Interv Akut Kardiol. 2018;17(3):173-176 | DOI: 10.36290/kar.2018.025

Coronary intervention in STEMI without stent implantation

Tomáš Kovárník, David Zemánek, Jan Pudil
II. interní klinika kardiologie a angiologie Všeobecné fakultní nemocnice a 1. lékařské fakulty Univerzity Karlovy v Praze

On the basis of two case reports, the authors discuss the possibility of percutaneous intervention in patients with acute myocardialinfarction without the use of a stent. The technique described involves restoring arterial patency by using thromboaspiration and,once a favourable finding has been confirmed by means of optical coherence tomography, the lesion is left to heal spontaneously.

Keywords: acute myocardial infarction, percutaneous coronary intervention, thromboaspiration, optical coherence tomography

Accepted: October 9, 2018; Published: October 1, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kovárník T, Zemánek D, Pudil J. Coronary intervention in STEMI without stent implantation. Interv Akut Kardiol. 2018;17(3):173-176. doi: 10.36290/kar.2018.025.
Download citation

References

  1. Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. European Heart Journal 2018; in press. Go to original source... Go to PubMed...
  2. Akincigil A, Bowblis JR, Levin C, Jan S, Patel M, Crystal S. Long-term adherence to evidence based secondary prevention therapies after acute myocardial infarction. J Gen Intern Med 2007; 23: 115-121. Go to original source... Go to PubMed...
  3. Ho PM, Magid DJ, Shetterly SM, Olson KL, Maddox TM, Peterson PN, et al. Medication nonadherence is associated with a broad range of adverse outcomes in patients with coronary artery disease. Am Heart J 2008; 155: 772-779). Go to original source... Go to PubMed...
  4. Butler KR, Benghuzzi H, Tucci M, Puckett AD. Neovascularization and macrophage behavior under the influence of androgens in the tissue-implant response. Biomed Sci Instrum. 2015; 51: 415-422. Go to PubMed...
  5. Naber CK, Urban P, Ong PJ, et al., LEADERS FREE Investigators. Biolimus-A9 polymer-free coated stent in high bleeding risk patients with acute coronary syndrome: a Leaders Free ACS sub-study. Eur Heart J. 2017; 38: 961-969. Go to original source...
  6. Eeckhout E, Kern M. The coronary no-reflow phenomenon: a review of mechanism and therapies. Eur Heart J. 2001; 22: 729-739. Go to original source... Go to PubMed...
  7. Eeckhout E, Kern M. The coronary no-reflow phenomenon: a review of mechanism and therapies. Eur Heart J. 2001; 22: 729-739. Go to original source... Go to PubMed...
  8. Červinka P, Špaček R, Bystroň M, et al. Optical coherence tomography - guided primary percutaneous coronary interventions in ST-segment elevation myocardial infarction patients: a pilot study. Can J Cardiol 2014; 30: 420-427. Go to original source... Go to PubMed...
  9. Alfonso F, García-Guimaraes M, Bastante T, et al. Spontaneous coronary artery dissection: from expert consensus statements to evidence-based medicine. J Thorac Dis. 2018; 10: 4602-4608. Go to original source... Go to PubMed...




Interventional Cardiology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.