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Korean Circ J. 2003 Sep;33(9):746-753. Korean. Review. https://doi.org/10.4070/kcj.2003.33.9.746
Han SH , Kang WC , Ahn TH , Shin EK .
Division of Cardiology, Heart Center, Gil Medical Center, Gachon Medical School, Inchon, Korea. ekshin@ghil.com
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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