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Distal embolization can occur during coronary angioplasty performed in the acute phase of myocardial infarction and is associated with poor long-term outcome. We hypothesize that the use of a system allowing thrombus aspiration before angioplasty and stent implantation will limit infarct size and its severity.
Patients scheduled for emergency angioplasty in the acute phase of a first ST-elevation myocardial infarction will be treated either by thromboaspiration followed by angioplasty or by angioplasty alone. The infarct size and severity will be assessed by ce-MRI and rest Tc99m-mibi gated SPECT performed during initial hospital stay (5th-8th day). A control MRI will be performed at 6-month follow-up to analyse the evolution of left ventricular volumes.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Export Aspiration System | Device | Patients scheduled for emergency angioplasty |
| Measure | Description | Time Frame |
|---|---|---|
| Infarct size and severity assessed by ce-MRI and rest Tc99m-mibi gated SPECT | by ce-MRI and rest Tc99m-mibi gated SPECT |
| Measure | Description | Time Frame |
|---|---|---|
| Probability of evolution toward left ventricular remodelling (defined as an increase of end-diastolic volume of>20% between the acute phase and 6-montcontrol) | of end-diastolic volumeof>20% between the acute phase and 6-montcontrol) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janusz Lipiecki, Pr | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Departement of Cardiology and Radiology, University Hospital, and Departement of Nuclear Medicine, Jean Perrin Cancer Centre | Clermont-Ferrand | Auvergne | 63000 | France |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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