About: Histopathology of aspirated thrombi during primary percutaneous coronary intervention in patients with acute myocardial infarction     Goto   Sponge   NotDistinct   Permalink

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Description
  • Thrombus aspiration in the setting of primary percutaneous coronary intervention is a recently recommended technique that facilitates thrombus removal from the culprit lesions in acute myocardial infarction (AMI) patients. Thrombectomy specimens from 50 patients with symptoms of AMI lasting usually not more than 12 h were examined by methods of routine histology, immunohistochemistry (IHC), and electron microscopy (ELMI). In 36 patients, there were fresh thrombi, in 10 older thrombi (8 of them with simultaneous presence of a fresh thrombi) and in 3 atheroma material only (in additional 7 patients atheroma material was admixed to the thrombi), and in one patient, there was carcinoma embolus. To help to distinguish between fresh and older thrombi, we recommend IHC (presence of macrophages and endothelia) and ELMI (loss of density of the erythrocyte matrix and presence of macrophages). On the other hand, changes of neutrophils (IHC degranulation/lysis) and of platelets (ELMI degranulation) appear early and thus contribute little to distinguishing between fresh and older thrombi. It could be concluded that, in a substantial proportion of patients with AMI, there is a discrepancy between duration of the symptoms and microscopic picture of the coronary thrombus. The thrombus may apparently be symptomless for a period of days or even weeks.
  • Thrombus aspiration in the setting of primary percutaneous coronary intervention is a recently recommended technique that facilitates thrombus removal from the culprit lesions in acute myocardial infarction (AMI) patients. Thrombectomy specimens from 50 patients with symptoms of AMI lasting usually not more than 12 h were examined by methods of routine histology, immunohistochemistry (IHC), and electron microscopy (ELMI). In 36 patients, there were fresh thrombi, in 10 older thrombi (8 of them with simultaneous presence of a fresh thrombi) and in 3 atheroma material only (in additional 7 patients atheroma material was admixed to the thrombi), and in one patient, there was carcinoma embolus. To help to distinguish between fresh and older thrombi, we recommend IHC (presence of macrophages and endothelia) and ELMI (loss of density of the erythrocyte matrix and presence of macrophages). On the other hand, changes of neutrophils (IHC degranulation/lysis) and of platelets (ELMI degranulation) appear early and thus contribute little to distinguishing between fresh and older thrombi. It could be concluded that, in a substantial proportion of patients with AMI, there is a discrepancy between duration of the symptoms and microscopic picture of the coronary thrombus. The thrombus may apparently be symptomless for a period of days or even weeks. (en)
Title
  • Histopathology of aspirated thrombi during primary percutaneous coronary intervention in patients with acute myocardial infarction
  • Histopathology of aspirated thrombi during primary percutaneous coronary intervention in patients with acute myocardial infarction (en)
skos:prefLabel
  • Histopathology of aspirated thrombi during primary percutaneous coronary intervention in patients with acute myocardial infarction
  • Histopathology of aspirated thrombi during primary percutaneous coronary intervention in patients with acute myocardial infarction (en)
skos:notation
  • RIV/00216208:11150/14:10281383!RIV15-MSM-11150___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(LM2010004)
http://linked.open...iv/cisloPeriodika
  • 5
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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  • 19208
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11150/14:10281383
http://linked.open...riv/jazykVysledku
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  • Electron microscopy; Pathogenesis; Thrombus; Coronary artery; Myocardial infarction (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [B31C71E59D70]
http://linked.open...i/riv/nazevZdroje
  • Cardiovascular Pathology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
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http://linked.open...v/svazekPeriodika
  • 23
http://linked.open...iv/tvurceVysledku
  • Dušek, Jaroslav
  • Matějková, Adéla
  • Vojáček, Jan
  • Bis, Josef
  • Šteiner, Ivo
  • Špaček, Josef
http://linked.open...ain/vavai/riv/wos
  • 000341314300003
issn
  • 1054-8807
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.carpath.2014.04.006
http://localhost/t...ganizacniJednotka
  • 11150
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