Two-Stage Revascularization in Patients with Acute Myocardial Infarction and Massive Coronary Thrombosis
| Autor: | S. V. Demyanov, A G Syrkina, Vyacheslav Ryabov, E. V. Vyshlov, A L Krylov, A. E. Baev, V. A. Markov, Y V Alexeeva |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Percutaneous coronary intervention 030204 cardiovascular system & hematology medicine.disease Revascularization Thrombosis 03 medical and health sciences 0302 clinical medicine Coronary thrombosis Internal medicine Angioplasty Cardiology Medicine cardiovascular diseases 030212 general & internal medicine Myocardial infarction Thrombus Cardiology and Cardiovascular Medicine business TIMI |
| Zdroj: | Kardiologiia. 59:5-9 |
| ISSN: | 2412-5660 0022-9040 |
| DOI: | 10.18087/cardio.2019.2.10224 |
| Popis: | Aim:to investigate safety and angiographic efficacy of two-stage revascularization with percutaneous coronary intervention (PCI) with stenting delayed by one day in patients with acute myocardial infarction (MI) and massive coronary thrombosis.Materials and methods.We included in this study 12 patients with massive infarct related coronary artery thrombus which length was greater than thrice the vessel diameter in the presence of TIMI grade II–III blood flow as detected by coronary angiography (CAG). The emergency PCI was not performed, and conservative antithrombotic therapy continued for 24 hours. After this day, CAG was repeated.Results.Repeat CAG in all patients showed thrombus regression which visually appeared as complete lysis in 8, and partial lysis – in 4 patients. Stenting of residual stenosis was performed in 11 patients without complications. In 1 patient residual stenosis was considered insignificant (Conclusion.These data suggest that in patients with massive coronary artery thrombosis conservative antithrombotic therapy for 24 hours followed by repeated CAG and, if required, by stenting of residual stenosis, is safe treatment tactics that might reduce the risk of the no-reflow phenomenon. |
| Databáze: | OpenAIRE |
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