Stent delivery during primary angioplasty: speed doesn’t matter
Although mechanical reperfusion has been shown to achieve epicardial recanalization in almost all acutely occluded arteries, the optimal myocardial reperfusion still remains a major issue, and it is only achieved in barely 50% to 70% of the patients with ST- segment elevation myocardial infraction (...
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| Format: | Article |
| Language: | English |
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Permanyer
2022-05-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=788 |
| _version_ | 1818242381034553344 |
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| author | Monica Verdoia Giuseppe De Luca |
| author_facet | Monica Verdoia Giuseppe De Luca |
| author_sort | Monica Verdoia |
| collection | DOAJ |
| description | Although mechanical reperfusion has been shown to achieve epicardial recanalization in almost all acutely occluded arteries, the optimal myocardial reperfusion still remains a major issue, and it is only achieved in barely 50% to 70% of the patients with ST- segment elevation myocardial infraction (STEMI).1 Several factors have been demonstrated to have an impact on myocardial reperfusion including preoperative Thrombolysis in Myocardial Infarction (TIMI) flow, ischemia time, ageing, diabetes, thrombus burden, and vessel size.1-3 Therefore, over the last few decades, several studies have been conducted on adjunctive therapies and devices to improve reperfusion such as antithrombotic therapies,4-5 and thrombectomy.6 The use of coronary stents, in particular drug-eluting stents, currently represents the standard of care,7 and considerable attention has been paid over the last decade on stenting techniques,8 and their impact on procedural results and outcomes. In a paper recently published in REC: Interventional Cardiology, Vega et al.9 conducted a randomized trial to address the impact of the delivery system speed deflation on myocardial perfusion and the outcomes of patients with STEMI treated with direct stenting. In fact, fast balloon deflation has been suggested to cause abrupt changes in coronary flow that may trigger the detachment of thrombotic material, and plaque fragments, disrupted by... |
| first_indexed | 2024-12-12T13:44:19Z |
| format | Article |
| id | doaj.art-4f0d93a88bf74759b6e147af59dc50fa |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-12-12T13:44:19Z |
| publishDate | 2022-05-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-4f0d93a88bf74759b6e147af59dc50fa2022-12-22T00:22:42ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222022-05-0142878810.24875/RECICE.M21000261Stent delivery during primary angioplasty: speed doesn’t matterMonica Verdoia0Giuseppe De Luca1Division of Cardiology Ospedale degli Infermi, ASL Biella, Biella, Italy. Department of Translational Medicine, Università del Piemonte Orientale, Novara, ItalyDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy. Department of Cardiology, AOU Maggiore della Carità, Novara, ItalyAlthough mechanical reperfusion has been shown to achieve epicardial recanalization in almost all acutely occluded arteries, the optimal myocardial reperfusion still remains a major issue, and it is only achieved in barely 50% to 70% of the patients with ST- segment elevation myocardial infraction (STEMI).1 Several factors have been demonstrated to have an impact on myocardial reperfusion including preoperative Thrombolysis in Myocardial Infarction (TIMI) flow, ischemia time, ageing, diabetes, thrombus burden, and vessel size.1-3 Therefore, over the last few decades, several studies have been conducted on adjunctive therapies and devices to improve reperfusion such as antithrombotic therapies,4-5 and thrombectomy.6 The use of coronary stents, in particular drug-eluting stents, currently represents the standard of care,7 and considerable attention has been paid over the last decade on stenting techniques,8 and their impact on procedural results and outcomes. In a paper recently published in REC: Interventional Cardiology, Vega et al.9 conducted a randomized trial to address the impact of the delivery system speed deflation on myocardial perfusion and the outcomes of patients with STEMI treated with direct stenting. In fact, fast balloon deflation has been suggested to cause abrupt changes in coronary flow that may trigger the detachment of thrombotic material, and plaque fragments, disrupted by...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=788 |
| spellingShingle | Monica Verdoia Giuseppe De Luca Stent delivery during primary angioplasty: speed doesn’t matter REC: Interventional Cardiology (English Ed.) |
| title | Stent delivery during primary angioplasty: speed doesn’t matter |
| title_full | Stent delivery during primary angioplasty: speed doesn’t matter |
| title_fullStr | Stent delivery during primary angioplasty: speed doesn’t matter |
| title_full_unstemmed | Stent delivery during primary angioplasty: speed doesn’t matter |
| title_short | Stent delivery during primary angioplasty: speed doesn’t matter |
| title_sort | stent delivery during primary angioplasty speed doesn t matter |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=788 |
| work_keys_str_mv | AT monicaverdoia stentdeliveryduringprimaryangioplastyspeeddoesntmatter AT giuseppedeluca stentdeliveryduringprimaryangioplastyspeeddoesntmatter |