M-Guard Stent in Stemi Patients with High Thrombus Burden Lesions: A Prospective, Single Arm Study

M, Mohammad Zade Shabestari and A, Gholoobi and B, Bayani and A, Eshraghi and M, Ebrahimi and F, Madani Sani (2014) M-Guard Stent in Stemi Patients with High Thrombus Burden Lesions: A Prospective, Single Arm Study. Journal of Patient Safety & Quality Improvement, 2 (2). pp. 86-90.

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Introduction: Primary PCI is the preferred modality to restore blood perfusion in STEMI patients, but myocardial reperfusion is sometimes lower than optimal. Distal embolization seems to play the leading role. There is rare evidence suggestive of M-Guard stents; a recent innovation which protects against distal embolization may be beneficial in this circumstance. Materials and Methods:This was a prospective single arm study. Patients with acute STEMI admitted at the Cardiac Emergency Unit of Imam Reza Hospital from July 2011 to November 2012 who had a large bulk of thrombus in their angiogram, underwent M-Guard stenting and were followed up for six months for chest pain and secondary revascularization. Results: The 23 patients, aged between 34 and 84; 65.2, were male and had undergone primary PCI, mechanical thrombus aspiration, and M-Guard stenting. Left Anterior Descending (LAD) (63.9) and Right Coronary Artery (RCA) (39.1) were most commonly involved. 78.2, 13.1, and 8.9 of patients had primary Thrombolysis in Myocardial Infarction (TIMI) Thrombus grade five, four, and three. Among them, 86.9 achieved TIMI Flow grade three and 13.04 TIMI Flow grade two. The rate of transient

Item Type: Article
Subjects: WB Practice of Medicine
Divisions: Journals > J Patient Safety & Quality improvement
Depositing User: psj psj
Date Deposited: 27 Sep 2017 15:10
Last Modified: 27 Sep 2017 15:10
URI: http://eprints.mums.ac.ir/id/eprint/5315

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