Clinical observation on reducing no-reflow after PCI treatment by early using Tirofiban and suction catheter in AMI patients
10.3969/j.issn.1671-8348.2014.20.020
- VernacularTitle:早期使用替罗非班及抽吸导管对减少AMI急诊PCI无复流的疗效观察
- Author:
Fengyun LU
;
Fenglin WANG
;
Zhiqi HE
;
Dongrui SUN
;
Xiaoning LV
- Publication Type:Journal Article
- Keywords:
tirofiban;
suction catheter;
percutaneous coronary intervention;
acute myocardial infarction
- From:
Chongqing Medicine
2014;(20):2598-2599,2602
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of reducing no-reflow after PCI treatment by early using Tirofiban and suction catheter in AMI patients .Methods 76 cases of patients were divided into group A (38 cases) and group B(38 cases) .The group A began to use Tirofiban with suction catheter to aspiration after coronary guidewire entering ,the suction were used in group B when the thrombus burden became exacerbation after balloon dilation .In addition ,chosen 38 cases of AMI patients treated with Tirofiban af-ter balloon dilation as group C .The influence of different treatment options to no-reflow and slow blood flow ,cardiovascular adverse events and the incidence of bleeding were observed .Results Group A compared with other two groups ,the no-reflow and slow flow rate had statistically significant differences (P< 0 .05) ,but there was no statistically significant differencebetween group B and group C(P>0 .05) .After three different surgical treatments ,the incidence of bleeding complications had no significant difference (P>0 .05 .The occurrence of adverse cardiovascular events had statistically significant between A group and C (P<0 .05) ,but there was no statistically significant difference between group B and group C (P<0 .05) .Conclusion Three kinds of treatment all have certain effect to reduce no-reflow in emergency PCI of AMI ,but early use of tirofiban with suction catheter in treatment of emergen-cy treatment has great clinical significance to reduce no-reflow .This study provides an effective treatment plan to reduce no-reflow in PCI for AMI .
