Laraichi Zakariae, Faraj Raid, Fellat Nadia
Cardiology A Department, Ibn Sina University Hospital/Mohammed V University Rabat, Rabat, MAR.
Cardiology B Department, Ibn Sina University Hospital/Mohammed V University Rabat, Rabat, MAR.
Cureus. 2023 Aug 16;15(8):e43552. doi: 10.7759/cureus.43552. eCollection 2023 Aug.
Acute stent malapposition poses a significant risk for adverse cardiac events following percutaneous coronary intervention. Detection of acute stent malapposition traditionally relies on intracoronary imaging techniques, such as intravascular ultrasound and optical coherence tomography, which may be limited in developing countries due to accessibility issues. A new angiographic sign called the has been introduced as a potential alternative for detecting malapposition during coronary bifurcation procedures. Here, we present two clinical cases from a developing country where the POT-PUFF sign was employed to assess the result of proximal optimization therapy after stent implantation. The POT-PUFF sign exhibits potential as an affordable and feasible approach for assessing stent malapposition in settings with limited resources.
急性支架贴壁不良在经皮冠状动脉介入治疗后会带来严重的心脏不良事件风险。传统上，急性支架贴壁不良的检测依赖于冠状动脉内成像技术，如血管内超声和光学相干断层扫描，由于可及性问题，这些技术在发展中国家可能受到限制。一种名为 的新血管造影征象已被引入，作为在冠状动脉分叉手术中检测贴壁不良的潜在替代方法。在此，我们展示了来自一个发展中国家的两例临床病例，其中使用POT-PUFF征象评估支架植入后近端优化治疗的结果。POT-PUFF征象作为一种在资源有限的情况下评估支架贴壁不良的经济可行方法，具有一定潜力。
