Universidad Peruana Cayetano Heredia

Manual thrombus aspiration in patients with ST-elevation myocardial infarction with high thrombus burden and a total ischemic time greater or equal than 3 hours: Mini Review.

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dc.contributor.author Vela, Cesar Nicolás Conde
dc.contributor.author Gamarra Valverde, Norma Nicole
dc.contributor.author Inga Moya, Katherine Elizabeth
dc.contributor.author Durand, Percy
dc.date.accessioned 2023-06-12T16:25:54Z
dc.date.available 2023-06-12T16:25:54Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13607
dc.description.abstract Manual Thrombus Aspiration (MTA) reduces thrombus burden and improves myocardial reperfusion markers in patients with ST-segment elevation myocardial infarction (STEMI), however its clinical benefit is controversial due to conflicting results from randomized clinical trials, which is why the benefit of its application during primary angioplasty (PA) remains uncertain. Reports such as that of Doo Sun Sim, et al. suggest that the impact of MTA may become clinically relevant in patients with a longer total ischemia time(1). We present the case of an adult male, with multiple risk factors for coronary disease, with lower STEMI, due to occlusion of the right coronary artery with a heavy thrombus load and an ischemia time of 10 hours. It was successfully treated by MTA, removing abundant intracoronary thrombus and obtaining a TIMI III flow, without requiring stent implantation. The case, the evolution and the current knowledge regarding the use of AT are discussed. Our case report and review of five cases with similar characteristics in the literature illustrate the use of MTA in patients with STEMI, high thrombus burden, and prolonged ischemia time. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Current Problems in Cardiology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Acute ST elevation Myocardial Infarction (STEMI) en_US
dc.subject Primary PCI en_US
dc.subject High thrombus burden en_US
dc.subject Manual Thrombus Aspiration (MTA) en_US
dc.subject.mesh Infarto del Miocardio con Elevación del ST
dc.subject.mesh Intervención Coronaria Percutánea
dc.subject.mesh Trombosis
dc.title Manual thrombus aspiration in patients with ST-elevation myocardial infarction with high thrombus burden and a total ischemic time greater or equal than 3 hours: Mini Review. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1016/j.cpcardiol.2023.101786
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04
dc.relation.issn 1535-6280


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