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Distal protection in native coronary arteries during primary angioplasty in acute myocardial infarction: Single‐center experience
Author(s) -
Orrego Pedro Silva,
Delgado Anabella,
Piccalò Giacomo,
Salvadè Paolo,
Bonacina Edgardo,
Klugmann Silvio
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10638
Subject(s) - medicine , abciximab , percutaneous coronary intervention , angioplasty , cardiology , myocardial infarction , balloon , occlusion , primary angioplasty , radiology , surgery
Distal embolization of plaque or thrombotic debris is one of the mechanisms involved in the ischemia/reperfusion injury during primary percutaneous intervention for acute occlusion of a native coronary artery. We tested the clinical application of maximal antiplatelet therapy with abciximab combined with one of two different systems of mechanical distal protection: balloon occlusion and aspiration (PercuSurge) in 24 cases and a distal filter (FilterWire Ex) in 10 cases. Feasibility, technical limitations, and pitfalls are described. Catheter Cardiovasc Interv 2003;60:152–158. © 2003 Wiley‐Liss, Inc.