Korean Circ J.
2003 Sep;33(9):746-753. 10.4070/kcj.2003.33.9.746.
The Role of Distal Protection Devices for Cardiovascular Intervention
- Affiliations
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- 1Division of Cardiology, Heart Center, Gil Medical Center, Gachon Medical School, Inchon, Korea. ekshin@ghil.com
- KMID: 2145619
- DOI: http://doi.org/10.4070/kcj.2003.33.9.746
Abstract
- Distal embolization, such as plaque debris and thrombus during percutaneous coronary and carotid interventions, often lead to virtually untreatable small vessel occlusions and the no-reflow phenomenon, which may cause periprocedural end organ ischemia and infarction. This is clinically important as the one-year mortality is doubled in patients with a periprocedural myocardial infarction. To prevent a distal embolization a number of distal protection devices have been developed, with others still under development, such as a balloon occlusion device (PercuSurge GuardWire), numerous filter devices (FilterWire EX, AngioGuard, Mednova Neuroshield, AccuNet) and a catheter occlusion device (Parodi Anti-Emboli System). The usefulness and roles of distal protection devices, for cardiovascular intervention, are reviewed.
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