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Аннотация:

В настоящей статье представлен клинический случай успешной профилактики дистальной эмболии у пациента с острым инфарктом миокарда с подъемом сегмента ST с помощью комбинации мануальной тромбоаспирации и дистальной протекции. Мы представили собственные данные и данные литературы о возможном дополнительном источнике дистальной эмболии (содержимое полости разрыва атеросклеротической бляшки) после успешной тромбоаспирации во время имплантации стента, что явилось основой применения стратегии комбинации мануальной тромбоаспирации и дистальной защиты. В качестве устройства защиты от дистальной эмболии использовалась система «Emboshield NAV6». Мы описали дизайнерские особенности этого устройства, знание которых поможет более эффективно использовать его в нативных коронарных артериях в подобных ситуациях.

 

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