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    Besh D.I.

    EFFICACY OF THE MANUAL THROMBOASPIRATION IN PATIENTS AFTER MYOCARDIAL INFARCTION WITH ACUTE ST SEGMENT ELEVATION


    About the author: Besh D.I.
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation ST segment elevation myocardial infarction (STEMI) is one of the major causes of death and disability in Ukraine as in other European countries. The purpose of the work was to study the efficacy of the manual thromboaspiration (MTA) in patients with STEMI and total occlusion or evident thrombosis of infarctrelated artery. The total of 200 patients with STEMI and total occlusion or evident thrombosis of infarctrelated artery were explored. Main group consists of 100 patients whose primary percutaneous coronary intervention (PCI) include MTA. Comparison group includes another 100 patients with conventional PCI. Baseline features of the patients from both groups were similar. Frequency of reaching ТІМІ 3 blood flow or MBG 3 after PCI didn’t differ significantly between patients (p>0.05 for both). Insignificant trends to better ST segment resolution (72% vs. 83%, р=0.063) and significant better ejection fraction of the left ventricle (48.34±9.39 vs. 52.57±10.44, р=0.003) were observed in the comparison group. Need for the balloon angioplasty was significantly lower in main group (49% vs. 82%, р<0.001). МТА including into ordinary PCI in patients with STEMI doesn’t lead to improvement of the interventions’ results even in cases of evident thrombosis or total occlusion of infarctrelated artery.
    Tags myocardial infarction, thromboaspiration, coronary artery thrombosis
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    Publication of the article «World of Medicine and Biology» №4(70), 2019 year, 012-016 pages, index UDK 616.127-005.8:616-005.61-089.819.2
    DOI 10.26724/2079-8334-2019-4-70-12-16