Dr. Bray Links

Saturday, September 3, 2016

ACS by Plaque Erosion? No Stent, Dual Antiplatelets May Be Enough

ROME, ITALY — A small, 1-month pilot study hints that patients who arrive in the emergency department with ACS caused by plaque erosion, not plaque rupture, may not need to have a stent implanted. Instead, conservative treatment with antithrombotic therapy alone may be enough to restore flow at the thrombus site[1].

The study found that one in four patients with ACS had plaque erosion, which agrees with what was seen in pathology studies, according to the researchers, but it also showed for the first time that plaque erosion can be distinguished from plaque rupture by optical coherence tomography (OCT) in living patients. If confirmed, such patients might be spared from having a stent, plus any stent-related complications, they say.


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