How to effectively manage the refractory coronary throm-bus? A systemic mini-review
Song ZHANG1
Dang-Hui SUN1
Shuang LI1
Yue LI2
1.Department of Cardiology,the First Affiliated Hospital of Harbin Medical University,Harbin,China2.Department of Cardiology,the First Affiliated Hospital of Harbin Medical University,Harbin,China;NHC Key Labor-atory of Cell Translation,Harbin Medical University,Harbin,China;Key Laboratory of Hepatosplenic Surgery,Harbin Medical University,Ministry of Education,Harbin,China;Key Laboratory of Cardiac Diseases and Heart Failure,Harbin Medical University,Harbin,China;Heilongjiang Key Laboratory for Metabolic Disorder&Cancer Related Cardiovas-cular Diseases,Harbin,China
摘要：ABSTRACT The main management principle for patients with coronary thrombus should be "more removal and less impl-antation". Routine thrombus aspiration (TA) is ineffective for intracoronary thrombus or high residual thrombus burden after TA and may result in a refractory coronary thrombus. It is unwise to implant a stent in the vessel with high residual thrombus, which is associated with no-reflow, impaired microvascular perfusion, and consequently worse clinical outcomes. Therefore, increasing the efficiency of TA during percutaneous coronary intervention procedures, especially under some conditions of refractory coron-ary thrombus, is very important to restore myocardial reperfusion and improve microvascular dysfunction early. In the present work, we aimed to demonstrate the factors that may affect TA efficiency and introduce several highly effective approaches to tr-eat refractory coronary thrombus.
机标关键词：coronaryeffectivelymanagemini-reviewrefractorysystemicthrom-bus
论文发表日期：2023-04-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 309-313 )