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Article: Microvascular obstruction after percutaneous coronary intervention

TitleMicrovascular obstruction after percutaneous coronary intervention
Authors
KeywordsAntiplatelet
Distal protection device
No-reflow
Thrombectomy
Issue Date2010
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/journal/117934745/grouphome/home.html
Citation
Catheterization And Cardiovascular Interventions, 2010, v. 75 n. 3, p. 369-377 How to Cite?
AbstractSuccessful revascularization of the epicardial coronary artery can be achieved in over 90% of percutaneous coronary intervention (PCI) procedures. However, postprocedural microvascular obstruction, despite the presence of normal epicardial flow, remains an important limitation which substantially reduces the beneficial effects of PCI. In this review article, a number of different methods available to diagnose microvascular obstruction after PCI are outlined. We also discussed the various pharmacological and mechanical strategies to reduce the occurrence of microvascular obstruction. In this regard, pretreatment with antiplatelet therapy remains crucial. In urgent PCI for acute myocardial infarction, available data suggest that manual thrombus aspiration device is beneficial in reducing the occurrence of procedure-related microvascular obstruction and possibly improve long-term clinical outcomes. © 2009 Wiley-Liss, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/124986
ISSN
2015 Impact Factor: 2.181
2015 SCImago Journal Rankings: 1.342
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLee, CHen_HK
dc.contributor.authorTse, HFen_HK
dc.date.accessioned2010-10-31T11:05:09Z-
dc.date.available2010-10-31T11:05:09Z-
dc.date.issued2010en_HK
dc.identifier.citationCatheterization And Cardiovascular Interventions, 2010, v. 75 n. 3, p. 369-377en_HK
dc.identifier.issn1522-1946en_HK
dc.identifier.urihttp://hdl.handle.net/10722/124986-
dc.description.abstractSuccessful revascularization of the epicardial coronary artery can be achieved in over 90% of percutaneous coronary intervention (PCI) procedures. However, postprocedural microvascular obstruction, despite the presence of normal epicardial flow, remains an important limitation which substantially reduces the beneficial effects of PCI. In this review article, a number of different methods available to diagnose microvascular obstruction after PCI are outlined. We also discussed the various pharmacological and mechanical strategies to reduce the occurrence of microvascular obstruction. In this regard, pretreatment with antiplatelet therapy remains crucial. In urgent PCI for acute myocardial infarction, available data suggest that manual thrombus aspiration device is beneficial in reducing the occurrence of procedure-related microvascular obstruction and possibly improve long-term clinical outcomes. © 2009 Wiley-Liss, Inc.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/journal/117934745/grouphome/home.htmlen_HK
dc.relation.ispartofCatheterization and Cardiovascular Interventionsen_HK
dc.rightsCatheterization and Cardiovascular Interventions. Copyright © John Wiley & Sons, Inc.-
dc.subjectAntiplateleten_HK
dc.subjectDistal protection deviceen_HK
dc.subjectNo-reflowen_HK
dc.subjectThrombectomyen_HK
dc.subject.meshAngioplasty, Transluminal, Percutaneous Coronary - adverse effects-
dc.subject.meshCardiovascular Agents - administration and dosage-
dc.subject.meshCoronary Artery Disease - therapy-
dc.subject.meshCoronary Occlusion - diagnosis - etiology - prevention and control-
dc.subject.meshMyocardial Infarction - therapy-
dc.titleMicrovascular obstruction after percutaneous coronary interventionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1522-1946&volume=75&issue=3&spage=369&epage=377&date=2010&atitle=Microvascular+obstruction+after+percutaneous+coronary+intervention-
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/ccd.22234en_HK
dc.identifier.pmid19787659-
dc.identifier.scopuseid_2-s2.0-77149130197en_HK
dc.identifier.hkuros173624en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77149130197&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume75en_HK
dc.identifier.issue3en_HK
dc.identifier.spage369en_HK
dc.identifier.epage377en_HK
dc.identifier.isiWOS:000275230200016-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLee, CH=27867783500en_HK
dc.identifier.scopusauthoridTse, HF=7006070805en_HK

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