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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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:
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
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author Sakellariou, Xenofon M.
Katsanos, Georgios I.
Efstathopoulos, Andreas P.
Sfairopoulos, Dimitrios G.
Stamatis, Konstantinos V.
Pappas, Spyridon D.
Kolettis, Theofilos M.
Nikas, Dimitrios N.
author_facet Sakellariou, Xenofon M.
Katsanos, Georgios I.
Efstathopoulos, Andreas P.
Sfairopoulos, Dimitrios G.
Stamatis, Konstantinos V.
Pappas, Spyridon D.
Kolettis, Theofilos M.
Nikas, Dimitrios N.
author_sort Sakellariou, Xenofon M.
collection PubMed
description 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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spelling pubmed-82240602021-06-25 Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden? Sakellariou, Xenofon M. Katsanos, Georgios I. Efstathopoulos, Andreas P. Sfairopoulos, Dimitrios G. Stamatis, Konstantinos V. Pappas, Spyridon D. Kolettis, Theofilos M. Nikas, Dimitrios N. J Cardiovasc Dev Dis Communication 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. MDPI 2021-05-21 /pmc/articles/PMC8224060/ /pubmed/34063837 http://dx.doi.org/10.3390/jcdd8060059 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Sakellariou, Xenofon M.
Katsanos, Georgios I.
Efstathopoulos, Andreas P.
Sfairopoulos, Dimitrios G.
Stamatis, Konstantinos V.
Pappas, Spyridon D.
Kolettis, Theofilos M.
Nikas, Dimitrios N.
Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
title Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
title_full Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
title_fullStr Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
title_full_unstemmed Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
title_short Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
title_sort should deferred stenting still be considered in st-elevation myocardial infarction with high thrombus burden?
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224060/
https://www.ncbi.nlm.nih.gov/pubmed/34063837
http://dx.doi.org/10.3390/jcdd8060059
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