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dc.contributor.authorBilge, AK
dc.contributor.authorYilmaz, E
dc.contributor.authorMeric, M
dc.contributor.authorMercanoglu, F
dc.contributor.authorOncul, A
dc.contributor.authorOzben, B
dc.contributor.authorNisanci, Y
dc.date.accessioned2021-03-03T19:03:19Z
dc.date.available2021-03-03T19:03:19Z
dc.date.issued2005
dc.identifier.citationBilge A., Nisanci Y., Yilmaz E., Ozben B., Oncul A., Mercanoglu F., Meric M., "Effects of percutaneous coronary thrombectomy with the X-sizer catheter on epicardial flow and microvascular function in acute coronary syndromes", CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, cilt.11, sa.4, ss.461-466, 2005
dc.identifier.issn1076-0296
dc.identifier.othervv_1032021
dc.identifier.otherav_527cac3b-51a0-47a1-ac83-8f93e30ba3fd
dc.identifier.urihttp://hdl.handle.net/20.500.12627/58554
dc.identifier.urihttps://doi.org/10.1177/107602960501100414
dc.description.abstractDuring percutaneous coronary intervention, slow coronary flow and distal embolization are still important problems, especially in cases with intracoronary thrombus. The aim of this study was to learn the effectiveness and early term results of thrombectomy with the X-SIZER catheter system in acute coronary syndrome. Twenty-nine patients (22 [76%] men; 55.9 +/- 11.1 years) with acute coronary syndrome and intracoronary thrombus detected in coronary angiography were included into the study. X-sizer thrombectomy was applied to 14 of the patients, and conventional percutaneous transluminal coronary angioplasty (PTCA) was applied to the others. Baseline characteristics were similar in both groups. Mean thrombolysis in myocardial infarction (TIMI) flow increased from 0.8 +/- 0.9 to 2.4 +/- 0.6 in X-sizer-treated patients (p < 0.001) and TIMI 3 flow was maintained in 71.4% of the patients. Similary, mean TIMI flow increased from 0.36 +/- 0.81 to 2.73 +/- 0.47 in conventional PTCA-treated patients (p < 0.001) and TIMI 3 flow was maintained in 73% of the patients (NS). Mean myocardial blush grade (MBG) increased from 0.7 +/- 0.7 to 2.6 +/- 0.6 in X-sizer-treated patients (p < 0.001) and from 0.27 +/- 0.65 to 2.36 +/- 0.67 in the conventional PTCA-treated patients (p < 0.001). Postprocedural MBG 3 was obtained in 64.3% of X-Sizer-rreated patients and in 45% of controls. Although microvascular function in the thrombectomy-applied patients was found better, there was no significant difference between the two groups. Furthermore it was detected that the use of tirofiban yielded no additional improvement in epicardial and microvascular flow. In acute coronary syndromes, use of X-sizer in addition to primary percutaneous coronary interventions is a safe and relatively effective method in the prevention of distal embolization.
dc.language.isoeng
dc.subjectPERİFERAL VASKÜLER HASTALIĞI
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectHematoloji
dc.subjectHEMATOLOJİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.titleEffects of percutaneous coronary thrombectomy with the X-sizer catheter on epicardial flow and microvascular function in acute coronary syndromes
dc.typeMakale
dc.relation.journalCLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS
dc.contributor.department, ,
dc.identifier.volume11
dc.identifier.issue4
dc.identifier.startpage461
dc.identifier.endpage466
dc.contributor.firstauthorID176279


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