Why the study?
Does intracoronary stenting prevent major ischemic events in patients with AMI after failed PTCA?
Does intracoronary stenting prevent major ischemic events in patients with AMI after failed PTCA?
Intracoronary stenting for failed PTCA in the setting of acute myocardial infarction shows favorable long-term outcomes, with the majority of patients remaining free from major ischemic events.
May support stenting after failed PTCA in AMI; hypothesis-generating and requires randomized confirmation before practice change.
UNLABELLED: Intracoronary stents were implanted in 15 patients after unsuccessful PTCA in the setting of acute myocardial infarction (AMI). The stented vessel was the left anterior descending (LAD) in 11 patients, the right coronary artery (RCA) in 3 patients, and a venous bypass graft to the LAD in a single patient. A total of 16 stents were implanted (15 Palmaz Schatz, Johnson and Johnson; and 1 Wiktor, Medtronic). FOLLOW-UP: 1 patient died 10 days after stent implantation as a result of renal failure and cardiogenic shock. Subacute thrombosis occurred in 2 patients, 5 and 15 days after stent implantation; both underwent successful emergency coronary artery bypass grafting (CABG). The remaining 12 patients were free from major ischemic events (death, AMI, and further revascularization) after a mean follow-up of 18.7 +/- 4.1 months. We conclude that the long-term results of intracoronary stenting in AMI after failed PTCA are favourable.
No takes yet. Share an insight, caveat, or question.
Setiha et al. (1996) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: