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延迟支架血栓形成中的支架优化：ST段抬高型心肌梗死管理的新方法——来自病例系列的见解

Deferring stent optimization in stent thrombosis: A novel approach for STEMI management-Insights from a case series.

作者信息

Cioffi Giacomo Maria, Madanchi Mehdi, Bossard Matthias, Cuculi Florim

机构信息

Cardiology Division, Herzzentrum Luzerner Kantonsspital Luzern Switzerland.

出版信息

Clin Case Rep. 2021 Feb 13;9(3):1150-1154. doi: 10.1002/ccr3.3697. eCollection 2021 Mar.

DOI:10.1002/ccr3.3697
PMID:33768799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7981663/
Abstract

Treatment of ST represents a challenge. The presence of large amounts of thrombus combined with stent optimization increase the risk of distal embolization. A two-step strategy of stent implantation and deferred stent optimization might be appropriated. We hereby present three clinical cases of ST successfully treated with a two-step approach.

摘要

ST的治疗是一项挑战。大量血栓的存在以及支架优化增加了远端栓塞的风险。支架植入和延迟支架优化的两步策略可能是合适的。我们在此展示三例采用两步法成功治疗ST的临床病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/7981663/345add66eab9/CCR3-9-1150-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/7981663/8f4112a979c6/CCR3-9-1150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/7981663/345add66eab9/CCR3-9-1150-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/7981663/8f4112a979c6/CCR3-9-1150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/7981663/345add66eab9/CCR3-9-1150-g003.jpg

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引用本文的文献

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Mitigating the risk of flow deterioration by deferring stent optimization in STEMI patients with large thrombus burden: Insights from a prospective cohort study.通过延迟 ST 段抬高型心肌梗死（STEMI）患者大血栓负荷的支架优化来降低血流恶化风险：一项前瞻性队列研究的结果。
BMC Cardiovasc Disord. 2023 Oct 12;23(1):506. doi: 10.1186/s12872-023-03540-0.

本文引用的文献

1
The Glasgow prognostic score as a significant predictor of clinical outcomes in patients with acute coronary syndrome.格拉斯哥预后评分作为急性冠状动脉综合征患者临床结局的重要预测指标。
J Cardiol. 2019 Aug;74(2):130-135. doi: 10.1016/j.jjcc.2019.02.007. Epub 2019 Mar 13.
2
OCT-guided Percutaneous Coronary Intervention in Bifurcation Lesions.光学相干断层扫描引导下的分叉病变经皮冠状动脉介入治疗
Interv Cardiol. 2019 Feb;14(1):5-9. doi: 10.15420/icr.2018.17.2.
3
Predictors of stent thrombosis and their implications for clinical practice.支架血栓形成的预测因素及其对临床实践的影响。
Nat Rev Cardiol. 2019 Apr;16(4):243-256. doi: 10.1038/s41569-018-0118-5.
4
Acute Coronary Stent Thrombosis in Modern Era: Etiology, Treatment, and Prognosis.现代急性冠状动脉支架血栓形成：病因、治疗及预后
Cardiology. 2017;137(4):246-255. doi: 10.1159/000464404. Epub 2017 May 5.
5
Randomized trial of primary PCI with or without routine manual thrombectomy.常规手动血栓切除术与否的直接经皮冠状动脉介入治疗随机试验。
N Engl J Med. 2015 Apr 9;372(15):1389-98. doi: 10.1056/NEJMoa1415098. Epub 2015 Mar 16.
6
Impact of thrombus burden on outcomes after standard versus mesh-covered stents in acute myocardial infarction (from the MGuard for acute ST elevation reperfusion trial).血栓负荷对急性心肌梗死患者使用标准支架与网孔覆盖支架后的预后影响（来自急性ST段抬高再灌注试验的MGuard研究）
Am J Cardiol. 2015 Jan 15;115(2):161-6. doi: 10.1016/j.amjcard.2014.10.016. Epub 2014 Oct 29.
7
A randomized trial of deferred stenting versus immediate stenting to prevent no- or slow-reflow in acute ST-segment elevation myocardial infarction (DEFER-STEMI).一项关于延迟支架置入术与即刻支架置入术预防急性ST段抬高型心肌梗死无复流或慢血流的随机试验（DEFER-STEMI）
J Am Coll Cardiol. 2014 May 27;63(20):2088-2098. doi: 10.1016/j.jacc.2014.02.530. Epub 2014 Feb 27.