NEW YORK (Reuters Health) Aug 02 –
Patients who exhibit distal embolization and “no reflow” during primary angioplasty for acute myocardial infarction are at significantly increased risk for mortality within 5 years, cardiologists in the Netherlands report.
Dr. F. Zijlstra and colleagues of Hospital De Weezenlanden in Zwolle observed distal embolization in 15% of 178 patients who underwent primary angioplasty. The phenomenon, observed angiographically, was defined as “a distal filling defect with an abrupt ‘cut-off’ in one of the peripheral coronary branches of the infarct-related artery, distal to the angioplasty site,” they explain in the European Heart Journal for July 15.
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