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

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), tr...

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Detalles Bibliográficos
Autores principales: Sakellariou, Xenofon M., Katsanos, Georgios I., Efstathopoulos, Andreas P., Sfairopoulos, Dimitrios G., Stamatis, Konstantinos V., Pappas, Spyridon D., Kolettis, Theofilos M., Nikas, Dimitrios N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224060/
https://www.ncbi.nlm.nih.gov/pubmed/34063837
http://dx.doi.org/10.3390/jcdd8060059
Descripción
Sumario: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.

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