Bailout Procedures to Eliminate Intra-Procedural Stent Thrombosis in Acute Coronary Syndrome

CASE STUDY, January 2017, VOL V ISSUE I, ISSN 2042-4884
10.5083/ejcm.20424884.152 , Cite or Link Using DOI
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Tsuyoshi Honda, Ikuo Misumi

Introduction

The most important mechanism underlying the sudden onset of acute coronary syndrome (ACS) is plaque rupture and erosion of coronary atherosclerotic plaques followed by total or subtotal of coronary artery occlusion due to thrombus formation. Although percutaneous coronary intervention (PCI) has been developed for reperfusion therapy in ACS, the subsequent complications after PCI have not yet been resolved.

Stent thrombosis (ST) occurring after PCI is a rare but serious complication. The incidence of ST is known to be increased in patients undergoing PCI in the setting of ACS. We have experienced intra-procedural ST in patients with ACS, despite repetitive ballooning and stenting.

In this article, we present bailout procedures to eliminate intra-procedural ST in ACS patients, despite repetitive ballooning after stenting at the culprit lesion.