Volumetric intravascular ultrasound evidence that distal embolization during acute infarct intervention contributes to inadequate myocardial perfusion grade

被引:35
作者
Kotani, JI
Mintz, GS
Pregowski, J
Kalinczuk, L
Pichard, AD
Satler, LF
Suddath, WO
Waksman, R
Weissman, NJ
机构
[1] Washington Hosp Ctr, Cardiovasc Res Inst, Washington, DC 20010 USA
[2] Cardiovasc Res Fdn, New York, NY USA
关键词
D O I
10.1016/S0002-9149(03)00840-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We studied 35 consecutive patients with myocardial infarction (MI) who were treated with direct infarct percutaneous coronary intervention (PCI) using standard angiographic (complete assessment of flow grade and blush grade) and pre- and post-PCI volumetric intravascular ultrasound analysis. Plaque reduction, which is evidence of distal embolization, contributes to inadequate tissue reperfusion in this lesion setting and supports the use of distal protection in the setting of an acute MI. (C)2003 by Excerpta Medica, Inc.
引用
收藏
页码:728 / 732
页数:5
相关论文
共 15 条
[1]   Mechanism of lumen enlargement during intracoronary stent implantation - An intravascular ultrasound study [J].
Ahmed, JM ;
Mintz, GS ;
Weissman, NJ ;
Lansky, AJ ;
Pichard, AD ;
Satler, LF ;
Kent, KM .
CIRCULATION, 2000, 102 (01) :7-10
[2]   Coronary no-reflow is caused by shedding of active tissue factor from dissected atherosclerotic plaque [J].
Bonderman, D ;
Teml, A ;
Jakowitsch, J ;
Adlbrecht, C ;
Gyöngyösi, M ;
Sperker, W ;
Lass, H ;
Mosgoeller, W ;
Glogar, DH ;
Probst, P ;
Maurer, G ;
Nemerson, Y ;
Lang, IM .
BLOOD, 2002, 99 (08) :2794-2800
[3]   CONTRIBUTION OF LOCALIZED CALCIUM DEPOSITS TO DISSECTION AFTER ANGIOPLASTY - AN OBSERVATIONAL STUDY USING INTRAVASCULAR ULTRASOUND [J].
FITZGERALD, PJ ;
PORTS, TA ;
YOCK, PG .
CIRCULATION, 1992, 86 (01) :64-70
[4]   Relationship of TIMI myocardial perfusion grade to mortality after administration of thrombolytic drugs [J].
Gibson, CM ;
Cannon, CP ;
Murphy, SA ;
Ryan, KA ;
Mesley, R ;
Marble, SJ ;
McCabe, CH ;
Van de Werf, F ;
Braunwald, E .
CIRCULATION, 2000, 101 (02) :125-130
[5]   TIMI frame count: A quantitative method of assessing coronary artery flow [J].
Gibson, CM ;
Cannon, CP ;
Daley, WL ;
Dodge, JT ;
Alexander, B ;
Marble, SJ ;
McCabe, CH ;
Raymond, L ;
Fortin, T ;
Poole, WK ;
Braunwald, E .
CIRCULATION, 1996, 93 (05) :879-888
[6]   Coronary angioplasty with or without stent implantation for acute myocardial infarction [J].
Grines, CL ;
Cox, DA ;
Stone, GW ;
Garcia, E ;
Mattos, LA ;
Giambartolomei, A ;
Brodie, BR ;
Madonna, O ;
Eijgelshoven, M ;
Lansky, AJ ;
O'Neill, WW ;
Morice, MC .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (26) :1949-1956
[7]   CAAS-II - A 2ND GENERATION SYSTEM FOR OFF-LINE AND ONLINE QUANTITATIVE CORONARY ANGIOGRAPHY [J].
GRONENSCHILD, E ;
JANSSEN, J ;
TIJDENS, F .
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1994, 33 (01) :61-75
[8]   Myocardial perfusion patterns related to thrombolysis in myocardial infarction perfusion grades after coronary angioplasty in patients with acute anterior wall myocardial infarction [J].
Ito, H ;
Okamura, A ;
Iwakura, K ;
Masuyama, T ;
Hori, M ;
Takiuchi, S ;
Negoro, S ;
Nakatsuchi, Y ;
Taniyama, Y ;
Higashino, Y ;
Fujii, K ;
Minamino, T .
CIRCULATION, 1996, 93 (11) :1993-1999
[9]   Plaque gruel of atheromatous coronary lesion may contribute to the no-reflow phenomenon in patients with acute coronary syndrome [J].
Kotani, J ;
Nanto, S ;
Mintz, GS ;
Kitakaze, M ;
Ohara, T ;
Morozumi, T ;
Nagata, S ;
Hori, M .
CIRCULATION, 2002, 106 (13) :1672-1677
[10]   American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies (IVUS) - A report of the American College of Cardiology Task Force on Clinical Expert Consensus - Documents developed in collaboration with the European Society of Cardiology endorsed by the Society of Cardiac Angiography and Interventions [J].
Mintz, GS ;
Nissen, SE ;
Anderson, WD ;
Bailey, SR ;
Erbel, R ;
Fitzgerald, PJ ;
Pinto, FJ ;
Rosenfield, K ;
Siegel, RJ ;
Tuzcu, EM ;
Yock, PG .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (05) :1478-1492