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

Ji Woong Roh; Yongcheol Kim; Oh Hyun Lee; Eui Im; Deok Kyu Cho; Donghoon Choi

doi:10.3349/ymj.2022.63.4.399

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

Ji Woong Roh, Yongcheol Kim, Oh Hyun Lee, Eui Im, Deok Kyu Cho, Donghoon Choi

Department of Internal Medicine

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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.

Original language	English
Pages (from-to)	399-404
Number of pages	6
Journal	Yonsei medical journal
Volume	63
Issue number	4
DOIs	https://doi.org/10.3349/ymj.2022.63.4.399
Publication status	Published - 2022 Apr

Bibliographical note

Funding Information:
This work supported by a faculty research grant from Yonsei University College of Medicine (6-2020-0161) and research seed money grant from Internal Medicine in Yongin Severance Hospital.

Publisher Copyright:
© Yonsei University College of Medicine 2022.

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.3349/ymj.2022.63.4.399

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title = "Successful Primary Percutaneous Coronary Intervention without Stenting: Insight from Optimal Coherence Tomography",

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.",

author = "Roh, {Ji Woong} and Yongcheol Kim and Lee, {Oh Hyun} and Eui Im and Cho, {Deok Kyu} and Donghoon Choi",

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AU - Im, Eui

AU - Cho, Deok Kyu

AU - Choi, Donghoon

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AB - 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.

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

Abstract

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