Enhancing Stent Apposition in ACS: IVUS-Guided Primary PCI Case Study
Keywords:
Acute Coronary Syndrome, Primary Percutaneous Coronary Intervention, Intravascular Ultrasound, Stent Apposition, Myocardial Infarction, Complications.Abstract
Introduction: Primary PCI is pivotal in ACS management. IVUS enhances stent apposition and plaque rupture understanding. Challenges encompass patient hemodynamics and complications.
Case Presentation: A case of acute AWMI underwent primary PCI with IVUS guidance. Pre and post stent deployment IVUS was employed without complications.
Results: IVUS suggested a mid-LAD stent size of 4.5. Post-deployment, 4.5 NC led to under deployment, necessitating 5.0x12mm NC post-dilatation. IVUS improved stent apposition beyond typical 3.5mm diameter.
Conclusion: IVUS-guided primary PCI in AWMI showcases stent optimization's potential benefits. Despite challenges, IVUS aids apposition. Individualized approach improves outcomes.
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