| Literature DB >> 34063837 |
Xenofon M Sakellariou1, Georgios I Katsanos1, Andreas P Efstathopoulos1, Dimitrios G Sfairopoulos1, Konstantinos V Stamatis1, Spyridon D Pappas1, Theofilos M Kolettis1, Dimitrios N Nikas1.
Abstract
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.Entities:
Keywords: acute myocardial infarction; deferred-stenting; high thrombus burden; micro-vascular obstruction; primary percutaneous coronary intervention; stent implantation
Year: 2021 PMID: 34063837 DOI: 10.3390/jcdd8060059
Source DB: PubMed Journal: J Cardiovasc Dev Dis ISSN: 2308-3425