acute myocardial infarction
Conditions
Interventions
Experience group:PCI Operation + thrombus aspiration combined with coronary artery thrombus local injection of fixed dose urokinase,tirofiban and nitroglycerin
Control:PCI Operation + tirofiban and nitroglycerin + implant stent
Sponsors
Nanjing drum tower hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The first episode of acute ST segment elevation myocardial infarction, the age is less than 75 years old, and the onset time in 12 hours, plans to emergency PCI; 2. Intraoperative angiography indicated that the blood vessel was a high thrombus load.
Exclusion criteria
Exclusion criteria: 1. cardiac shock; 2. hemodynamic instability; 3. Rescue PCI; 4. Stent thrombosis; 5. Previous myocardial infarction, or CABG; 6. After cardiopulmonary resuscitation; 7. Recent (6 weeks) have had a history of bleeding; 8. Bronchial asthma, severe obstructive pulmonary disease; 9. Patients with conduction block (except for patients with pacemaker); 10. Coronary angiography indicated that the blood vessel was not completely occluded, and no thrombus load, or left main was completely occluded, or multiple lesions or need to be protected by IABP.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| index of microcirculatory;ejection fraction; | — |
Countries
China
Contacts
Public ContactBiao Xu
Outcome results
None listed