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

Thrombus Embolisation: Prevention is Better than Cure.

Interventional cardiology (London, England)

Fizzah A Choudry, Roshan P Weerackody, Daniel A Jones, Anthony Mathur

Affiliations

  1. Department of Cardiology, Barts Health NHS Trust London, UK.
  2. Queen Mary University of London London, UK.

PMID: 31178936 PMCID: PMC6545997 DOI: 10.15420/icr.2019.11

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

Conflict of interest statement

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

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