title: [Coronary stenting for treatment of intimal dissection and occlusive thrombosis during primary PTCA in acute myocardial infarction].
abstract: Coronary angioplasty during acute coronary syndrome, and particularly in MI, continues to involve a greater risk of acute and subacute occlusion. Stenting for acute or threatened vessel closure has a high initial success rate and reduces the need for emergency bypass surgery. Nevertheless, under these conditions intracoronary thrombus actually appears to be a relative contraindication to stent implantation. We report the successful implantation of two Palmaz Schatz stents to treat a coronary occlusion refractory to multiple ballooning during primary PTCA in myocardial infarction with angiographic evidence of intimal dissection containing thrombus. The good clinical improvement and the results of short- and long-term clinical angiographic follow-up confirm both the feasibility and effectiveness of using this technical approach to manage complications in acute and unstable syndromes.
authors.affiliation: Laboratorio di Emodinamica Ospedale S. Anna, Como.
authors.forename: M
authors.initials: M
authors.lastname: Galli
authors.forename: A
authors.initials: A
authors.lastname: Politi
authors.forename: S
authors.initials: S
authors.lastname: Zerboni
mesh_terms: D000208:Acute Disease; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000628:therapy*; D000075202:Contraindications; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000209:etiology / Q000628:therapy*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015607:Stents
vernacular_title: Stent coronarico per il trattamento di dissezione intimale e trombosi occlusiva durante PTCA primaria nell'infarto miocardico acuto.