Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction
It is known that even in spite of timely revascularization of the infarct-related artery, the myocardium in some patients remains hypoperfused. This condition is known as the no-reflow phenomenon, which is associated with an unfavorable prognosis. The systematic review is devoted to the effectivenes...
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«SILICEA-POLIGRAF» LLC
2021-03-01
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Series: | Кардиоваскулярная терапия и профилактика |
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Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2629 |
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author | A. V. Azarov A. S. Zhuravlev S. P. Semitko |
author_facet | A. V. Azarov A. S. Zhuravlev S. P. Semitko |
author_sort | A. V. Azarov |
collection | DOAJ |
description | It is known that even in spite of timely revascularization of the infarct-related artery, the myocardium in some patients remains hypoperfused. This condition is known as the no-reflow phenomenon, which is associated with an unfavorable prognosis. The systematic review is devoted to the effectiveness of deferred stenting in noreflow prevention. In patients with severe thrombosis, the two-stage revascularization technique is very promising. It is a primary intervention in the form of aspiration thrombectomy and/or balloon angioplasty followed by stenting after a certain period of time. This interval represents a certain therapeutic space, which allows various drugs to act resulting in reduction of blood clot size and risk of procedure-related distal embolization. |
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format | Article |
id | doaj.art-790da2875344475a91caf64b47678fd3 |
institution | Directory Open Access Journal |
issn | 1728-8800 2619-0125 |
language | Russian |
last_indexed | 2025-03-19T22:35:30Z |
publishDate | 2021-03-01 |
publisher | «SILICEA-POLIGRAF» LLC |
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series | Кардиоваскулярная терапия и профилактика |
spelling | doaj.art-790da2875344475a91caf64b47678fd32024-10-17T12:21:40Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252021-03-0120210.15829/1728-8800-2021-26292208Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarctionA. V. Azarov0A. S. Zhuravlev1S. P. Semitko2I.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityIt is known that even in spite of timely revascularization of the infarct-related artery, the myocardium in some patients remains hypoperfused. This condition is known as the no-reflow phenomenon, which is associated with an unfavorable prognosis. The systematic review is devoted to the effectiveness of deferred stenting in noreflow prevention. In patients with severe thrombosis, the two-stage revascularization technique is very promising. It is a primary intervention in the form of aspiration thrombectomy and/or balloon angioplasty followed by stenting after a certain period of time. This interval represents a certain therapeutic space, which allows various drugs to act resulting in reduction of blood clot size and risk of procedure-related distal embolization.https://cardiovascular.elpub.ru/jour/article/view/2629acute coronary syndromeinfarct-related arterypercutaneous coronary interventionno-reflow phenomenonmyocardial reperfusionst-segment elevation myocardial infarctionno-reflow therapyno-reflow preventiondeferred stentingtwo-stage revascularization |
spellingShingle | A. V. Azarov A. S. Zhuravlev S. P. Semitko Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction Кардиоваскулярная терапия и профилактика acute coronary syndrome infarct-related artery percutaneous coronary intervention no-reflow phenomenon myocardial reperfusion st-segment elevation myocardial infarction no-reflow therapy no-reflow prevention deferred stenting two-stage revascularization |
title | Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction |
title_full | Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction |
title_fullStr | Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction |
title_full_unstemmed | Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction |
title_short | Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction |
title_sort | effectiveness of deferred coronary artery stenting in the prevention of no reflow in patients with acute st segment elevation myocardial infarction |
topic | acute coronary syndrome infarct-related artery percutaneous coronary intervention no-reflow phenomenon myocardial reperfusion st-segment elevation myocardial infarction no-reflow therapy no-reflow prevention deferred stenting two-stage revascularization |
url | https://cardiovascular.elpub.ru/jour/article/view/2629 |
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