应用血栓抽吸导管的循证学依据.pptVIP

应用血栓抽吸导管的 循证学依据 赵汉军 颜红兵 首都医科大学附属北京安贞医院 北京市心肺血管疾病研究所 陈某，男、51yr No-Reflow Doubles Mortality Risk in STEMI Pts Out to 5 Yrs  Almost 30% of STEMI pts found to have no reflow after primary PCI No reflow raises risk of all-cause, cardiovascular mortality out to 5 yrs Clinicians lack effective treatment for condition ? No Reflow(n = 410) Reflow(n = 996) OR(95% CI) P Value Death 18.2% 9.5% 2.02(1.44-2.82) 0.001 Cardiovascular Death 12.4% 6.3% 2.18(1.46-3.27) 0.001 Ndrepepa G. J Am Coll Cardiol. 2010;55:2383-2389. ? 抽吸导管(Diver CE) 近端阻塞保护装置 Proxis 远端阻塞保护装置 PercuSurge GuardWire 远端滤过保护装置 Filte