Reference : A 2-step optical coherence tomography guided therapeutic approach to acute myocardial...
Scientific journals : Article
Human health sciences : Cardiovascular & respiratory systems
A 2-step optical coherence tomography guided therapeutic approach to acute myocardial infarction secondary to stent thrombosis.
Bogale, Nigussie [> >]
LEMPEREUR, Mathieu mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie interventionnelle >]
Fung, Anthony Y. [> >]
Cardiovascular Revascularization Medicine: including Molecular Interventions
Yes (verified by ORBi)
United States
[en] Aged ; Aged, 80 and over ; Coronary Angiography ; Coronary Thrombosis/diagnostic imaging/etiology/therapy ; Female ; Humans ; Male ; Middle Aged ; Myocardial Infarction/diagnostic imaging/etiology/therapy ; Percutaneous Coronary Intervention/adverse effects/instrumentation ; Platelet Aggregation Inhibitors/therapeutic use ; Predictive Value of Tests ; Retreatment ; Stents ; Thrombectomy ; Time Factors ; Tomography, Optical Coherence ; Treatment Outcome ; Acute myocardial infarction ; Optical coherence tomography ; Stent thrombosis
[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.
Copyright (c) 2016 Elsevier Inc. All rights reserved.

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