对于高血栓负荷的ST段抬高型心肌梗死，是否仍应考虑延期支架置入？
Should Deferred Stenting Still Be Considered in ST-Elevation Myocardial Infarction with High Thrombus Burden?
作者信息
Sakellariou Xenofon M, Katsanos Georgios I, Efstathopoulos Andreas P, Sfairopoulos Dimitrios G, Stamatis Konstantinos V, Pappas Spyridon D, Kolettis Theofilos M, Nikas Dimitrios N
机构信息
1st Cardiology Department, University Hospital of Ioannina, 45500 Ioannina, Greece.
出版信息
J Cardiovasc Dev Dis. 2021 May 21;8(6):59. doi: 10.3390/jcdd8060059.
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.
接受直接经皮冠状动脉介入治疗（PCI）的ST段抬高型心肌梗死（STEMI）患者可能会出现血栓物质的远端微血管栓塞。我们回顾性研究了20例梗死相关动脉（IRA）中显示广泛血栓的病例，这些病例采用两步法治疗，中间输注替罗非班，或立即植入支架。远端栓塞在后一种策略中往往更常见，但总体而言，结果相当。因此，在原发性PCI合并高血栓负荷的特定病例中，可以考虑采用两阶段手术。
Zotero 插件