Follow up of Clinical Outcome of Deferred vs Immediate Stenting in High Thrombus Stemi Patients
STEMI
About this trial
This is an interventional treatment trial for STEMI focused on measuring STEMI patients, Heavy thrombus burden, Deferred stenting, Clinical follow up
Eligibility Criteria
Inclusion Criteria: Primary percutaneous coronary intervention (PPCI) patients with culprit vessels shows heavy thrombus burden lesions. Culprit vessels with TIMI 2-3 either from the beginning or after MIMI (Minimalist immediate mechanical intervention). Exclusion Criteria: PPCI patients with low thrombus burden lesions. PPCI patient with heavy thrombus burden lesions but with culprit vessels TIMI score 0-1, didn't improve after MIMI. patients killip II /III /IV
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
immediate stenting in heavy thrombus STEMI burden patients
Deferred stenting in heavy thrombus burden STEMI patients .
This group - heavy thrombus burden STEMI patients with thrombolysis in myocardial infarction ( TIMI ) 2-3 flow - will receive loading dose of GPIIbIIIa inhibitor intracoronary followed by immediate stenting .
This group - heavy thrombus burden STEMI patients with TIMI 2-3 flow - will receive loading dose of GPIIbIIIa inhibitor intracoronary followed by GPIIbIIIa inhibitor infusion and LMWH administration for 48 -72 hours followed by stenting .