Perspectives on the role of ultrasonic devices in thrombolysis

Shaul Atar, Uri Rosenschein

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations

Abstract

Reperfusion strategies in acute myocardial infarction and thrombotic vascular occlusion are focused on rapid and complete restoration of antegrade flow in the infarct-related artery in order to maximize myocardial salvage. Due to the limitations of fibrinolytic agents in restoration of vascular flow, ultrasonic clot dissolution alone and concomitantly with fibrinolytic, anti-thrombotic and echocardiographic contrast agents has been intensively studied during the last 2 decades. Ultrasound thrombolysis has been tested in-vitro and in-vivo as well as in patients with acute thrombotic occlusions. We review currently available techniques and methods of ultrasonic thrombolysis and present recent clinical and experimental data. The future role of ultrasonic thrombolysis and the strategy of "power thrombectomy" for treatment of acute coronary syndromes is also discussed.

Original languageEnglish
Pages (from-to)107-114
Number of pages8
JournalJournal of Thrombosis and Thrombolysis
Volume17
Issue number2
DOIs
StatePublished - Apr 2004
Externally publishedYes

Keywords

  • Thrombolysis
  • Ultrasonic devices
  • Ultrasound

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