Thrombus Embolisation: Prevention is Better than Cure
Author(s) -
Fizzah Choudry,
Roshan Weerackody,
Daniel A. Jones,
Anthony Mathur
Publication year - 2019
Publication title -
interventional cardiology reviews research resources
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.832
H-Index - 11
eISSN - 1756-1477
pISSN - 1756-1485
DOI - 10.15420/icr.2019.11
Subject(s) - medicine , thrombus , percutaneous coronary intervention , embolization , myocardial infarction , percutaneous , cardiology , adverse effect , radiology , intensive care medicine
Thrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we discuss the clinical implications of thrombus embolisation and angiographic predictors of embolisation, and provide an update of current evidence for some preventative strategies, both pharmacological and mechanical, in this setting.
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