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Review
. 2019 May 21;14(2):95-101.
doi: 10.15420/icr.2019.11. eCollection 2019 May.

Thrombus Embolisation: Prevention is Better than Cure

Fizzah A Choudry  1   2 , Roshan P Weerackody  1 , Daniel A Jones  1   2 , Anthony Mathur  1   2
Affiliations
Review

Thrombus Embolisation: Prevention is Better than Cure

Fizzah A Choudry et al. Interv Cardiol. .

Abstract

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.

Keywords: Percutaneous coronary intervention; embolisation; thrombus.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Case of Thrombus Embolisation
Figure 2:
Figure 2:. Proposed Algorithm for Primary PCI in the Presence of Large Thrombus Burden
See this image and copyright information in PMC

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