How to Effectively Manage the Refractory Coronary Thrombus? A Systemic Mini-review

Overview

Journal J Geriatr Cardiol

Specialty Geriatrics

Date 2023 May 1

PMID 37122988

Authors

Song Zhang

Dang-Hui Sun

Shuang Li

Yue Li

Affiliations

Soon will be listed here.

Abstract

The main management principle for patients with coronary thrombus should be "more removal and less implantation". Routine thrombus aspiration (TA) is ineffective for intracoronary thrombus or high residual thrombus burden after TA and may result in a refractory coronary thrombus. It is unwise to implant a stent in the vessel with high residual thrombus, which is associated with no-reflow, impaired microvascular perfusion, and consequently worse clinical outcomes. Therefore, increasing the efficiency of TA during percutaneous coronary intervention procedures, especially under some conditions of refractory coronary thrombus, is very important to restore myocardial reperfusion and improve microvascular dysfunction early. In the present work, we aimed to demonstrate the factors that may affect TA efficiency and introduce several highly effective approaches to treat refractory coronary thrombus.

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