UNIVERSI
TÄ
TS-
BIBLIOTHEK
P
ADERBORN
Anmelden
Menü
Menü
Start
Hilfe
Blog
Weitere Dienste
Neuerwerbungslisten
Fachsystematik Bücher
Erwerbungsvorschlag
Bestellung aus dem Magazin
Fernleihe
Einstellungen
Sprache
Deutsch
Deutsch
Englisch
Farbschema
Hell
Dunkel
Automatisch
Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist
gegebenenfalls
nur via VPN oder Shibboleth (DFN-AAI) möglich.
mehr Informationen...
Universitätsbibliothek
Katalog
Suche
Details
Zur Ergebnisliste
Ergebnis 24 von 25
Datensatz exportieren als...
BibTeX
Preliminary experiences using X-sizer catheter for mechanical thrombectomy of thrombus-containing lesions during acute coronary syndromes
Catheterization and cardiovascular interventions, 2003-04, Vol.58 (4), p.443-448
Kornowski, Ran
Ayzenberg, Oded
Halon, David A.
Kusniec, Fabio
Assali, Abid
2003
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Kornowski, Ran
Ayzenberg, Oded
Halon, David A.
Kusniec, Fabio
Assali, Abid
Titel
Preliminary experiences using X-sizer catheter for mechanical thrombectomy of thrombus-containing lesions during acute coronary syndromes
Ist Teil von
Catheterization and cardiovascular interventions, 2003-04, Vol.58 (4), p.443-448
Ort / Verlag
New York: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2003
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Thrombus‐containing lesions are frequently observed in patients with acute coronary syndromes. These lesions are prone to increased procedural risks, including distal embolization and abrupt closure of the vessel. This preliminary report evaluates if thrombus removal using a new X‐Sizer catheter could reduce thrombotic burden and optimize angioplasty results. Thrombectomy was attempted with the X‐Sizer catheter in 11 patients (age, 59 ± 10 years) undergoing coronary angioplasty with angiographic evidence of intracoronary thrombus. The device uses a helix cutter contained in a 4.5 or 5.5 Fr catheter tip connected to a closed vacuum aspiration system. Procedural outcomes using detailed angiographic analysis and clinical data were obtained from all treated patients. Seven patients (64%) had acute or recent myocardial infarction and four patients (36%) presented with unstable angina. The culprit lesion was located in right coronary, left anterior, vein graft, and circumflex‐marginal in five, three, two, and one patient, respectively. The mean proximal reference diameter was 3.37 ± 0.39 mm and % diameter stenosis was 90% ± 15% prior to thrombectomy and decreased to 72% ± 16% afterward and was 9% ± 10% at the end of the procedure. The TIMI flow increased from 0.8 ± 1.0 to 2.1 ± 0.9 following thrombectomy and the final TIMI grade was 2.9 ± 0.3. Stents were used in 9 of 11 patients. Procedural success was achieved in 10 of 11 patients (91%). No evidence of stent thrombosis was noted among treated patients in hospital and at 30‐day follow‐up. In this preliminary series of patients with angiographic evidence of thrombus, the use of X‐Sizer thrombectomy seems to be feasible and relatively safe, permitting thrombus removal and improved intracoronary flow. Cathet Cardiovasc Intervent 2003;58:443–448. © 2003 Wiley‐Liss, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 1522-1946
eISSN: 1522-726X
DOI: 10.1002/ccd.10408
Titel-ID: cdi_proquest_miscellaneous_73134743
Format
–
Schlagworte
Aged
,
Analysis of Variance
,
Angina, Unstable - complications
,
Angina, Unstable - diagnostic imaging
,
Angina, Unstable - therapy
,
angioplasty
,
atherectomy
,
Cardiac Catheterization - instrumentation
,
Cardiac Catheterization - methods
,
Coronary Angiography
,
Coronary Thrombosis - complications
,
Coronary Thrombosis - diagnostic imaging
,
Coronary Thrombosis - therapy
,
Equipment Design
,
Equipment Safety
,
Feasibility Studies
,
Female
,
Follow-Up Studies
,
fs percutaneous
,
Humans
,
Male
,
Middle Aged
,
Myocardial Infarction - complications
,
Myocardial Infarction - diagnostic imaging
,
Myocardial Infarction - therapy
,
Probability
,
Prospective Studies
,
Risk Assessment
,
Severity of Illness Index
,
Thrombectomy - methods
,
transluminal
,
treatment
,
Treatment Outcome
,
Vascular Patency
Weiterführende Literatur
Empfehlungen zum selben Thema automatisch vorgeschlagen von
bX