[1]翁子骞 于波.血栓抽吸在急性ST段抬高型心肌梗死中的研究进展[J].心血管病学进展,2019,(7):1035-1039.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.018]
 WENG ZiqianYU Bo.Thrombus aspiration in acute ST-segment elevation myocardial infarction[J].Advances in Cardiovascular Diseases,2019,(7):1035-1039.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.018]
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血栓抽吸在急性ST段抬高型心肌梗死中的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年7期
页码:
1035-1039
栏目:
综述
出版日期:
2019-10-25

文章信息/Info

Title:
Thrombus aspiration in acute ST-segment elevation myocardial infarction
作者:
翁子骞 于波
翁子骞 于波(哈尔滨医科大学附属第二医院心内科,黑龙江 哈尔滨150081)
Author(s):
WENG ZiqianYU Bo
(Department of Cardiology, Second Affiliated Hospital of Harbin Medical University,Haerbin150081,Heilongjiang,China)
关键词:
急性心肌梗死血栓抽吸 经皮冠脉介入术
Keywords:
Acute myocardial infarction Thrombos aspiration Percutaneous coronary intervention
DOI:
10.16806/j.cnki.issn.1004-3934.2019.07.018
摘要:
近年来,急性心肌梗死发病率逐年升高,成为威胁中国居民生命健康安全的重要因素。由于血栓碎片脱落堵塞远端冠状动脉微血管导致心肌再灌注不良引起的“无复流”现象成为目前限制急诊经皮冠脉介入术临床效果和患者预后的主要问题。血栓抽吸术因其能够有效减少冠状动脉远端栓塞发生并且改善冠状动脉微循环灌注,成为近来研究热点。回顾现有研究中血栓抽吸在急性ST段抬高型心肌梗死患者中的正反两方面临床作用,旨在帮助介入医生对急性ST段抬高型心肌梗死患者是否进行血栓抽吸治疗作出更适合的临床决策。
Abstract:
In recent years, the incidence of acute myocardial infarction has increased year by year, which has become an important factor threatening the health and life of Chinese. The "no-reflow" phenomenon caused by poor myocardial reperfusion, due to the blockage of distal coronary microvessels caused by thrombus debris shedding, has become a major problem for the clinical effect and prognosis of prima ry percutaneous coronary intervention. Thrombus aspiration has recently become a hot topic because it can effectively reduce the occurrence of distal coronary embolism and improve coronary microcirculation reperfusion. This article reviews the positive and negative effects of thrombus aspiration in acute ST-segment elevation myocardial infarction in current studies, aiming to help interventional doctors make more appropriate clinical decisions on whether to use thrombus aspiration in patients with acute ST- segment elevation myocardial infarction.

参考文献/References:

