The Role of Distal Protection Devices for Cardiovascular Intervention.
10.4070/kcj.2003.33.9.746
- Author:
Seung Hwan HAN
1
;
Woong Chol KANG
;
Tae Hoon AHN
;
Eak Kyun SHIN
Author Information
1. Division of Cardiology, Heart Center, Gil Medical Center, Gachon Medical School, Inchon, Korea. ekshin@ghil.com
- Publication Type:Review
- Keywords:
Angioplasty, balloon;
Embolization;
Distal protection device
- MeSH:
Angioplasty, Balloon;
Balloon Occlusion;
Catheters;
Humans;
Infarction;
Ischemia;
Mortality;
Myocardial Infarction;
No-Reflow Phenomenon;
Thrombosis
- From:Korean Circulation Journal
2003;33(9):746-753
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Distal embolization, such as plaque debris and thrombus during percutaneous coronary and carotid interventions, often lead to virtually untreatable small vessel occlusions and the no-reflow phenomenon, which may cause periprocedural end organ ischemia and infarction. This is clinically important as the one-year mortality is doubled in patients with a periprocedural myocardial infarction. To prevent a distal embolization a number of distal protection devices have been developed, with others still under development, such as a balloon occlusion device (PercuSurge GuardWire), numerous filter devices (FilterWire EX, AngioGuard, Mednova Neuroshield, AccuNet) and a catheter occlusion device (Parodi Anti-Emboli System). The usefulness and roles of distal protection devices, for cardiovascular intervention, are reviewed.
