Direct stenting versus aspiration of thrombus on final myocardial blush score and outcome in patients with acute ST-elevation myocardial infarction.

Document Type : Original Article

Authors

1 Cardiology department,faculty of medicine,zagazig university,Sharkia,Egypt

2 Cardiology department, Faculty of medicine, Zagazig university, Egypt

3 Cardiology,Faculty of medicine,Zagazig Universty, Zagazig Egypt

4 cardiovascular ,faculty of medicine,zagazig university ,sharkia,cairo

Abstract

Background:

In patients with STEMI, PCI cause thrombus dislodgment leadingto microvascular function impairment, which is a negative independent predictor of myocardial function recovery. Compared with conventional stenting, pretreatment with aspiration thrombectomy during PPCI has been proposed to prevent embolization in order to improve outcomes
Aim:
Evaluation of value of thrombus aspiration devices in primary PCI compared to conventional primary PCI.
Patients and methods:
The study included 60 patients with AMI undergoing primary PCI, patients were divided :
Group A: 30 patients subjected to primary PCI only
Group B: 30 patients subjected to thrombectomy device before primary PCI.
Results:
The study showed a statistically significant difference among both studied groups regarding post-thrombectomy TIMI flow grade.
Our study showed a statistically significant difference among both studied groups regarding post-thrombectomy thrombus score 1, 2 and 3%, as 93.3% of group II had score

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Zagazig University Medical Journal
Volume 28, Issue 5
September 2022
Pages 947-956

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