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

  • Kelbkæ T.; Ahtarovski, K. A.; Lønborg, J.; Vejlstrup, N.; Pedersen, F.; Holmvang, L.; Helqvist, S.; Saunamäki, K.; Jørgensen, E.; Clemmensen, P.; Kløvgaard, L.; Tilsted, H. H.; Raungaard, B.; Ravkilde, J.; Aaroe, J.; Eggert, S.; Køber, L. H
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Abstract

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

  • Aged, 80 and over
  • Cardiac magnetic resonance
  • Coronary Angiography
  • Coronary stent
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Myocardial Infarction
  • Percutaneous coronary intervention
  • Pilot Projects
  • ST segment elevation myocardial infarction
  • ST-segment elevation myocardial infarction
  • Stents
  • abciximab
  • acetylsalicylic acid
  • adult
  • aged
  • angiocardiography
  • article
  • aspiration catheter
  • balloon dilatation
  • bare metal stent
  • cardiovascular disease
  • cardiovascular magnetic resonance
  • clopidogrel
  • coronary artery bypass graft
  • disease free survival
  • electrocardiography
  • eptifibatide
  • female
  • follow up
  • heart death
  • heart infarction size
  • heart muscle revascularization
  • heart reinfarction
  • heparin
  • human
  • in-stent restenosis
  • major clinical study
  • male
  • mortality
  • non ST segment elevation myocardial infarction
  • nuclear magnetic resonance scanner
  • patient safety
  • pilot study
  • prasugrel
  • therapy delay
  • thrombectomy
  • unnecessary procedure
  • vascular patency

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Authors

  • H.; Engstrøm Kelbkæ T.; Ahtarovski, K. A.; Lønborg, J.; Vejlstrup, N.; Pedersen, F.; Holmvang, L.; Helqvist, S.; Saunamäki, K.; Jørgensen, E.; Clemmensen, P.; Kløvgaard, L.; Tilsted, H. H.; Raungaard, B.; Ravkilde, J.; Aaroe, J.; Eggert, S.; Køber, L.

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