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雑誌文献

循環器ジャーナル65巻4号

2017年10月発行

文献概要

特集 ACSの診断と治療はどこまで進歩したのか Ⅲ.ACSの治療

血栓吸引療法のコントロバーシー

著者: 日置紘文1 興野寛幸1 上妻謙1

所属機関: 1帝京大学医学部附属病院循環器内科

ページ範囲:P.624 - P.627

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・急性心筋梗塞症例に対する血栓吸引療法は,早期に再灌流を獲得し,さらなる末梢塞栓の予防が果たせる可能性があり,有効な手段と考えられる.
・現在までの科学的なエビデンスをみると,“routine”での血栓吸引療法の有効性は認められていない.しかし,血栓塞栓症症例や発症から時間が経過した血栓を有する心筋梗塞症例では有効性が得られる可能性がある.

参考文献

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2) Ikari Y, Sakurada M, Kozuma K, et al:Upfront thrombus aspiration in primary coronary intervention for patients with ST-segment elevation acute myocardial infarction:report of the VAMPIRE(VAcuuM asPIration thrombus REmoval)trial. JACC Cardiovasc Interv 1:424-431, 2008
3) Svilaas T, Vlaar PJ, van der Horst IC, Diercks GF et al:Thrombus aspiration during primary percutaneous coronary intervention. N Engl J Med 358:557-567, 2008
4) Kushner FG, Hand M, Smith SC Jr, King SB 3rd:2009 Focused Updates:ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction(updating the 2004 Guideline and 2007 Focused Update)and ACC/AHA/SCAI Guidelines on Percutaneous Coronary Intervention(updating the 2005 Guideline and 2007 Focused Update):a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 120:2271-2306, 2009
5) Frobert O, Lagerqvist B, Olivecrona GK, et al:Thrombus aspiration during ST-segment elevation myocardial infarction. N Engl J Med 369:1587-1597, 2013
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7) Jolly SS, Cairns JA, Yusuf S, et al:Randomized trial of primary PCI with or without routine manual thrombectomy. N Engl J Med 372:1389-1398, 2015
8) Jolly SS, Cairns JA, Yusuf S, et al:Stroke in the TOTAL trial:a randomized trial of routine thrombectomy vs. percutaneous coronary intervention alone in ST elevation myocardial infarction. Eur Heart J 36:2364-2372, 2015
9) Levine GN, Bates ER, Blankenship JC:2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction:An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction:A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 133:1135-1147, 2016
10) Jolly SS, Cairns JA, Yusuf S, et al:Outcomes after thrombus aspiration for ST elevation myocardial infarction:1-year follow-up of the prospective randomized TOTAL trial. Lancet 387:127-135, 2016
11) Olivecrona GK, Lagerqvist B, Frobert O, et al:Impact of thrombus aspiration during ST-Elevation Myocardial Infarction:a six month composite endpoint and risk of stroke analyses of the TASTE trial. BMC Cardiovasc Disord 2016. doi:10.1186/s12872-016-0238-y.

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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