[en] UNLABELLED: Myocardial infarction secondary to stent thrombosis has high mortality and recurrence rate. Emergency PCI has high risk of no-reflow. We used a 2-step approach of early recanalization with minimal mechanical intervention followed by delayed PCI 1-2days later guided by Optical Coherence Tomography (OCT). From October 2011 to December 2013, we treated 5 patients with this approach. Time from early recanalization to the delayed definitive PCI was 1day (median, range 1-3days). All the OCT images were diagnostic with a clear view of the underlying structures. SUMMARY: A 2-step approach to treat stent thrombosis appears beneficial with low incidence of peri-procedural thrombosis or no-reflow phenomena during the second step, and superb OCT imaging.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Bogale, Nigussie
LEMPEREUR, Mathieu ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie interventionnelle
Fung, Anthony Y.
Language :
English
Title :
A 2-step optical coherence tomography guided therapeutic approach to acute myocardial infarction secondary to stent thrombosis.
Publication date :
2016
Journal title :
Cardiovascular Revascularization Medicine: including Molecular Interventions
ISSN :
1553-8389
eISSN :
1878-0938
Publisher :
Elsevier, New York, United States - New York
Volume :
17
Issue :
5
Pages :
346-52
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2016 Elsevier Inc. All rights reserved.
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