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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Main Authors: A. V. Azarov, A. S. Zhuravlev, S. P. Semitko
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2021-03-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
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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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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AT aszhuravlev effectivenessofdeferredcoronaryarterystentinginthepreventionofnoreflowinpatientswithacutestsegmentelevationmyocardialinfarction
AT spsemitko effectivenessofdeferredcoronaryarterystentinginthepreventionofnoreflowinpatientswithacutestsegmentelevationmyocardialinfarction