title: Primary PCI: should we stent every single culprit artery?
abstract: In four selected patients presenting with ST-segment elevation myocardial infarction (STEMI), aspiration thrombectomy allowed for full filling defect angiographic 'cleaning' of the culprit arteries without need for stent implantation. Obtaining good angiographic results and uneventful early and long-term clinical outcome after thrombus aspiration alone raises the question as to whether stenting the infracted thrombotic artery is mandatory and routinely indicated in every single STEMI patient treated with primary percutaneous coronary intervention.
authors.affiliation: Rabin Medical Center, Petach Tikva, Israel.
authors.forename: Eldad
authors.initials: E
authors.lastname: Rechavia
authors.forename: David
authors.initials: D
authors.lastname: Brosh
authors.forename: Dani
authors.initials: D
authors.lastname: Dvir
authors.forename: Ran
authors.initials: R
authors.lastname: Kornowski
authors.forename: Eli I
authors.initials: EI
authors.lastname: Lev
mesh_terms: D000328:Adult; D000368:Aged; D003328:Coronary Thrombosis / Q000628:therapy; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D015425:Myocardial Reperfusion / Q000379:methods; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents; D017131:Thrombectomy / Q000379:methods; D016896:Treatment Outcome
keywords: Acute coronary syndrome; ST-segment elevation myocardial infarction; aspiration thrombectomy; coronary reperfusion; primary percutaneous coronary intervention