Stentless strategy in primary PCI setting: An alternative strategy in some clinical scenarios?.
Stentless strategy in primary PCI setting: An alternative strategy in some clinical scenarios?.
- 2018
Available in print through MWHC library: 2002 - present
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.
English
1878-0938
10.1016/j.carrev.2018.07.014 [doi] S1553-8389(18)30313-0 [pii]
*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
Stents
MedStar Heart & Vascular Institute
Journal Article
Available in print through MWHC library: 2002 - present
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.
English
1878-0938
10.1016/j.carrev.2018.07.014 [doi] S1553-8389(18)30313-0 [pii]
*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
Stents
MedStar Heart & Vascular Institute
Journal Article