Diagnosis and Evaluation of Stent Thrombosis with Optical Coherence Tomography

Alessio Mattesini; Benedetta Bellandi; Serafina Valente; Guido Parodi

doi:10.1016/j.iccl.2015.02.006

Diagnosis and Evaluation of Stent Thrombosis with Optical Coherence Tomography

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

Authors

Alessio Mattesini¹, Benedetta Bellandi¹, Serafina Valente¹, Guido Parodi²

Affiliations

¹ Department of Cardiology, Careggi Hospital, Largo Brambilla n 3, Florence 50100, Italy.
² Department of Cardiology, Careggi Hospital, Largo Brambilla n 3, Florence 50100, Italy. Electronic address: parodiguido@gmail.com.

PMID: 28581946
DOI: 10.1016/j.iccl.2015.02.006

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.

Publication types

Review