Thrombus aspiration catheter in acute coronary occlusions

Abstract

There were analyzed 38 patients with acute coronary syndrome with ST segment elevation. Every patient was revealed by coronary angiography to have an occlusion in one of the main coronary arteries. The patients were divided in two groups by the technique of percutaneous coronary intervention. In the first group (n = 18) after mechanical recanalisation with wire we used a catheter for thrombus aspiration. Furthermore according to results after coronary angiography these patients underwent either direct stenting or predilatation with further stenting. After mechanical recanalisation in the second group (n = 20) routine stenting with predilatation were performed. The reperfusion quality was evaluated by TIMI scale by the angiography and ST segment decrease during 30 minutes after the intervention. It was statistically proved that adequate reperfusion was achieved in the group with thrombus aspiration catheter.

Keywords

• острый коронарный синдром
• чрескожное коронарное вмешательство
• устройства аспирации тромба