Successful Primary Percutaneous Coronary Intervention without Stenting: Insight from Optimal Coherence Tomography

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 r...

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Published inYonsei medical journal Vol. 63; no. 4; pp. 399 - 404
Main Authors Roh, Ji Woong, Kim, Yongcheol, Lee, Oh-Hyun, Im, Eui, Cho, Deok-Kyu, Choi, Donghoon
Format Journal Article
LanguageEnglish
Published Korea (South) Yonsei University College of Medicine 01.04.2022
연세대학교의과대학
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ISSN0513-5796
1976-2437
1976-2437
DOI10.3349/ymj.2022.63.4.399

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Summary: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, not definite plaque rupture, was confirmed using optical coherence tomography (OCT), despite the patients having acute myocardial infarction. Here, we present a case where successful primary percutaneous coronary intervention was performed without stenting with the aid of OCT in a patient with ST-elevation myocardial infarction who developed thrombotic total occlusion of the right coronary artery.
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https://www.eymj.org/DOIx.php?id=10.3349/ymj.2022.63.4.399
ISSN:0513-5796
1976-2437
1976-2437
DOI:10.3349/ymj.2022.63.4.399