Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
Xenofon M SakellariouGeorgios I KatsanosAndreas P EfstathopoulosDimitrios G SfairopoulosKonstantinos V StamatisSpyridon D PappasTheofilos M KolettisDimitrios N NikasPublished in: Journal of cardiovascular development and disease (2021)
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.
Keyphrases
- st elevation myocardial infarction
- percutaneous coronary intervention
- antiplatelet therapy
- acute myocardial infarction
- minimally invasive
- st segment elevation myocardial infarction
- acute coronary syndrome
- coronary artery disease
- coronary artery bypass grafting
- atrial fibrillation
- coronary artery bypass
- low dose
- risk factors