Ge Junhua, Yu Haichu, Li Jian
Department of Cardiology, Affiliated Hospital of Qingdao University, Qingdao, China.
Cardiology. 2017;137(4):246-255. doi: 10.1159/000464404. Epub 2017 May 5.
Acute stent thrombosis (AST) is a rare but life-threatening complication of coronary artery stenting. AST remains a challenging task for cardiologists, despite the application of modern procedural techniques and dual-antiplatelet therapy strategies as well as improved understanding of the underlying pathophysiology. This review focuses on the prevalence, risk factors, prognosis, multiple potential underlying pathogenesis, knowledge gaps, and recommends diagnosis and individualized management strategies of AST.
急性支架内血栓形成(AST)是冠状动脉支架置入术一种罕见但危及生命的并发症。尽管应用了现代手术技术、双联抗血小板治疗策略以及对潜在病理生理学有了更深入的了解,但AST对心脏病专家来说仍然是一项具有挑战性的任务。本综述重点关注AST的患病率、危险因素、预后、多种潜在发病机制、知识空白,并推荐AST的诊断和个体化管理策略。