Patients’ Complications in ST Segment Elevation Myocardial Infarction Managed with Primary Percutaneous Coronary Intervention with and without Thromboaspiration
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 6
Abstract
ABSTRACT Introduction: One of the biggest challenges for interventional cardiologist is subsequent distal embolization and disturbance in microvascular perfusion after a Percutaneous Coronary Intervention (PCI). Theoretically, manual thromboaspiration might be a useful way to prevent this complication. According to recent studies, the use of thromboaspiration does not have a significant effect. Aim: To compare the clinical outcomes of patients managed with Primary PCI (PPCI) with and without thromboaspiration, based on coronary arteries flow and thrombus burden before the procedure. Materials and Methods: A total of 249 patients who were admitted with ST Segment Elevation Myocardial Infarction (STEMI) to Farshchian Heart Center, Hamadan, Iran, during 2015-2017 were enrolled in our study. Patients were managed with PPCI with and without thromboaspiration and were classified as case and control groups, respectively. In the follow-up course of 30 days, complications including mortality, Major Adverse Cardiovascular Events (MACE) and stroke were evaluated. After collecting data, analysis was done with statistical software SPSS 18. Chi-square test and independent t-test were used for analysis. All statistical analyses were carried out at 95% confidence level. Results: A total of 58 and 191 patients were managed with PPCI with and without thromboaspiration (case and control groups respectively). There was no significant difference in the occurrence of primary outcomes including mortality (1.72% vs. 2.62%, p-value=0.697), MACE (0 vs. 0.52%, p-value=0.581) and stroke (1.72% vs. 0.52%, p-value=0.370) in case and control groups respectively. Thrombolysis in Myocardial Infarction (TIMI) grade flow before the procedure was significantly higher in case group (p-value=00.1), but postprocedural TIMI grade flow was the same (p-value=0.450). Conclusion: One-month clinical complications including mortality, MACE and stroke were similar in both the groups. Despite the lower TIMI grade flow before the procedure in the case group compared to the control group, a similar TIMI grade flow after the procedure was achieved, which indicate the usefulness of thromboaspiration in the patients with lower TIMI grade flow at presentation.
Authors and Affiliations
Nima Naghshtabrizi, Leila Moradi Aramian, Jalal Poorolajal, Behshad Naghshtabrizi
Keywords
Related Articles
- EP ID EP605601
- DOI 10.7860/JCDR/2019/41624.12946
- Views 108
- Downloads 0
Factors Affecting Adequacy of Prenatal Care in Suburban Women of Southeast Iran: A Cross-sectional Study
ABSTRACT Introduction: Prenatal and delivery care should be considered as a priority for women and society's health. Residents of the suburbs are among the groups who do not have enough access to such services. Aim: The...
Effect of Residential Yoga Camp on Psychological Fitness of Adolescents: A Cohort Study
ABSTRACT Introduction: Discovering and promoting ways that improve adolescents’ psychological fitness has been a recurrent concern in the field of health and psychology. Adolescence, as a period of transition, is highly...
Cepstral Peak Prominence of Blom-Singer ‘Non-Indwelling Low Pressure’ and ‘Classic Indwelling’ Voice Prosthesis in Male Tracheo-oesophageal Speakers
ABSTRACT Introduction: Tracheo-oesophageal (TE) speech is one of the most commonly used alaryngeal voice restoration options for individuals who have undergone a total laryngectomy. Cepstral Peak Prominence (CPP) implies...
“Mesiodentes-A Common Supernumerary in a Unique Appearance”: A Case Report and Literature Review
ABSTRACT Mesiodens is the most common form of supernumerary teeth. When mesiodens erupt in multiples, either labial or palatal to permanent central incisor, it presents a rare condition “Mesiodentes”. This case report d...
Factors Influencing Examination Anxiety among Undergraduate Nursing Students: An Exploratory Factor Analysis
Introduction: The time of examination is a stressful period where stress is on its highest levels. To some extent, low level of stress can help in motivating the students, however on the contrary more stress can be disco...