Clinical observation of distal protection device during primary angioplasty in acute myocardial infarction
- VernacularTitle:急性心肌梗死急诊经皮冠状动脉介入治疗中远端保护装置的应用
- Author:
Yingjie YAO
;
Xu WANG
;
Yibing SHAO
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Thromboembolism;
Distal protection device;
Creatine kinase,MB form;
Ttroponin I
- From:
Chinese Journal of Interventional Cardiology
1996;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of distal protection device(GuardWire PlusTM) during high risk PCI in patients with acute myocardial infarction(AMI).Methods Seventy-two patients with AMI admitted from September 2004 to May 2006 who received PCI were categotized into the GuardWire PlusTM group(GW group,n=38) and the conventional guidewire group(NGW group,n=34) according to the device used.The basic clinical characteristics,angiographic results,degree ST of resolution and changes in serum CK-MB and cTnI levels were compared.LVEF was measured by echocardiography at discharge and again at 3 months after PCI.Results All the distal protection deveices were applied successfully in the GW group.A greater percentage of patients in the GW group had post procedural ST-segment resolution ≥50% compared with the NGW group(68.4% vs 41.2%,P