Incidence of periprocedural myocardial infarction following stent implantation: Comparison between first‐ and second‐generation drug‐eluting stents

Tandjung, Kenneth; Basalus, Mounir W.Z.; Muurman, Esther; Louwerenburg, Hans W.; Houwelingen, K. Gert van; Stoel, Martin G.; Man, Frits H.A.F. de; Jansen, Hanneke; Huisman, Jennifer; Linssen, Gerard C.M.; Droste, Herman T.; Nienhuis, Mark B.; Birgelen, Clemens von

doi:10.1002/ccd.23334

Cited by 10 publications

(4 citation statements)

References 71 publications

(41 reference statements)

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“…Several previous studies have shown that PMI correlates with worse short‐term and long‐term clinical outcomes , while other studies showed no such relation . Previous studies have proposed several definitions of PMI, including the universal definition , the third universal definition and the SCAI definition .…”

Section: Discussionmentioning

confidence: 99%

Risk stratification of periprocedural myocardial infarction after percutaneous coronary intervention: Analysis based on the SCAI definition

Zhang

Yin

et al. 2017

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

Risk stratification of periprocedural myocardial infarction after percutaneous coronary intervention: Analysis based on the SCAI definition

Zhang

Yin

et al. 2017

Cathet Cardio Intervent

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“…Therefore, it is critical for clinical practitioners to assess or find out a series of controllable factors or predictors for the occurrence of PMI, which could be useful to reduce the risk of PMI. Tandjung K found that number of implanted stents not stent type was associated with the incidence of PMI [ 9 ]. Prasad also confirmed that elevation of troponin T was not only associated with angiographic characteristics, but also provided long-term prognostic information [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of multi-vessel therapy to the risk of periprocedural myocardial injury after elective coronary intervention: exploratory study

Chen

Yang

Chen

et al. 2017

BMC Cardiovasc Disord

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BackgroundsPeriprocedural myocardial injury (PMI) after elective percutaneous coronary intervention (PCI) significantly influences the prognosis of coronary artery disease (CAD). However, it was unclear whether the occurrence of PMI was associated with a series of controllable factors, such as PCI strategy or severity of CAD.MethodsA total of 544 consecutive stable CAD patients underwent elective PCI were enrolled. The main outcome is PMI, defined as troponin T after PCI was at least one value above the 99th percentile upper reference limit. Major adverse cardiac events (MACE), including all-cause death, repeat myocardial infarction and target vessel revascularization were record in the period of follow-up. Univariate and multivariate analysis was applied to assess predictors for the occurrence of PMI.ResultsThe incidence of PMI was 38.8% in the study. Compared with non-PMI patients (n = 333), PMI patients (n = 211) had more diseased vessels, higher Gensini and Syntax score. Meanwhile, there were higher incidence of MACE in PMI groups (9.5% vs. 3.2%, P < 0.01). We found that PMI patients underwent higher proportion of multi-vessel PCI simultaneously (32.2% vs. 10.5%, P < 0.01) and had more stents implanted (1.8 ± 0.8 vs. 1.4 ± 0.6, P < 0.01). Importantly, after simultaneously adjusted by other factors (such as age, diabetes, total cholesterol, number of diseased vessels, Gensini score and stent length), the risk of PMI was still increased 84% by multi-vessel PCI independently (OR = 1.654, 95% CI = 1.004–2.720, P < 0.05).ConclusionsThe phenomenon of PMI occurred more commonly in stable CAD patients underwent multi-vessel PCI. Multi-vessel international therapy could increase the risk of PMI in elective PCI.

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“…However, there is limited knowledge about the relation between coronary dominance patterns and the risk of various adverse clinical events that can occur following percutaneous coronary interventions (PCI) with contemporary drug-eluting stents (DES). The aim of this study was to investigate the prognostic value of left dominance in relation to post-PCI outcome -in particular the rate of periprocedural MI (PMI), which in current DES studies has the highest incidence of all adverse clinical events [5][6][7] . We performed the analyses in patients in the prospective, randomised TWENTE trial 5,8 , which assessed a population of PCI patients with broad inclusion and only few exclusion criteria, treated with second-generation DES 9 .…”

Section: Introductionmentioning

confidence: 99%

Coronary artery dominance and the risk of adverse clinical events following percutaneous coronary intervention: insights from the prospective, randomised TWENTE trial

et al. 2015

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Aims: To investigate the prognostic value of coronary dominance for various adverse clinical events following the implantation of drug-eluting stents. Methods and results:We assessed two-year follow-up data of 1,387 patients from the randomised TWENTE trial. Based on the origin of the posterior descending coronary artery, coronary circulation was categorised into left and non-left dominance (i.e., right and balanced). Target vessel-related myocardial infarction (MI) was defined according to the updated Academic Research Consortium (ARC) definition (2x upper reference limit of creatine kinase [CK], confirmed by CK-MB elevation), and periprocedural MI (PMI) as MI ≤48 hours following PCI. One hundred and thirty-six patients (9.8%) had left and 1,251 (90.2%) non-left dominance. Target lesions were more frequently located in dominant arteries (p<0.005). Left dominance was associated with more severe calcifications (p=0.006) and more bifurcation lesions (p=0.031). Non-left dominance tended to be less frequent in men (p=0.09

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Incidence of periprocedural myocardial infarction following stent implantation: Comparison between first‐ and second‐generation drug‐eluting stents

Abstract: Using the revised ARC definition, we found no significant difference in PMI between first- and second-generation DES. Overall, PMI occurred in 4.75%, which is 58% lower than with use of the historical PMI definition.

Cited by 10 publications

References 71 publications

Risk stratification of periprocedural myocardial infarction after percutaneous coronary intervention: Analysis based on the SCAI definition

Risk stratification of periprocedural myocardial infarction after percutaneous coronary intervention: Analysis based on the SCAI definition

Impact of multi-vessel therapy to the risk of periprocedural myocardial injury after elective coronary intervention: exploratory study

Coronary artery dominance and the risk of adverse clinical events following percutaneous coronary intervention: insights from the prospective, randomised TWENTE trial

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