Applications of Remote Coronary Artery Occlusion via Thrombus Suction Catheter in Patients with Acute Myocardial Infarction

Jing-qian LU; Feng YANG; Li-min YIN; Ping LI; Quan-shu ZHANG; Yong-quan JIA; Min CHEN; Ya-ping PAN

doi:10.12259/j.issn.2095-610X.S20210118

Volume 42 Issue 1

Jan. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(1): 110-114

Jing-qian LU, Feng YANG, Li-min YIN, Ping LI, Quan-shu ZHANG, Yong-quan JIA, Min CHEN, Ya-ping PAN. Applications of Remote Coronary Artery Occlusion via Thrombus Suction Catheter in Patients with Acute Myocardial Infarction[J]. Journal of Kunming Medical University, 2021, 42(1): 110-114. doi: 10.12259/j.issn.2095-610X.S20210118

Citation:

Jing-qian LU, Feng YANG, Li-min YIN, Ping LI, Quan-shu ZHANG, Yong-quan JIA, Min CHEN, Ya-ping PAN. Applications of Remote Coronary Artery Occlusion via Thrombus Suction Catheter in Patients with Acute Myocardial Infarction[J]. Journal of Kunming Medical University, 2021, 42(1): 110-114. doi: 10.12259/j.issn.2095-610X.S20210118

Citation:

Jing-qian LU, Feng YANG, Li-min YIN, Ping LI, Quan-shu ZHANG, Yong-quan JIA, Min CHEN, Ya-ping PAN. Applications of Remote Coronary Artery Occlusion via Thrombus Suction Catheter in Patients with Acute Myocardial Infarction[J]. Journal of Kunming Medical University, 2021, 42(1): 110-114. doi: 10.12259/j.issn.2095-610X.S20210118

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Applications of Remote Coronary Artery Occlusion via Thrombus Suction Catheter in Patients with Acute Myocardial Infarction

doi: 10.12259/j.issn.2095-610X.S20210118

Dept.of Cardiovascular Medicine，The Affiliated Camlette Hospital of Kunming Medicail University，Kunming Yunnan 650031，China

Received Date: 2020-11-18
Available Online: 2021-01-26
Publish Date: 2021-01-26

Abstract

Abstract

Objective To the investigate the safety and efficacy of reverse use tirofiban and contrast agent through thrombus suction catheter after occlusion artery route in hyperthrombotic load patients with acute myocardial infarction. Methods From July 2018 to October 2019, 376 acute STEMI patients treated by emergency percutaus coronary intervention were admitted to the hospital successively. According to the different treatment methods, the 376 acute STEMI patients were divided into the study group （n = 54） and the control group （n = 322）. The effects of two different routes of administration on postoperative myocardial perfusion（TIMI flow grades） and the incidence of severe hemorrhage, stroke and serious cardiac adverse events during hospitalization were compared. Results The preoperative thrombotic load of the study group was significantly higher than that of the control group （3.23±0.95 vs 2.14±0.66, P < 0.05）. There was no significant difference in the incidence of intraoperative complications （P > 0.05）, and there was no significant difference in the postoperative rate of TIMI 3 between the two groups （95.3% vs 96.3, P > 0.05）. There was no significant infference to the incidence of severe hemorrhage, stroke during PCI and serious cardiac adverse events during the hospitalization between the two groups（P > 0.05）. Conclusion With the use of tirofiban and contrast agent through thrombus suction catheter after the occlude artery route, it can effectively improve the myocardial perfusion and reduce the perioperative risk of acute STEMI patients with hyperthrombotic load and it is worthy of further study.
- Acute myocardial infarction,
- Thrombus aspiration,
- Tirofiban,
- Cardiac adverse events

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References(13)

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