Coronary stenting in patients undergoing percutaneous transluminal coronary angioplasty during acute myocardial infarction

Rodríguez, Alfredo E.; Fernandez, Mario Aguilar; Santaera, Omar; Larribau, Miguel; Bernardi, Víctor; Castaño, Hugo; Palacios, Igor F.

doi:10.1016/s0002-9149(97)89200-4

Cited by 55 publications

(10 citation statements)

References 29 publications

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“…This suggests that stent implantation is bene®cial in a wider subset of patients. Recently, stent implantation has also been shown to be superior to conventional balloon dilatation in acute myocardial infarction (20) and in chronic occlusions (21). A disadvantage for the stent group in the present study was the longer hospital stay because of accesssite complications.…”

Section: Discussionmentioning

confidence: 58%

Clinical Outcome after Successful Coronary Angioplasty: Impact of Intracoronary Stent Implantation

Nilsson

Eriksson²,

Ramberg³

et al. 2000

Scandinavian Cardiovascular Journal

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The clinical outcome after successful conventional coronary balloon angioplasty is compared with that of stent implantation after 30 days and 12 months. The study took place at the Divisions of Cardiology and Thoracic Radiology, Norrland University Hospital, Umeå, a referral centre for northern Sweden. The first 100 consecutive patients with stable or unstable angina undergoing successful percutaneous transluminal coronary angioplasty (PTCA) in 1994 and the first 100 consecutive patients undergoing successful coronary stent implantation in 1995 were included. The cardiac endpoints studied were death, myocardial infarction, need for repeat PTCA or coronary artery bypass grafting (CABG). Significantly more adverse cardiac events were observed in the PTCA group compared with the stent group. Event-free 12 months' follow-up (no deaths, myocardial infarction or re-intervention) was 64% in the PTCA group and 86% in the stent group (p < 0.005). The main explanation for the observed difference was a reduction in the need for a repeat PTCA (7 vs 18, p < 0.05) or CABG (4 vs 12, p < 0.05) in the stent group. Patients with stable or unstable angina who can be treated with a stent have a better clinical outcome than those treated with coronary balloon angioplasty only.

show abstract

Section: Discussionmentioning

confidence: 58%

Clinical Outcome after Successful Coronary Angioplasty: Impact of Intracoronary Stent Implantation

Nilsson

Eriksson²,

Ramberg³

et al. 2000

Scandinavian Cardiovascular Journal

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show abstract

“…They also reported inadequate heparinization in the two early (6 and 24 h) reocclusions. In another series of 30 patients reported by Rodriguez et al [5], two thirds were stented because of suboptimal PTCA result (residual stenosis at least 50%). Here, only 1 patient had abrupt closure, but the time course of events was not specified.…”

Section: Discussionmentioning

confidence: 99%

Subacute Stent Thrombosis Occurring More Than One Month after Implantation for Acute Myocardial Infarction

1998

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Two patients are described with anterior acute myocardial infarction who had a successful recanalization of a totally occluded left anterior descending coronary artery by means of primary angioplasty and stenting. Reinfarction occurred more than 1 month after implantation. At angiography, a totally occluded left anterior descending coronary artery at the site of stenting was observed and was effectively reopened with angioplasty and stenting in both cases. This report aims to emphasize that acute myocardial infarction still represents a major risk factor for subacute stent thrombosis and that this potentially catastrophic event may occur late after implantation. Potential implications for revascularization strategies and medical treatment are discussed.

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“…However, stenting was initially avoided in AMI because of concern about the risk of stent thrombosis (ST), and it was not until the importance of optimal stent deployment and effective platelet inhibition was recognized that primary PCI with bare metal stents (BMS) became feasible. Initial pilot studies confirmed the safety of stenting in AMI and paved the way for prospective randomized clinical trials (44)(45)(46)(47).…”

Section: Primary Pci With Bare Metal Stentsmentioning

confidence: 99%

Primary Percutaneous Coronary Intervention

Mercado¹,

Dixon²,

O’Neill³

2008

Reperfusion Therapy for Acute Myocardial Infarction

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Coronary stenting in patients undergoing percutaneous transluminal coronary angioplasty during acute myocardial infarction

Cited by 55 publications

References 29 publications

Clinical Outcome after Successful Coronary Angioplasty: Impact of Intracoronary Stent Implantation

Clinical Outcome after Successful Coronary Angioplasty: Impact of Intracoronary Stent Implantation

Subacute Stent Thrombosis Occurring More Than One Month after Implantation for Acute Myocardial Infarction

Primary Percutaneous Coronary Intervention

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