冠状动脉无复流现象的防治讲义.ppt

The GuardWire Plus (Medtronic ) consists of a 0.014-inch guidewire incorporating a central inflation lumen to which an elastomeric balloon (3.0–6.0 mm in diameter) Circ J 2006; 70: 232 – 238 Circ J 2006; 70: 232 – 238 P0.05 Circ J 2006; 70: 232 – 238 Circ J 2006; 70: 232 – 238 P0.05 Limitations of using a GuardWire temporary occlusion and aspiration system in patients with acute myocardial infarction: multicenter investigation of coronary artery protection with a distal occlusion device in acute myocardial infarction (MICADO). J-Invasive-Cardiol. 2007 Mar; 19(3): 132-8 MICADO The study was conducted as a prospective， randomized，multicenter trial. This study evaluated the efficacy of distal protection with the GuardWire distal protection device in PCI at the time of AMI revascularization. Patients with AMI within 24 hours from onset were randomized into either PCI combined with a GuardWire，or PCI without distal protection. The primary endpoints were TIMI perfusion grade (TMP) and no incidence of reflow. Secondary endpoints were major cardiac events (MACE) during 6-month follow up. J-Invasive-Cardiol. 2007 Mar; 19(3): 132-8 J-Invasive-Cardiol. 2007 Mar; 19(3): 132-8 （p = 0.054） MACE was observed in similar incidences between the two groups after 6-month follow up X-Sizer机械血栓抽吸装置 Incidence, predictors, and outcomes of device failure of X-sizer thrombectomy: Real-world experience of 200 cases in 5 years Am Heart J 2007;153:14.e13-14.e19. Am Heart J 2007;153:14.e13-14.e19. Am Heart J 2007;153:14.e13-14.e19. Am Heart J 2007;153:14.e13-14.e19. 直接支架植入 A Randomized Comparison of Direct Stenting With Conventional Stent Implantation in Selected Patients With Acute Myocardial Infarction AMI直接支架植入和传统支架植入的随机对照研究 J Am Coll Cardiol 2002;39:15–21 randomized, single-center trial 206 were allocated to direct stent implantation (n=102) or stent implantation after balloon pre-dilation (n=104) J Am Coll Cardiol 2002;39:15–21 J Am Coll Cardiol 2002;39:15–21 J Am Coll Cardiol 20