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October 1, 1982European Heart JournalOpen Access

Coronary recanalization in acute myocardial infarction: immediate results and potential risks

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Why the study?

Does coronary recanalization in acute myocardial infarction impose a risk of immediate complications?

Population

83 patients catheterized during the acute phase of myocardial infarction with the intention to recanalize…

Design

Cohort, 30 patients participated in a randomized study (details not provided)

Follow-up

Immediate (during the catheterization procedure)

Key result

Catheterization and recanalization of occluded arteries in acute MI resulted in 5 deaths and 29 non-fatal complications, with complications occurring in 81% of recanalized right coronary arteries.

Authors

PSPatrick W. SerruysMBMarcel van den BrandTHT. E. H. Hooghoudt

Discussion

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Overview

Early attempts at coronary recanalization during acute myocardial infarction carry a substantial risk of immediate fatal and non-fatal complications, particularly when re-opening the right coronary artery.

Study Design

Type

RCT (n=83)

Randomization

randomized

Structured PICO

Does coronary recanalization in acute myocardial infarction impose a risk of immediate complications?

P
Population
83 patients with acute myocardial infarction undergoing catheterization with the intention to recanalize their infarct-related vessel.
I
Intervention
Catheterization and attempt at recanalization of the infarct-related vessel
O
Outcome
Immediate fatal and non-fatal complications during or after the catheterization proceduresafety

Early attempts at coronary recanalization during acute myocardial infarction carry a substantial risk of immediate fatal and non-fatal complications, particularly when re-opening the right coronary artery.

Cite This Study

Serruys et al. (1982) conducted an RCT in acute myocardial infarction (n=83). Catheterization and recanalization was evaluated on fatal and non-fatal complications. Catheterization and recanalization of occluded arteries in acute MI resulted in 5 deaths and 29 non-fatal complications, with complications occurring in 81% of recanalized right coronary arteries.

synapsesocial.com/papers/6a92da948262cd83d9625520https://doi.org/10.1093/oxfordjournals.eurheartj.a061326
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