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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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/8/6/59 |
| _version_ | 1827691920118251520 |
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| author | Xenofon M. Sakellariou Georgios I. Katsanos Andreas P. Efstathopoulos Dimitrios G. Sfairopoulos Konstantinos V. Stamatis Spyridon D. Pappas Theofilos M. Kolettis Dimitrios N. Nikas |
| author_facet | Xenofon M. Sakellariou Georgios I. Katsanos Andreas P. Efstathopoulos Dimitrios G. Sfairopoulos Konstantinos V. Stamatis Spyridon D. Pappas Theofilos M. Kolettis Dimitrios N. Nikas |
| author_sort | Xenofon M. Sakellariou |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T11:12:14Z |
| format | Article |
| id | doaj.art-6a539f6f5d5a44d28ae1d5a50918cc02 |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-10T11:12:14Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-6a539f6f5d5a44d28ae1d5a50918cc022023-11-21T20:42:38ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-05-01865910.3390/jcdd8060059Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?Xenofon M. Sakellariou0Georgios I. Katsanos1Andreas P. Efstathopoulos2Dimitrios G. Sfairopoulos3Konstantinos V. Stamatis4Spyridon D. Pappas5Theofilos M. Kolettis6Dimitrios N. Nikas71st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, GreecePatients 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.https://www.mdpi.com/2308-3425/8/6/59acute myocardial infarctionprimary percutaneous coronary interventionhigh thrombus burdenmicro-vascular obstructionstent implantationdeferred-stenting |
| spellingShingle | Xenofon M. Sakellariou Georgios I. Katsanos Andreas P. Efstathopoulos Dimitrios G. Sfairopoulos Konstantinos V. Stamatis Spyridon D. Pappas Theofilos M. Kolettis Dimitrios N. Nikas Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden? Journal of Cardiovascular Development and Disease acute myocardial infarction primary percutaneous coronary intervention high thrombus burden micro-vascular obstruction stent implantation deferred-stenting |
| 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 | acute myocardial infarction primary percutaneous coronary intervention high thrombus burden micro-vascular obstruction stent implantation deferred-stenting |
| url | https://www.mdpi.com/2308-3425/8/6/59 |
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