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

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...

Full description

Bibliographic Details
Main Authors: Xenofon M. Sakellariou, Georgios I. Katsanos, Andreas P. Efstathopoulos, Dimitrios G. Sfairopoulos, Konstantinos V. Stamatis, Spyridon D. Pappas, Theofilos M. Kolettis, Dimitrios N. Nikas
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
acute myocardial infarction
primary percutaneous coronary intervention
high thrombus burden
micro-vascular obstruction
stent implantation
deferred-stenting
Online Access:https://www.mdpi.com/2308-3425/8/6/59
Description
Summary: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.
ISSN:2308-3425

Similar Items