Document Detail


AngioJet experience from the multi-center STENT Registry.
MedLine Citation:
PMID:  16883028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the utilization and clinical outcomes of AngioJet Rheolytic thrombectomy from the Strategic Transcatheter Evaluation of New Therapies (STENT) multi-center prospective registry from May 2003 through December 2005. METHODS: Prospective consent was sought for all consecutive percutaneous coronary intervention (PCI) patients at all institutions and achieved in 84% of all patients. Of these, clinical follow-up at 9 months was achieved in 94% of eligible patients at all institutions. RESULTS: Of a total of 9,707 patients, AngioJet was utilized in 3-4% of all procedures, including 12-14% of all procedures with thrombolysis in myocardial infarction (TIMI) grade 3 thrombus or greater and 10-12% of acute evolving MI patients. Nine-month clinical outcomes showed similar mortality rates for patients treated with AngioJet (5.0%) versus those with no thrombectomy (6.5%) for patients with thrombus grade 3 or greater, despite the higher clinical risk profile of the AngioJet patient population due to a higher percentage of cardiogenic shock and larger thrombus. CONCLUSION: The results of this larger, multi-center registry indicate that AngioJet thrombectomy, when selected in general clinical practice for high risk patients with thrombus, results in non-significant numerically lower rate of mortality with no indication of safety issues.
Authors:
Charles A Simonton; Bruce R Brodie; Hadley Wilson; Robert Haber; Glen Kowalchuk; Michael Rinaldi; John Cedarholm; Angela Humphrey; Sherry Laurent
Related Documents :
17443658 - A risk-predictive score for cardiogenic shock after acute myocardial infarction in chin...
7588188 - Acute myocardial infarction.
18729558 - Homocysteine, the cholesterol of the 21st century. impact of hyperhomocysteinemia on pa...
15182608 - The evaluation and management of dyslipidemia and impaired glucose metabolism during ac...
12723408 - How direct bonding satisfies an esthetic need.
6497728 - Small capsular hemorrhages. clinical-computed tomographic correlations.
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  18 Suppl C     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-02     Completed Date:  2007-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  C22-3     Citation Subset:  IM    
Affiliation:
Sanger Clinic, Carolinas Heart Institute, Charlotte, North Carolina 28203, USA. pcichuck@att.net
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Thrombosis / complications,  mortality,  therapy*
Female
Heart Catheterization / standards,  utilization*
Humans
Male
Middle Aged
Myocardial Infarction / complications
Registries
Risk Factors
Shock, Cardiogenic / complications
Thrombectomy / methods*,  standards,  utilization*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Safety of AngioJet thrombectomy in acute ST-segment elevation myocardial infarction: a large, single...
Next Document:  Adjunctive thrombectomy with primary percutaneous coronary intervention for ST-elevation myocardial ...