Tom 11, Nr 5 (2016)
Opis przypadku
Opublikowany online: 2016-09-08
Wyświetlenia strony
853
Wyświetlenia/pobrania artykułu
832
The usefulness of optical coherence tomography in a patient on antiplatelet therapy and requiring surgery
DOI: 10.5603/FC.2016.0095
Folia Cardiologica 2016;11(5):440-442.
Streszczenie
Establishing a balance between the risk of stent thrombosis and the risk of perioperative bleeding in patients treated
with dual antiplatelet therapy remains a major therapeutic challenge. We report a case of 60-year-old man after stent implantation in left main coronary artery and requiring urgent operative treatment. The result of optical coherence tomography helped us to decide about further proceeding and is an example of a very helpful application of this new imaging technique in everyday practice.
Słowa kluczowe: antiplatelet therapyperioperative treatmentpercutaneous coronary intervention
Referencje
- Rajwa P, Rempega G, Suliga K, et al. Postępowanie okołooperacyjne u pacjentów z wszczepionymi stentami typu DES. Folia Cardiologica. 2015; 10(5): 336–341.
- Park SJ, Kang SMo, Park DW. Dual antiplatelet therapy after drug-eluting stents: defining the proper duration. Coron Artery Dis. 2014; 25(1): 83–89.
- Rossini R, Bramucci E, Castiglioni B, et al. Società Italiana di Cardiologia Invasiva (GISE), Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO). [Coronary stenting and surgery: perioperative management of antiplatelet therapy in patients undergoing surgery after coronary stent implantation]. G Ital Cardiol (Rome). 2012; 13(7-8): 528–551.
- Roleder T, Jąkała J, Kałuża GL, et al. The basics of intravascular optical coherence tomography. Postepy Kardiol Interwencyjnej. 2015; 11(2): 74–83.
- Finn AV, Joner M, Nakazawa G, et al. Pathological correlates of late drug-eluting stent thrombosis: strut coverage as a marker of endothelialization. Circulation. 2007; 115(18): 2435–2441.
