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目的 初步评价应用Thrombuster血栓吸引导管治疗急性心肌梗死的疗效和安全性。 方法 3例急性心肌梗死患者冠状动脉造影时发现右冠状动脉大量血栓形成 ,TIMI血流 0～ 1级。在导丝引导下将血栓吸引导管送入堵塞血管远端 ,用 30ml注射器反复负压吸引 3～ 4次 ,其中 1例患者血栓吸引后植入冠状动脉支架。 结果 3例患者的右冠状动脉内均吸出大量血栓 ,术后血流为TIMI 3级。 结论 应用血栓吸引导管治疗急性心肌梗死具有简便、安全、有效的特点。
Objective To evaluate the efficacy and safety of Thrombuster thrombectomy catheter in the treatment of acute myocardial infarction. Methods Three patients with acute myocardial infarction were found to have a large number of thrombi in the right coronary artery during coronary angiography. TIMI blood flow was from 0 to 1 grade. Under the guidance of guide wire, the thrombus is drawn into the distal end of the blocked blood vessel and suctioned repeatedly with the 30 ml syringe for 3 to 4 times. One case of the thrombus is implanted and then implanted into the coronary stent. Results A large number of thrombi were aspirated in the right coronary artery of all three patients. The postoperative blood flow was TIMI level 3. Conclusion The application of thrombus aspiration catheter for acute myocardial infarction is simple, safe and effective.