Intracoronary stenting yielded good long-term clinical and angiographic results in 3 patients with acute occlusive dissection during direct infarct coronary angioplasty.
Case Report (n=3)
Does intracoronary stenting improve clinical and angiographic outcomes in patients with acute myocardial infarction complicated by refractory acute occlusive dissection?
Intracoronary stenting can be successfully performed in acute myocardial infarction complicated by refractory acute occlusive dissection, provided specific prerequisites like proper anticoagulation and minimal thrombus are met.
Stent implantation into an infarct-related artery during acute myocardial infarction is generally contraindicated because of the risk of stent thrombosis. We report on 3 patients who had successful stenting for an acute occlusive dissection that developed during direct infarct coronary angioplasty and was refractory to conventional prolonged balloon dilatation, with good long-term clinical and angiographic results. The prerequisites for success include proper premedication, presence of only a minimal amount of thrombus in the infarct-related artery, liberal use of intracoronary thrombolytic therapy, as perfect an angiographic result as possible, as well as careful and aggressive post-stenting anticoagulation.
Wong et al. (Thu,) conducted a case report in Acute myocardial infarction (n=3). Intracoronary stenting was evaluated on Clinical and angiographic results. Intracoronary stenting yielded good long-term clinical and angiographic results in 3 patients with acute occlusive dissection during direct infarct coronary angioplasty.
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