189:Retrospective Studies; D000072657:ST Elevation Myocardial Infarction / Q000628:therapy*; D015607:Stents; D013396:Suction; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy
chemical_list: D019039:Platelet Glycoprotein GPIIb-IIIa Complex
keywords: No-reflow phenomenon; Percutaneous coronary intervention; Thrombectomy