Emergency percutaneous coronary intervention is the key treatment for patients with acute ST segment elevation myocardial infarction.Immediate stent implantation is a commonly used interventional method to open blood vessels and restore blood flow,but there are microcirculation embolism and no reflow phenomenon,which seriously affect the prognosis.Delayed stent implantation(DSI)combined with enhanced antithrombotic therapy can reduce the burden of coronary thrombosis and the incidence of microcirculation disorders,and improve the cardiac function and prognosis of patients.However,many randomized controlled trials did not show significant benefits of DSI.Therefore,the clinical application of DSI is still controversial.This article will review the timing of stent implantation in patients with acute ST segment elevation myocardial infarction,so as to provide reference for clinical work.
关键词
延迟支架置入/立即支架置入/急性ST段抬高型心肌梗死
Key words
Delayed stent implantation/Immediate stent implantation/Acute ST segment elevation myocardial infarction
维普
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