INTERVENTIONAL REPERFUSION STRATEGIES IN MASSIVE CORONARY ARTERIAL THROMBOSIS: CLINICAL AND ANGIOGRAPHIC COMPARISON OF THREE METHODS
Keywords:
Acute coronary syndrome; massive thrombosis; mechanical thromboaspiration; Balloon Assist Tracing; thrombolysis; TIMI flow; intravascular imaging; reperfusion; coronary arteries; MEIS.Abstract
The obtained results show that BAT-technology demonstrates the highest recovery TIMI 3 (82%), minimal risk of distal embolism, and a better clinical prognosis. Mechanical thromboaspiration provides satisfactory results but is accompanied by the risk of recurrent occlusion. Thrombolysis is effective mainly in the pre-hospital stage, however, with massive thrombotic load, it lags behind endovascular methods. The research results allow us to propose an algorithm for choosing the optimal treatment strategy for this category of patients.
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