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

Authors
 Ji Woong Roh  ;  Yongcheol Kim  ;  Oh-Hyun Lee  ;  Eui Im  ;  Deok-Kyu Cho  ;  Donghoon Choi 
Citation
 YONSEI MEDICAL JOURNAL, Vol.63(4) : 399-404, 2022-04 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2022-04
MeSH
Coronary Angiography / methods ; Drug-Eluting Stents* ; Humans ; Percutaneous Coronary Intervention* / methods ; Pilot Projects ; Stents ; Tomography, Optical Coherence / methods
Keywords
Acute myocardial infarction ; antiplatelet agents ; optical coherence tomography ; percutaneous coronary intervention ; plaque erosion
Abstract
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.
Files in This Item:
T202201006.pdf Download
DOI
10.3349/ymj.2022.63.4.399
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yongcheol(김용철) ORCID logo https://orcid.org/0000-0001-5568-4161
Roh, Ji Woong(노지웅)
Lee, Oh Hyun(이오현) ORCID logo https://orcid.org/0000-0001-7070-7720
Im, Eui(임의) ORCID logo https://orcid.org/0000-0002-5333-7593
Cho, Deok Kyu(조덕규)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188381
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