Seto Arnold H, Kern Morton J
Division of Cardiology, Department of Medicine, Veterans Affairs Long Beach Healthcare System, Long Beach, California.
Catheter Cardiovasc Interv. 2018 Apr 1;91(5):849-850. doi: 10.1002/ccd.27605.
Early stent thrombosis occurs in ∼1% of patients treated with primary PCI and increases shock, stroke, and mortality. Early stent thrombosis was associated with small stent diameter, failure to use glycoprotein inhibitors, and bivalirudin use. Minimizing stent thrombosis may require the use of imaging and aggressive antithrombotic therapy.
早期支架血栓形成发生在接受直接经皮冠状动脉介入治疗(PCI)的患者中的比例约为1%,并会增加休克、中风和死亡率。早期支架血栓形成与支架直径小、未使用糖蛋白抑制剂以及使用比伐卢定有关。尽量减少支架血栓形成可能需要使用影像学检查和积极的抗栓治疗。