Percutaneous coronary intervention(PCI) is the preferred method to treat ST segment myocardial infarction(STEMI).The use of thrombus aspiration(TA) may be particularly helpful as part of the PCI process,insofar as the...Percutaneous coronary intervention(PCI) is the preferred method to treat ST segment myocardial infarction(STEMI).The use of thrombus aspiration(TA) may be particularly helpful as part of the PCI process,insofar as the presence of thrombus is essentially a universal component of the STEMI process.This article reviews evidence favoring the routine use of TA,and the limitations of these data.Based on current evidence,we consider TA to be an important maneuver during STEMI PCI,even in the absence of visible angiographic thrombus,and recommend it whenever the presence of thrombus is likely.展开更多
Prompt revascularization of the superior mesenteric artery(SMA) thrombotic occlusion can prevent intestinal infarction and decrease necrosis of the bowel segment.Herein,we describe two cases who underwent successful e...Prompt revascularization of the superior mesenteric artery(SMA) thrombotic occlusion can prevent intestinal infarction and decrease necrosis of the bowel segment.Herein,we describe two cases who underwent successful endovascular recanalization for acute SMA thrombosis using a primary aspiration thrombectomy because of possible consequent laparotomy for survey of bowel viability.The two patients had dramatic pain reliefimmediately after the procedure and remained symptomfree during the follow-up period.展开更多
目的总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成（lower extremity deep venous thrombosis，LEDVT）的中、远期疗效。方法回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1068例LEDVT患...目的总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成（lower extremity deep venous thrombosis，LEDVT）的中、远期疗效。方法回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1068例LEDVT患者的临床资料。单纯介入取栓271例，介入取栓加动脉留置导管溶栓537例，介入取栓加足背静脉顺流溶栓260例；492例合并髂静脉严重狭窄或闭塞行血管成形治疗。结果l068例术后均随访36个月，水肿、色素沉着和慢性溃疡发生率10．26％、7．28％和1．55％；通畅无反流、通畅有反流、残余附壁血栓及闭塞率为84．25％、8．95％、4．3％、2．5％；胭静脉通畅率、残余血栓及闭塞率为93．32％、5．49％、1．19％。髂静脉支架植入36个月通畅率92．28％。结论LEDVT腔内治疗中、远期疗效显著，能最大程度保护静脉瓣膜功能，显著降低血栓后遗症发生率。展开更多
文摘Percutaneous coronary intervention(PCI) is the preferred method to treat ST segment myocardial infarction(STEMI).The use of thrombus aspiration(TA) may be particularly helpful as part of the PCI process,insofar as the presence of thrombus is essentially a universal component of the STEMI process.This article reviews evidence favoring the routine use of TA,and the limitations of these data.Based on current evidence,we consider TA to be an important maneuver during STEMI PCI,even in the absence of visible angiographic thrombus,and recommend it whenever the presence of thrombus is likely.
文摘Prompt revascularization of the superior mesenteric artery(SMA) thrombotic occlusion can prevent intestinal infarction and decrease necrosis of the bowel segment.Herein,we describe two cases who underwent successful endovascular recanalization for acute SMA thrombosis using a primary aspiration thrombectomy because of possible consequent laparotomy for survey of bowel viability.The two patients had dramatic pain reliefimmediately after the procedure and remained symptomfree during the follow-up period.
文摘目的总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成（lower extremity deep venous thrombosis，LEDVT）的中、远期疗效。方法回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1068例LEDVT患者的临床资料。单纯介入取栓271例，介入取栓加动脉留置导管溶栓537例，介入取栓加足背静脉顺流溶栓260例；492例合并髂静脉严重狭窄或闭塞行血管成形治疗。结果l068例术后均随访36个月，水肿、色素沉着和慢性溃疡发生率10．26％、7．28％和1．55％；通畅无反流、通畅有反流、残余附壁血栓及闭塞率为84．25％、8．95％、4．3％、2．5％；胭静脉通畅率、残余血栓及闭塞率为93．32％、5．49％、1．19％。髂静脉支架植入36个月通畅率92．28％。结论LEDVT腔内治疗中、远期疗效显著，能最大程度保护静脉瓣膜功能，显著降低血栓后遗症发生率。
