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Review
. 2015 Jul;4(3):295-307.
doi: 10.1016/j.iccl.2015.02.006. Epub 2015 May 29.

Diagnosis and Evaluation of Stent Thrombosis with Optical Coherence Tomography

Alessio Mattesini  1 , Benedetta Bellandi  1 , Serafina Valente  1 , Guido Parodi  2
Affiliations
Review

Diagnosis and Evaluation of Stent Thrombosis with Optical Coherence Tomography

Alessio Mattesini et al. Interv Cardiol Clin. 2015 Jul.

Abstract

Stent thrombosis (ST) is a rare complication of percutaneous coronary interventions (PCI), especially with drug-eluting stents. ST presents as acute myocardial infarction requiring emergent repeat PCI; optimal reperfusion occurs in two-thirds of patients. As a result, ST has been associated with a high mortality rate and a high rate of recurrent thrombosis. We discuss the use of optical coherence tomography (OCT) for the diagnosis and evaluation of ST. OCT-guided ST management seems a feasible, safe, and appropriate approach. Intracoronary assesses the efficacy of coronary thrombus removal procedures and detects the prevalent stent-related factor that caused ST.

Keywords: Intravascular imaging; OCT; PCI; Stent thrombosis.

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