[1]陈佳仑 李树仁.不同策略血栓抽吸对于急性ST段抬高心肌梗死患者的研究进展[J].心血管病学进展,2021,(7):593-596.[doi:10.16806/j.cnki.issn.1004-3934.2021.07.005]
　CHEN Jialun,LI Shuren.Different Strategies of Thrombus Aspiration in Patients with Acute ST Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2021,(7):593-596.[doi:10.16806/j.cnki.issn.1004-3934.2021.07.005]
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不同策略血栓抽吸对于急性ST段抬高心肌梗死患者的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年7期
页码:
593-596
栏目:
出版日期:
2021-07-25

文章信息/Info

Title:
Different Strategies of Thrombus Aspiration in Patients with Acute ST Elevation Myocardial Infarction
作者:
陈佳仑1 李树仁2
(1.华北理工大学研究生院,河北 唐山 063000;2.河北省人民医院心血管内科,河北 石家庄 050000)
Author(s):
CHEN Jialun1; LI Shuren2
( 1.College of Graduate SchoolNorth China University of Science and TechnologyTangshan 063000HebeiChina; 2.Department of CardiologyHebei General HospitalShijiazhuang 050000HebeiChina)
关键词:
血栓抽吸; ST段抬高心肌梗死; 经皮冠状动脉介入治疗
Keywords:
Thrombus aspiration;  ST segment elevation myocardial infarction; Percutaneous coronary intervention
DOI:
10.16806/j.cnki.issn.1004-3934.2021.07.005
摘要:
血栓抽吸在急性ST段抬高心肌梗死（STEMI）直接经皮冠状动脉介入治疗中的作用是目前研究和争论的热点，血栓抽吸可能是STEMI患者远端栓塞和改善微血管灌注的有效方法，特别是对于具有高血栓负荷的STEMI患者。虽然最近的随机对照临床试验TASTE和TOTAL未提供支持STEMI患者常规使用血栓抽吸的证据，但对于介入心脏病医师来说，在实际治疗时，血栓抽吸仍然是一种治疗选择。现综述了不同策略血栓抽吸对于STEMI患者的疗效以及血栓抽吸导致卒中的机制，以便正确理解指南并指导临床决策。
Abstract:
The role of thrombus aspiration in primary percutaneous coronary intervention for acute ST segment elevation myocardial infarction (STEMI) is a hot topic in current research and debate. Thrombus aspiration may be an effective method for distal embolization and improv ing microvascular perfusion in patients with STEMI, especially for STEMI patients with high thrombus load. Although recent randomized controlled clinical trials(TASTE and TOTAL) did not provide evidence to support the routine use of thrombus aspiration in STEMI patients,thrombus aspiration is still a treatment option for STEMI patients for interventional cardiologists in actual treatment. This article reviews the efficacy of different strategies of thrombus aspiration in STEMI patients and the mechanism of stroke induced by thrombus aspiration, so as to correctly understand the guidelines and guide clinical decision-making

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更新日期/Last Update: 2021-09-10