Thrombotic lesion: Difference between revisions
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==Overview== | |||
A thrombus is a blood clot in an intact blood vessel. The presence of [[angiogram|angiographically]] apparent [[thrombus]] is associated with poorer outcomes in patients undergoing PCI. [[Thrombus]] often [[embolus|embolizes]] [[distal]]ly and causes [[no reflow]] and associated [[myonecrosis]].<ref name="pmid16847010">{{cite journal| author=Kirtane AJ, Vafai JJ, Murphy SA, Aroesty JM, Sabatine MS, Cannon CP et al.| title=Angiographically evident thrombus following fibrinolytic therapy is associated with impaired myocardial perfusion in STEMI: a CLARITY-TIMI 28 substudy. | journal=Eur Heart J | year= 2006 | volume= 27 | issue= 17 | pages= 2040-5 | pmid=16847010 | doi=10.1093/eurheartj/ehl149 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16847010 }} </ref><ref name="pmid15642554">{{cite journal| author=Kirtane AJ, Weisbord A, Karmpaliotis D, Murphy SA, Giugliano RP, Cannon CP et al.| title=Relation of impaired Thrombolysis In Myocardial Infarction myocardial perfusion grades to residual thrombus following the restoration of epicardial patency in ST-elevation myocardial infarction. | journal=Am J Cardiol | year= 2005 | volume= 95 | issue= 2 | pages= 224-7 | pmid=15642554 | doi=10.1016/j.amjcard.2004.09.007 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15642554 }} </ref> | |||
==Thrombus Grading== | |||
Click [[Thrombus grading|here]] for details about thrombus grading. | |||
==Management of the Thrombotic Lesion== | |||
Click [[Management of the thrombotic lesion|here]] for details about the management of a thrombotic lesion. | |||
==References== | |||
{{Reflist|2}} | |||
{{Coronary Angiography}} | |||
[[Category:Cardiology]] | |||
[[Category:Angiopedia]] | |||
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Revision as of 15:11, 30 August 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
A thrombus is a blood clot in an intact blood vessel. The presence of angiographically apparent thrombus is associated with poorer outcomes in patients undergoing PCI. Thrombus often embolizes distally and causes no reflow and associated myonecrosis.[1][2]
Thrombus Grading
Click here for details about thrombus grading.
Management of the Thrombotic Lesion
Click here for details about the management of a thrombotic lesion.
References
- ↑ Kirtane AJ, Vafai JJ, Murphy SA, Aroesty JM, Sabatine MS, Cannon CP; et al. (2006). "Angiographically evident thrombus following fibrinolytic therapy is associated with impaired myocardial perfusion in STEMI: a CLARITY-TIMI 28 substudy". Eur Heart J. 27 (17): 2040–5. doi:10.1093/eurheartj/ehl149. PMID 16847010.
- ↑ Kirtane AJ, Weisbord A, Karmpaliotis D, Murphy SA, Giugliano RP, Cannon CP; et al. (2005). "Relation of impaired Thrombolysis In Myocardial Infarction myocardial perfusion grades to residual thrombus following the restoration of epicardial patency in ST-elevation myocardial infarction". Am J Cardiol. 95 (2): 224–7. doi:10.1016/j.amjcard.2004.09.007. PMID 15642554.