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Korean Circ J. 2003 Sep;33(9):746-753. Korean. Review.
Han SH , Kang WC , Ahn TH , Shin EK .
Division of Cardiology, Heart Center, Gil Medical Center, Gachon Medical School, Inchon, Korea.

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.

Copyright © 2019. Korean Association of Medical Journal Editors.