Advances in Interventional Cardiology
eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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Image in intervention

ST-segment elevation myocardial infarction with large thrombus burden: percutaneous coronary intervention or a wait-and-see approach?

Piotr Arski
1
,
Martyna Świerkowska
1
,
Aleksandra Gąsecka
1

  1. 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland
Adv Interv Cardiol
DOI: https://doi.org/10.5114/aic.2025.156196
Online publish date: 2025/11/13
Article file
- ST-segment elevation.pdf  [0.13 MB]
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1. Siudak Z, Grygier M, Tomaniak M, et al. Interventional cardiology in Poland in 2023. Annual summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society (AISN PTK) and Jagiellonian University Medical College. Adv Interv Cardiol 2024; 20: 379-81.
2. Musiałek P, Tekieli Ł, Pieniazek P, et al. How should I treat a very large thrombus burden in the infarct-related artery in a young patient with an unexplained lower GI tract bleeding? EuroIntervention 2011; 7: 754-63.
3. Magdy AM, Demitry SR, Hasan-Ali H, et al. Stenting deferral in primary percutaneous coronary intervention: exploring benefits and suitable interval in heavy thrombus burden. Egypt Heart J 2021; 73: 78.
4. Souteyrand G, Amabile N, Combaret N, et al. Invasive management without stents in selected acute coronary syndrome patients with a large thrombus burden: a prospective study of optical coherence tomography guided treatment decisions. EuroIntervention 2015; 11: 895-904.
5. Niehe SR, Vos NS, Van Der Schaaf RJ, et al. Two-year clinical outcomes of the REVELATION study: sustained safety and feasibility of paclitaxel-coated balloon angioplasty versus drug-eluting stent in acute myocardial infarction. J Invasive Cardiol 2022; 34: E39-42.
Copyright: © 2025 Termedia Sp. z o. o. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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