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Sakellariou XM, Katsanos GI, Efstathopoulos AP, et al. Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?. J Cardiovasc Dev Dis. 2021;8(6)doi: 10.3390/jcdd8060059.
Sakellariou, X. M., Katsanos, G. I., Efstathopoulos, A. P., Sfairopoulos, D. G., Stamatis, K. V., Pappas, S. D., Kolettis, T. M., & Nikas, D. N. (2021). Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?. Journal of cardiovascular development and disease, 8(6), . https://doi.org/10.3390/jcdd8060059
Sakellariou, Xenofon M, et al. "Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?." Journal of cardiovascular development and disease vol. 8,6 (2021). doi: https://doi.org/10.3390/jcdd8060059
Sakellariou XM, Katsanos GI, Efstathopoulos AP, Sfairopoulos DG, Stamatis KV, Pappas SD, Kolettis TM, Nikas DN. Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?. J Cardiovasc Dev Dis. 2021 May 21;8(6). doi: 10.3390/jcdd8060059. PMID: 34063837; PMCID: PMC8224060.
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J Cardiovasc Dev Dis. 2021 May 21;8(6). doi: 10.3390/jcdd8060059.

Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?.

Journal of cardiovascular development and disease

Xenofon M Sakellariou, Georgios I Katsanos, Andreas P Efstathopoulos, Dimitrios G Sfairopoulos, Konstantinos V Stamatis, Spyridon D Pappas, Theofilos M Kolettis, Dimitrios N Nikas

Affiliations

  1. 1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece.

PMID: 34063837 PMCID: PMC8224060 DOI: 10.3390/jcdd8060059

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.

Keywords: acute myocardial infarction; deferred-stenting; high thrombus burden; micro-vascular obstruction; primary percutaneous coronary intervention; stent implantation

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