Prevalence, Correlation and Clinical Outcome of Intra‐Procedural Stent Thrombosis in Patients Undergoing Primary Percutaneous Coronary Intervention for Acute Coronary Syndrome

Xu, Ying‐Jia; Qu, Xinkai; Fang, Weiyi; Chen, Hui

doi:10.1111/joic.12029

Cited by 11 publications

(10 citation statements)

References 16 publications

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“…Xu et al performed a retrospective study of 1,901 patients with acute coronary syndrome who underwent primary PCI. 81 Patients with IPST demonstrated involvement of significantly more bifurcation lesions and had more thrombus burden at baseline. The IPST group also had more major adverse cardiac events at their 30-day and one-year follow-ups.…”

Section: Stent Thrombosis: the Literature At A Glancementioning

confidence: 93%

Prevention of stent thrombosis: challenges and solutions

Reejhsinghani¹,

Lotfi²

2015

VHRM

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Stent thrombosis is an uncommon but serious complication which carries with it significant mortality and morbidity. This review analyzes the entity of stent thrombosis from a historical and clinical perspective, and chronicles the evolution of this condition through the various generations of stent development, from bare metal to first-generation, second-generation, and third-generation drug-eluting stents. It also delineates the specific risk factors associated with stent thrombosis and comprehensively examines the literature related to each of these risks. Finally, it highlights the preventative strategies that can be garnered from the existing data, and concludes that a multifactorial approach is necessary to combat the occurrence of stent thrombosis, with higher risk groups, such as patients with ST segment elevation myocardial infarction, meriting further research.

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Section: Stent Thrombosis: the Literature At A Glancementioning

confidence: 93%

Prevention of stent thrombosis: challenges and solutions

Reejhsinghani¹,

Lotfi²

2015

VHRM

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“…IPST is a risk factor for major adverse cardiovascular events. 1 The reported frequency of IPST ranges from 0.5 to 1.2%.…”

Section: Images In Cardiovascular Medicine Intraprocedural Stent Thromentioning

confidence: 99%

Intraprocedural Stent Thrombosis Detected on Coronary Angioscopy

Miyoshi

Kawakami

Oshita

et al. 2016

Circ J

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“…3 It has also been demonstrated that in patients with coronary artery disease (CAD), lower STB might represent a predictor of major adverse cardiovascular events after PCI. 4 Frontal QRS-T angle (QRSTa), one of the electrocardiographic parameters to identify high-risk patients, reflects the myocardial depolarization and repolarization heterogeneity, particularly in patients with CAD. 5 An abnormal frontal QRSTa has been suggested to be closely linked to increased cardiovascular mortality, 6 and it has been found to predict poor prognosis in patients with ACS.…”

Section: Introductionmentioning

confidence: 99%

Serum Bilirubin Level Predicts Frontal QRS-T Angle Change in Patients with Acute Coronary Syndrome

Erdoğan

Yenerçağ

Durmuş

et al. 2020

Journal of Cardiovascular Emergencies

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Introduction: The predictive role of serum bilirubin levels on the alteration of total ischemic burden expressed via frontal QRS-T angle change has never been studied in patients with acute coronary syndrome (ACS). In this study, we aimed to investigate the relationship between serum bilirubin levels and frontal QRS-T angle change after percutaneous coronary intervention (PCI) in ACS patients.Methods: Frontal QRS-T angle change was accepted as positive or negative according to whether the value of the baseline frontal QRS-T angle minus the post PCI frontal QRS-T angle is positive or negative. A total of 314 consecutive patients with ACS who underwent PCI were divided into two groups based on their negative frontal QRS-T angle change (n = 152 patients) and positive frontal QRS-T angle change (n = 162 patients).Results: Multivariate logistic regression analysis showed that the C-reactive protein (CRP) to albumin ratio (CAR) (Odds ratio [OR]: 0.519, 95% CI: 0.373–0.724, p <0.001), total bilirubin (OR: 3.687, 95% CI: 1.151–8.095, p = 0.03), and low-density lipoprotein (LDL) (OR: 0.985, 95% CI: 0.970–1.000, p = 0.04) were independent predictors of positive QRS-T angle change. In receiver operating characteristics curve analysis, a cut-off value of 0.59 total bilirubin had a 69% sensitivity and a 65% specificity (area under curve: 0.739, p <0.001) for the prediction of positive QRS-T angle change.Conclusion: In ACS patients, serum total bilirubin has been found to be a useful decision-making tool to predict positive frontal QRS-T angle change as a sign of reduced total ischemic burden, to assess early invasive strategy independently from other study parameters.

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Prevalence, Correlation and Clinical Outcome of Intra‐Procedural Stent Thrombosis in Patients Undergoing Primary Percutaneous Coronary Intervention for Acute Coronary Syndrome

Abstract: IPST was a rare complication of PCI in the setting of ACS. It correlated with lesion morphology, presence of thrombus at baseline and was more likely to cause MACEs in 30 days and 1-year follow-up.

Cited by 11 publications

References 16 publications

Prevention of stent thrombosis: challenges and solutions

Prevention of stent thrombosis: challenges and solutions

Intraprocedural Stent Thrombosis Detected on Coronary Angioscopy

Serum Bilirubin Level Predicts Frontal QRS-T Angle Change in Patients with Acute Coronary Syndrome

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