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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Bibliographic Details
Published in:	Journal of cardiovascular development and disease Vol. 8; no. 6; p. 59
Main Authors:	Sakellariou, Xenofon M., Katsanos, Georgios I., Efstathopoulos, Andreas P., Sfairopoulos, Dimitrios G., Stamatis, Konstantinos V., Pappas, Spyridon D., Kolettis, Theofilos M., Nikas, Dimitrios N.
Format:	Journal Article
Language:	English
Published:	Basel MDPI AG 21-05-2021 MDPI
Subjects:	acute myocardial infarction Blood clots Cardiovascular disease Communication Coronary vessels deferred-stenting Ejection fraction Embolization Heart attacks high thrombus burden micro-vascular obstruction primary percutaneous coronary intervention Standard deviation stent implantation Stents
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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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2308-3425 2308-3425
DOI:	10.3390/jcdd8060059