Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?

Autor: Xenofon M. Sakellariou, Georgios I. Katsanos, Andreas P. Efstathopoulos, Dimitrios G. Sfairopoulos, Konstantinos V. Stamatis, Spyridon D. Pappas, Theofilos M. Kolettis, Dimitrios N. Nikas
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Cardiovascular Development and Disease, Vol 8, Iss 6, p 59 (2021)
Druh dokumentu: article
ISSN: 2308-3425
DOI: 10.3390/jcdd8060059
Popis: Patients with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI) may demonstrate distal microvascular embolization of thrombotic materials. We retrospectively examined 20 cases displaying extensive thrombus in the infarct-related artery (IRA), treated either with a two-step procedure, with interim tirofiban infusion, or immediate stent implantation. Distal embolization tended to be more common in the latter strategy, but, overall, the outcome was comparable. Thus, a two-staged procedure may be considered in selected cases of primary PCI associated with high thrombus burden.
Databáze: Directory of Open Access Journals