An increased level of UA was associated with MACE more strongly in women than in men with ACS. These results suggest that there are gender differences in the association of UA level with the prognosis in patients with ACS.
There was no advantage to using a DES in large vessels for preventing a hard endpoint, whereas DES use resulted in a significant reduction in TVR in the patients with STEMI in this registry.
A 65-year-old woman, who was treated with a sirolimus-eluting stent (SES) (CYPHER) for the left anterior descending coronary artery (LAD) 36 months previously, presented with STsegment elevation myocardial infarction, showing an acute thrombotic occlusion of the LAD stent (Figure 1A). Aspiration thrombectomy and subsequent balloon angioplasty were performed that resulted in Thrombolysis In Myocardial Infarction flow grade 3. Optical coherence tomography (OCT) FI GURE 1 Images of Coronary Angiography (A) Urgent coronary angiography demonstrated acute thrombotic occlusion within a sirolimus-eluting stent (3.0 mm in diameter, 28 mm in length). After aspiration thrombectomy and subsequent balloon angioplasty, coronary blood flow was successfully restored. (B) Repeat coronary angiography 1 month after development of stent thrombosis showed coronary aneurysms at the site of the proximal and distal stent edges (arrows).
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