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Int J Angiol
DOI: 10.1055/s-0044-1782621
Case Report

Thrombus-Demarcated Stenting with Dual-Contrast Imaging: A Novel Approach for Late-ST-Segment Elevation Myocardial Infarction with Unsuccessful Predilatation

Mustafa Oguz 
1   Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey
,
Tayyar Akbulut
2   Department of Cardiology, SBU Van Training and Research Hospital, Van, Turkey
,
Faysal Saylik
2   Department of Cardiology, SBU Van Training and Research Hospital, Van, Turkey
,
Tufan Cinar 
1   Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey
› Author Affiliations Funding None.
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Abstract

The success of revascularization in the total occluded coronary lesion with dense thrombus burden is important for the short- and long-term prognosis of patients with acute ST-segment elevation myocardial infarction (STEMI). In these lesions, stenting without dispersing the thrombus can increase the success of revascularization without fatal complications. The aim of this case is to demonstrate the newly developed thrombus-demarcated stenting with dual-contrast imaging approach after unsuccessful predilatation in a late-inferior STEMI. In centers where optical coherence tomography is not available, this technique can be used as an alternative.

Keywords

acute myocardial infarction - thrombus-demarcated stenting - dual-contrast imaging


Publication History

Article published online:
22 March 2024

© 2024. International College of Angiology. This article is published by Thieme.

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