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Thrombectomy or protecting devices in direct angioplasty?

Presentation title: Thrombectomy or protecting devices in direct angioplasty?

Author(s): G. Stone (New York, US)

Date: 01 September 2003

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Thrombectomy or Distal Protection Devicesin Direct Angioplasty	The Pathophysiology of AMI	Why is thrombus a problem?
42 y.o. diabetic woman with cardiogenic shock	CTO of RCA	Acute anterior MI
Primary PTCA of PLAD (with abciximab)	Post PTCA	PTCA of LCX
Post PTCA	Post additional PTCA of LCX	3.5 mm stent in PLAD (and 2.5 in OM)
Final result	Evaluating Myocardial Perfusion
		Impact of Macroscopic Distal Emboli
Impact of Macroscopic Distal Emboli	Microvascular Obstruction Morphology & Histology of Emboli
	AngioJet Rheolytic Thrombectomy	82 y.o. man with anterior MI
Occluded PLAD	AngioJet	Post AngioJet
PTCA distal LAD	Stent MLAD	Stent PLAD
Stent MLAD	Final result	78 y.o. man with inferior AMI
AngioJet passage	Post AngioJet	Stent placed
Post stent	Final result	The ev3 X-Sizer
72 y.o. man with inferior MI	1.5 mm X-SIZER	Post X-SIZER
Stent implantation	Final result	X-TRACT AMI Registry (n=212)
Randomized Trial of X-SIZER in AMI	Distal Protection Devices	PercuSurge Distal Protection in AMI
62 y.o. woman with inferior MI	GuardWire passage	GW inflated, stent implanted
Final result	The Trial	FilterWire Distal Protection in AMI
67 yo man with acute inferior MI	FilterWire EX in place – opposed in LAO	FilterWire in place – opposed in RAO
	AngioJet passage	Post AngioJet
3.5/23 mm Cypher	Post stent – FilterWire in place	Final LAO
Final RAO	Management of Thrombus in AMI

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