Successful Primary Percutaneous Coronary Intervention without Stenting: Insight from Optimal Coherence Tomography
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초록
For patients with acute myocardial infarction, current management guidelines recommend implantation of a drug-eluting stent,dual antiplatelet therapy (including potent P2Y12 inhibitors) for at least 1 year, and maintenance of life-long antiplatelet therapy. However, a pilot study showed favorable results with antithrombotic therapy without stent implantation when plaque erosion, notdefinite plaque rupture, was confirmed using optical coherence tomography (OCT), despite the patients having acute myocardialinfarction. Here, we present a case where successful primary percutaneous coronary intervention was performed without stentingwith the aid of OCT in a patient with ST-elevation myocardial infarction who developed thrombotic total occlusion of the rightcoronary artery.
Abstract
For patients with acute myocardial infarction, current management guidelines recommend implantation of a drug-eluting stent,dual antiplatelet therapy (including potent P2Y12 inhibitors) for at least 1 year, and maintenance of life-long antiplatelet therapy. However, a pilot study showed favorable results with antithrombotic therapy without stent implantation when plaque erosion, notdefinite plaque rupture, was confirmed using optical coherence tomography (OCT), despite the patients having acute myocardialinfarction. Here, we present a case where successful primary percutaneous coronary intervention was performed without stentingwith the aid of OCT in a patient with ST-elevation myocardial infarction who developed thrombotic total occlusion of the rightcoronary artery.
참고문헌 (11)
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