Deferred stent implantation in patients with ST-segment elevation myocardial infarction: A pilot study

  • Kelbkae H
  • Engstrom T
  • Ahtarovski K
 et al. 
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Aims: Disturbance in the flow of an infarct-related artery due to embolisation of thrombus and plaque material occurs frequently during primary percutaneous coronary intervention (PCI) and is associated with impaired prognosis. The aim of the present study was to minimise the risk of embolisation during PCI in patients with ST-segment elevation myocardial infarction (STEMI). Methods and results: Of 124 consecutive patients with STEMI, thrombectomy and/or balloon dilatation was performed in 110 (89%). Stent implantation was deferred in 113 (91%) patients who then comprised the study group. In 38% of the patients stent implantation was deemed unnecessary at the second examination because of

Author-supplied keywords

  • Cardiac magnetic resonance
  • Coronary stent
  • Percutaneous coronary intervention
  • ST segment elevation myocardial infarction/di [Dia
  • ST segment elevation myocardial infarction/dt [Dru
  • ST segment elevation myocardial infarction/su [Sur
  • ST segment elevation myocardial infarction/th [The
  • ST-segment elevation myocardial infarction
  • abciximab/dt [Drug Therapy]
  • acetylsalicylic acid/dt [Drug Therapy]
  • adult
  • aged
  • angiocardiography
  • article
  • aspiration catheter
  • balloon dilatation
  • bare metal stent
  • cardiovascular disease/co [Complication]
  • cardiovascular magnetic resonance
  • clopidogrel/dt [Drug Therapy]
  • coronary artery bypass graft
  • disease free survival
  • electrocardiography
  • eptifibatide/dt [Drug Therapy]
  • female
  • follow up
  • heart death/co [Complication]
  • heart infarction size
  • heart muscle revascularization
  • heart reinfarction/co [Complication]
  • heart reinfarction/su [Surgery]
  • heparin/dt [Drug Therapy]
  • human
  • in-stent restenosis/co [Complication]
  • in-stent restenosis/su [Surgery]
  • major clinical study
  • male
  • mortality
  • non ST segment elevation myocardial infarction/co
  • nuclear magnetic resonance scanner
  • patient safety
  • pilot study
  • prasugrel/dt [Drug Therapy]
  • therapy delay
  • thrombectomy
  • unnecessary procedure
  • vascular patency

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  • H Kelbkae

  • T Engstrom

  • K A Ahtarovski

  • J Lonborg

  • N Vejlstrup

  • F Pedersen

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