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Stentless strategy in primary PCI setting: An alternative strategy in some clinical scenarios?.

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Citation: Cardiovascular Revascularization Medicine. 19(8S):5-7, 2018 12.PMID: 30146231Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Coronary Thrombosis/su [Surgery] | *Coronary Vessels/su [Surgery] | *Fibrinolytic Agents/tu [Therapeutic Use] | *Percutaneous Coronary Intervention/mt [Methods] | *Thrombolytic Therapy/mt [Methods] | Coronary Angiography | Coronary Thrombosis/di [Diagnosis] | Coronary Thrombosis/dt [Drug Therapy] | Coronary Vessels/dg [Diagnostic Imaging] | Humans | Male | Middle Aged | StentsYear: 2018 Local holdings: Available in print through MWHC library: 2002 - presentISSN:

1878-0938

Name of journal: Cardiovascular revascularization medicine : including molecular interventionsAbstract: Copyright (c) 2018 Elsevier Inc. All rights reserved.We described a case of successful stentless percutaneous coronary intervention (PCI) with Thrombolysis in Myocardial Infarction (TIMI) 3 flow in the right coronary artery (RCA) with diffuse large thrombus, and an algorithm of PCI strategy for the cases with similar clinical scenarios in the current PCI era. Theoretically, stentless PCI might be superior to PCI using a stent since it may prevent long-term issues of dual antiplatelet therapy, stent fracture, and stent thrombosis. In particular acute coronary syndrome with diffuse large thrombus in the RCA will make multiple stenting necessary which may be associated with worse outcomes due to distal coronary flow disorder. We present a case that illustrates that stentless PCI is successful in this scenario. Further research in this field is warranted.All authors: Dan K, Garcia-Garcia HM, Shinoda A, Waksman RFiscal year: FY2019Digital Object Identifier:

https://dx.doi.org/10.1016/j.carrev.2018.07.014

Date added to catalog: 2018-08-31

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	30146231	Available		30146231

Available in print through MWHC library: 2002 - present

We described a case of successful stentless percutaneous coronary intervention (PCI) with Thrombolysis in Myocardial Infarction (TIMI) 3 flow in the right coronary artery (RCA) with diffuse large thrombus, and an algorithm of PCI strategy for the cases with similar clinical scenarios in the current PCI era. Theoretically, stentless PCI might be superior to PCI using a stent since it may prevent long-term issues of dual antiplatelet therapy, stent fracture, and stent thrombosis. In particular acute coronary syndrome with diffuse large thrombus in the RCA will make multiple stenting necessary which may be associated with worse outcomes due to distal coronary flow disorder. We present a case that illustrates that stentless PCI is successful in this scenario. Further research in this field is warranted.

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