Role of collateral circulation in the acute phase of ST-segment-elevation myocardial infarction treated with primary coronary intervention

Elsman, Peter

doi:10.1016/j.ehj.2004.03.005

Cited by 116 publications

(87 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…First, past study showed that coronary collaterals accompanied with coronary occlusion in dogs disappeared within 24 h after reperfusion [6]. Second, a previous study demonstrated that collateral flow might increase considerably over time even in the first 6 h following acute coronary occlusion [7]. In this case, the time from chest pain to angiography was only 25 min at the time of SAST although it was 3.3 h on admission.…”

Section: Discussionmentioning

confidence: 69%

Acute myocardial infarction caused by left anterior descending artery occlusion presenting as inferior ST elevation and anterior ST depression

Honda

Fujimoto

Miyao

et al. 2014

Journal of Cardiology Cases

View full text Add to dashboard Cite

a b s t r a c tWe report a case of acute myocardial infarction caused by left anterior descending artery occlusion presenting as ST elevation in the inferior leads and ST depression in the precordial leads, suggesting an involvement of the right coronary artery (RCA). However, coronary angiography (CAG) showed a complete occlusion of the proximal left anterior descending (LAD) coronary artery and collaterals from the left circumflex coronary artery and the RCA. Although he underwent primary percutaneous coronary intervention (PCI), he had chest pain at four days after primary PCI. His electrocardiogram (ECG) showed precordial ST elevation, suggesting an involvement of the LAD. Emergent CAG showed a complete occlusion of the proximal LAD without collaterals, but his ECG showed precordial ST elevation that was different from ST changes seen on admission. These unusual ST-segment changes might be associated with a weaker anterior ischemia due to collaterals and a strong inferior ischemia due to wrapped LAD artery.

show abstract

Section: Discussionmentioning

confidence: 69%

Acute myocardial infarction caused by left anterior descending artery occlusion presenting as inferior ST elevation and anterior ST depression

Honda

Fujimoto

Miyao

et al. 2014

Journal of Cardiology Cases

View full text Add to dashboard Cite

show abstract

“…If this is true, then the atherosclerotic risk factors should be more often present in patient with collaterals than in those without. This is, however, not supported by the rather symmetric pattern of patient characteristics in most studies as metaanalysed in the current study [1,6,9,10,13,[15][16][17][18][19]. To assess this issue in a wider perspective, meta-regression was performed.…”

Section: Discussionmentioning

confidence: 72%

“…Five of them were excluded because no survival data were reported per group. Of the ten studies included [1,3,6,7,[10][11][12][13][14][15] nine studies reported mortality during follow-up of 0.6-9 years, while seven studies reported the composite endpoint of deaths and re-infarctions separately for the subgroups. Baseline clinical characteristics of the included trials are listed in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Unfortunately, however, not all of the incorporated studies in the current meta-analysis reported Rentrop scores or reported on diameter stenosis. For example, Meier et al [2], Elsman et al [6] and Sorajja et al [1] used positive blush grades instead of Rentrop flow grading. Therefore, we were unable to assess Rentrop scores in relation to disease severity.…”

Section: Discussionmentioning

confidence: 99%

“…Also the Netherlands Heart Journal has given considerable attention to the issue of collaterals and their importance [3][4][5]. In many studies the presence of angiographically detectable collaterals is seen as a positive predictive and protective factor on enzymatic infarct size and pre-and post-intervention haemodynamic conditions in patients with acute myocardial infarction (MI) treated by primary percutaneous coronary intervention (PCI) [6,7]. The presence of visible coronary collateral circulation had a protective effect on the jeopardised myocardium and enzymatic infarct size, resulting in a better myocardial reperfusion and short-time clinical outcome and mortality than patients without coronary collateral circulation [8,9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of collaterals on deaths and re-infarctions in patients with coronary artery disease: a meta-analysis

et al. 2012

View full text Add to dashboard Cite

Background It is generally believed that there is a beneficial effect of collaterals on death and re-infarction statistics in patients with coronary artery disease (CAD) but studies to date are small and inconsistent. Objective To meta-analyse the studies published in this field in order to obtain more powerful information. Methods We searched Medline and major journals (2000 to 2011) for studies evaluating the effect of coronary collaterals on mortality. Publication bias, lack of heterogeneity, and lack of robustness were assessed using the standard procedures for such purposes. Results A total of 10 studies describing mortality, enrolling 6791 participants, were included in this analysis. In patients with collateralisation a significant relation with reduced mortality was seen compared with those without collateralisation, at an odds ratio of 0.47, p<0.0001, and a reduction in deaths and re-infarctions at 0.54, p<0.0001. Some publication bias, some heterogeneity and some lack of robustness were demonstrated. A meta-regression with the odds ratios of the presence of traditional atherosclerotic risk factors as predictors and the odds ratios of mortality and the composite deaths and re-infarctions as outcome showed no relationships.Conclusions In CAD patients from the post-percutaneous coronary intervention era the presence of collaterals reduced mortality by 0.47 (p<0.0001) and deaths and re-infarctions by 0.54 (p<0.0001). Furthermore, in the present meta-data, the atherosclerotic risk factors were no more present in patients with collaterals than they were in those without.

show abstract

Collateral circulation in CTO

Galassi

Tomasello

Khamis³

2013

Chronic Total Occlusions

View full text Add to dashboard Cite

Role of collateral circulation in the acute phase of ST-segment-elevation myocardial infarction treated with primary coronary intervention

Cited by 116 publications

References 24 publications

Acute myocardial infarction caused by left anterior descending artery occlusion presenting as inferior ST elevation and anterior ST depression

Acute myocardial infarction caused by left anterior descending artery occlusion presenting as inferior ST elevation and anterior ST depression

Effect of collaterals on deaths and re-infarctions in patients with coronary artery disease: a meta-analysis

Collateral circulation in CTO

Contact Info

Product

Resources

About