Primary PCI: should we stent every single culprit artery?. Issue 2 (June 2014)

• Record Type: Journal Article
• Authors: Rechavia, Eldad; Brosh, David; Dvir, Dani; Kornowski, Ran; Lev, Eli I
• Is Part Of: European heart journal. Volume 3:Issue 2(2014:Jun.)
• Page Start: 126
• Page End: 131
• Publication Date: 2014-06
• Subjects: Acute coronary syndrome -- aspiration thrombectomy -- coronary reperfusion -- primary percutaneous coronary intervention -- ST-segment elevation myocardial infarction; 616.1205
• DOI: 10.1177/2048872613517085
• Languages: English
• ISSNs: 2048-8726

Abstract

In four selected patients presenting with ST-segment elevation myocardial infarction (STEMI), aspiration thrombectomy allowed for full filling defect angiographic 'cleaning' of the culprit arteries without need for stent implantation. Obtaining good angiographic results and uneventful early and long-term clinical outcome after thrombus aspiration alone raises the question as to whether stenting the infracted thrombotic artery is mandatory and routinely indicated in every single STEMI patient treated with primary percutaneous coronary intervention.