Adjunctive Thrombectomy in Primary Percutaneous Intervention for Acute Myocardial Infarction

dc.creatorMongeon, FP
dc.creatorCoelho, OR
dc.creatorCoelho, OR
dc.creatorRinfret, S
dc.date2011
dc.dateOCT
dc.date2014-08-01T18:17:58Z
dc.date2015-11-26T17:58:06Z
dc.date2014-08-01T18:17:58Z
dc.date2015-11-26T17:58:06Z
dc.date.accessioned2018-03-29T00:41:40Z
dc.date.available2018-03-29T00:41:40Z
dc.identifierArquivos Brasileiros De Cardiologia. Arquivos Brasileiros Cardiologia, v. 97, n. 4, n. E91, n. E100, 2011.
dc.identifier0066-782X
dc.identifierWOS:000297540500021
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/76792
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/76792
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1291655
dc.descriptionPrimary percutaneous coronary intervention (PCI) has become the favored reperfusion strategy in acute ST-segment elevation myocardial infarction. Lower post-PCI myocardial perfusion grade, no-reflow and even drug-eluting stent thrombosis have been related to the presence of intracoronary thrombus. Adjunctive thrombectomy refers to procedures and devices that remove thrombotic material from the infarction-related artery, in theory, before distal embolization can occur. There is substantial variability between randomized controlled trials of thrombectomy in primary PCI with regards to tested devices, procedural characteristics, adjuvant medical regimen and examined outcomes. As a general statement, improvements in myocardial perfusion endpoints do not translate into reductions in clinical outcomes. Yet, an increasing number of trials with a longer follow-up reported benefits arising late after the index myocardial infarction. Simple aspiration catheters may also produce better outcomes than devices that fragment the thrombus before aspirating debris. Clinical or angiographic variables which best predict benefits from the use of thrombectomy remain to be defined. The aim of this review is to provide perspective on the conclusions of available trials and meta-analysis of adjunctive thrombectomy in acute myocardial infarction. Targets for future studies are discussed.
dc.description97
dc.description4
dc.descriptionE91
dc.descriptionE100
dc.languageen
dc.publisherArquivos Brasileiros Cardiologia
dc.publisherRio De Janeiro
dc.publisherBrasil
dc.relationArquivos Brasileiros De Cardiologia
dc.relationArq. Bras. Cardiol.
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectThrombosis
dc.subjectthrombectomy
dc.subjectangioplasty,balloon,coronary
dc.subjectmyocardial infarction
dc.subjectSt-segment-elevation
dc.subjectPrevent Distal Embolization
dc.subjectRandomized Controlled-trial
dc.subjectNo-reflow Phenomenon
dc.subjectCoronary Intervention
dc.subjectThrombus-aspiration
dc.subjectPrimary Angioplasty
dc.subjectRheolytic Thrombectomy
dc.subjectIntracoronary Thrombectomy
dc.subjectReperfusion Therapy
dc.titleAdjunctive Thrombectomy in Primary Percutaneous Intervention for Acute Myocardial Infarction
dc.typeArtículos de revistas


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