[1].Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC)[J]. Eur Heart J, 2018,39(2): 119-177.
[2].Alidoosti M, Lotfi R, Lotfi-Tokaldany M,et al. Correlates of the "No-Reflow" or "Slow-Flow" Phenomenon in Patients Undergoing Primary Percutaneous Coronary Intervention[J]. J Tehran Heart Cent, 2018,13(3):108-114.
[3].Svilaas T, Vlaar PJ, van Der Horst IC, et al. Thrombus aspiration during primary percutaneous coronary intervention[J]. N Engl J Med, 2008,358(6): 557-567.
[4].Frobert O, Lagerqvist B, Olivecrona GK, et al. Thrombus aspiration during ST-segment elevation myocardial infarction[J]. N Engl J Med, 2013,369(17): 1587-1597.
[5].Jolly SS, Cairns JA, Yusuf S, et al. Randomized trial of primary PCI with or without routine manual thrombectomy[J]. N Engl J Med, 2015,372(15): 1389-1398.
[6].Jolly SS, Cairns JA, Yusuf S, et al. Outcomes after thrombus aspiration for ST elevation myocardial infarction: 1-year follow-up of the prospective randomised TOTAL trial[J]. Lancet, 2016,387(10014): 127-135.
[7].Lagerqvist B, Frobert O, Olivecrona GK, et al. Outcomes 1 year after thrombus aspiration for myocardial infarction[J]. N Engl J Med, 2014,371(12): 1111-1120.
[8].Wachtell K, Lagerqvist B, Olivecrona GK, et al. Novel Trial Designs: Lessons Learned from Thrombus Aspiration During ST-Segment Elevation Myocardial Infarction in Scandinavia (TASTE) Trial[J]. Curr Cardiol Rep, 2016,18(1):11.
[9].Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions[J]. Circulation, 2016,133(11): 1135-1147.
[10].Sirker A, Mamas M, Kwok CS, et al. Outcomes From Selective Use of Thrombectomy in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-Segment Elevation Myocardial Infarction: An Analysis of the British Cardiovascular Intervention Society/National Institute for Cardiovascular Outcomes Research (BCIS-NICOR) Registry, 2006-2013[J]. JACC Cardiovasc Interv, 2016,9(2): 126-134.
[11].Zhang Y, Peng L, Fan YY, et al. Additional manual thrombus aspiration for ST-segment elevation myocardial infarction during percutaneous coronary intervention: an updated meta-analysis[J]. J Geriatr Cardiol, 2016,13(4): 344-354.
[12].Watanabe H, Shiomi H, Nakatsuma K, et al. Clinical efficacy of thrombus aspiration on 5-year clinical outcomes in patients with ST-segment elevation acute myocardial infarction undergoing percutaneous coronary intervention[J]. J Am Heart Assoc, 2015, 4(6): e001962.
[13].Freund A,Schock S,Stiermaier T, et al. Thrombus aspiration in patients with ST-elevation myocardial infarction presenting late after symptom onset: long-term clinical outcome of a randomized trial[J]. Clin Res Cardiol, 2019, Mar 11. doi: 10.1007/s00392-019-01452-8. [Epub ahead of print] .
[14].Gao L,Cao Z,Zhang H. Efficacy and Safety of Thrombectomy Combined with Intracoronary Administration of Tirofiban in ST-segment Elevation Myocardial Infarction (STEMI) [J]. Med Sci Monit, 2016, 22: 2699-2705.
[15].Harle T, Zeymer U, Hochadel M, et al. Use and impact of thrombectomy in primary percutaneous coronary intervention for acute myocardial infarction with persistent ST-segment elevation: results of the prospective ALKK PCI-registry[J]. Clin Res Cardiol, 2015,104(10): 803-811.
[16].Sharma V, Jolly SS, Hamid T, et al. Myocardial blush and microvascular reperfusion following manual thrombectomy during percutaneous coronary intervention for ST elevation myocardial infarction: insights from the TOTAL trial[J]. Eur Heart J, 2016,37(24): 1891-1898.
[17].Aghlmandi S, Scharer N, Heg D, et al. Thrombus aspiration in acute coronary syndromes: prevalence, procedural success, change in serial troponin T levels and clinical outcomes in a contemporary Swiss cohort[J]. Eur Heart J Acute Cardiovasc Care, 2018,7(6): 522-531.
[18].Garcia-Garcia HM, Muramatsu T, Nakatani S, et al. Serial optical frequency domain imaging in STEMI patients: the follow-up report of TROFI study[J]. Eur Heart J Cardiovasc Imaging, 2014,15(9): 987-995.
[19].Yamaguchi T, Kubo T, Ino Y, et al. Optical coherence tomography assessment of efficacy of thrombus aspiration in patients undergoing a primary percutaneous coronary intervention for acute ST-elevation myocardial infarction[J]. Coron Artery Dis, 2015,26(7): 567-572.
[20].Higuma T, Soeda T, Yamada M, et al. Does Residual Thrombus After Aspiration Thrombectomy Affect the Outcome of Primary PCI in Patients With ST-Segment Elevation Myocardial Infarction?: An Optical Coherence Tomography Study[J]. JACC Cardiovasc Interv, 2016,9(19): 2002-2011.
[21].Bhindi R, Kajander OA, Jolly SS, et al. Culprit lesion thrombus burden after manual thrombectomy or percutaneous coronary intervention-alone in ST-segment elevation myocardial infarction: the optical coherence tomography sub-study of the TOTAL (ThrOmbecTomy versus PCI ALone) trial[J]. Eur Heart J, 2015, 36(29): 1892-1900.
[22].Powers ER. Aspiration Thrombectomy: The Possible Importance of Effective Thrombus Removal and Minimal Residual Thrombus Burden[J]. JACC Cardiovasc Interv, 2016,9(19): 2012-2013.
[23].Jolly SS, Cairns JA, Yusuf S, et al. Stroke in the TOTAL trial: a randomized trial of routine thrombectomy vs. percutaneous coronary intervention alone in ST elevation myocardial infarction[J]. Eur Heart J, 2015,36(35): 2364-2372.
[24].Brown ED, Blankenship JC. A mechanism for stroke complicating thrombus aspiration[J]. Catheter Cardiovasc Interv, 2017,89(1): 93-96.
[25].Fernández-Rodríguez D,Alvarez-Contreras L,Martín-Yuste V, et al. Does manual thrombus aspiration help optimize stent implantation in ST-segment elevation myocardial infarction? [J].World J Cardiol, 2014,6(9):1030-1037.
[26].Lee WC, Fang CY, Chen HC, et al. Aspiration Thrombectomy and Drug-Eluting Stent Implantation Decrease the Occurrence of Angina Pectoris One Year After Acute Myocardial Infarction[J]. Medicine (Baltimore), 2016, 95(17): e3426.
[27].Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) [J]. Circulation, 2018,138(20): e618-e651.
[28].Crimi G, Moramarco L, Mandurino-Mirizzi A, et al. The combined use of stent retriever and neuro-aspiration as successful bail-out reperfusion strategy in a patient with embolic myocardial infarction[J]. Catheter Cardiovasc Interv, 2019, 94(2):E78-E81 .
[29].Geng T, Zhang JG, Song ZY, et al. Aspiration thrombectomy and intracoronary tirofiban in ST-segment elevation myocardial infarction : Combination treatment for patients undergoing primary percutaneous coronary intervention[J]. Herz, 2016,41(8): 732-740.
[30].Sahin M, Acar G, Kalkan ME, et al. Thrombus aspiration during primary percutaneous coronary intervention associated with reduced platelet activation[J]. Saudi Med J, 2015,36(8): 935-939.

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更新日期/Last Update: 2019-12-17