Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction
https://doi.org/10.15829/1728-8800-2021-2629
Abstract
It is known that even in spite of timely revascularization of the infarct-related artery, the myocardium in some patients remains hypoperfused. This condition is known as the no-reflow phenomenon, which is associated with an unfavorable prognosis. The systematic review is devoted to the effectiveness of deferred stenting in noreflow prevention. In patients with severe thrombosis, the two-stage revascularization technique is very promising. It is a primary intervention in the form of aspiration thrombectomy and/or balloon angioplasty followed by stenting after a certain period of time. This interval represents a certain therapeutic space, which allows various drugs to act resulting in reduction of blood clot size and risk of procedure-related distal embolization.
About the Authors
A. V. AzarovRussian Federation
Moscow
A. S. Zhuravlev
Russian Federation
Moscow
S. P. Semitko
Russian Federation
Moscow
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Supplementary files
Review
For citations:
Azarov A.V., Zhuravlev A.S., Semitko S.P. Effectiveness of deferred coronary artery stenting in the prevention of no-reflow in patients with acute ST-segment elevation myocardial infarction. Cardiovascular Therapy and Prevention. 2021;20(2):2629. (In Russ.) https://doi.org/10.15829/1728-8800-2021-2629