MANUAL VACUUM THROMBEXTRACTION IN PATIENTS WITH ACUTE CORONARY SYNDROME

Aim of research To test the effect and safetythrombus aspiration procedure combining with urgent endovascular angioplastics on embolic artery of patients with acute coronary syndrome and elevated segment ST.In cases of drug and endovascular myocardial reperfusion the risk of complications decreases due to the reduction of load on infarct related artery. No serious complications such as cerebral circulation and myocardial embologenic were detected among patients with acute myocardial infarction with ST segment elevation in the group with formed thrombus aspiration. As for a group with prehospital thrombolysis, there were no deaths in it, indicating the effectiveness of thrombolysis as a preventive measure.Material and methods: We give direct results of 270 patients with acute coronary syndrome after urgent thrombus aspiration with following stenting. on embolic artery and of 90 patients after urgent angioplastics without thrombus aspiration.Results: It is proved that complete or the of evacuated thrombotic mass or mostly occlusive substance from embolic artery has positive influence on an- giophic results and is capable of dereas cases of distal embolization.Conclusion: After endovascular carring out embolic artery in thrombus aspiration groups we have complete rehabilitation of epicardial blood circulation and myocardial blush grade in comparison with groups without thrombus aspiration.

acute coronary syndrome, prehospital systemic thrombolysis, transcutaneous coronary intervention, thrombus aspiration, thromboextraction, “no-reflow” phenomenon

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