Challenges in Primary PCI: How to Treat a Large Intracoronary Thrombus With TIMI 3 Flow?
J Invasive Cardiol
; 34(2): E154-E155, 2022 02.
Article
in En
| MEDLINE
| ID: mdl-35100561
ABSTRACT
This case highlights 2 important issues the immediate management of large intracoronary thrombus in the ST-segment elevation myocardial infarction setting with TIMI 3 flow, and the risks/benefits associated with sealing a plaque in an unobstructed artery by stenting. Potent antithrombotic therapy with a view to subsequent intracoronary imaging to define etiology and plaque morphology appears to be a reasonable initial strategy in this specific population. Furthermore, for patients with acute coronary syndromes diagnosed with plaque erosion by optical coherence tomography and residual diameter stenosis <70%, deferred stenting appears a viable option.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Coronary Thrombosis
/
Plaque, Atherosclerotic
/
Percutaneous Coronary Intervention
/
ST Elevation Myocardial Infarction
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
En
Journal:
J Invasive Cardiol
Journal subject:
CARDIOLOGIA
Year:
2022
Type:
Article
Affiliation country:
United kingdom