OBJECTIVES: Assess the effect of @entity1173 thrombectomy on diagnosis and management of embolic @entity583 . BACKGROUND: Discrimination of embolic @entity583 from @entity731 /erosion prompts oral anticoagulation treatment of source of embolus, as well as avoiding unnecessary stenting and dual antiplatelet therapy. However, detection is difficult without @entity1173 . METHODS: We compared rates of diagnosis of @entity1188 for 2.5 years prior to (pre- @entity35 ) and 2.5 years post routine @entity1173 thrombectomy (post- @entity35 ). Baseline demographics, outcomes, and treatment strategies were also compared between the @entity1188 and @entity731 . RESULTS: Diagnosed @entity1188 rose from 1.2% in the pre- @entity35 era to 2.8% in the post- @entity35 period (P   <   0.05). In addition, more successful removal of @entity715 by @entity1173 led to less stenting (20% vs. 55% P   <   0.05) in the post- @entity35 period thus avoiding the hazards of "triple therapy." @entity1188 was more frequently associated with @entity955 (55% vs. 8%), had higher mortality (17% vs. 4%), and had higher rates of @entity64 (13% vs. 0.3%) when compared with @entity731 (all P   <   0.05). CONCLUSIONS: Routine @entity1173 thrombectomy more readily identifies @entity1188 allowing more specific therapy and avoidance of stenting and triple anticoagulant therapy.    2015 Wiley Periodicals, Inc.

Routine @entity1173 thrombectomy improves the diagnosis and management of embolic XXXX .

@entity64 :: ('MESH:D020521', 'Disease') :: ['embolic stroke'] @entity731 :: ('MESH:D050197', 'Disease') :: ['atherosclerotic infarction', 'atherosclerotic MI', 'atherosclerotic plaque rupture'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['Embolic infarction', 'embolic infarction'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity35 :: ('10116', 'Species') :: ['RAT'] @entity583 :: ('MESH:D009203', 'Disease') :: ['acute myocardial infarction'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus'] @entity1173 :: ('MESH:D053120', 'Disease') :: ['aspiration']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
