PCI in the Patient with Angiographically Visible Thrombus

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The presence of angiographically apparent thrombosis associated with adverse outcomes during the performance of PCI.

Treatment

Direct Stenting

It has been speculated that the direct stenting minimizes distal embolization. This approach has been associated with reduced risk of myonecrosis in meta-analyses.

Distal Protection

Distal protection has been associated with a reduced risk of myonecrosis, particularly in saphenous vein graft lesions. It's utility native coronary arteries is not well demonstrated.

References

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