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Results of coronary stenting after delayed angioplasty of the culprit vessel in patients with recent myocardial infarction
Author(s) -
Chiou KuanRau,
Chou ChiaYu,
Chan WanLeong,
Pan JuPin,
Lin ShingJong,
Charng MinJi,
Chen YingHwa,
Hsu NaiWei,
Wang ShihPu,
Ding Philip YuAn,
Chang MauSong
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199908)47:4<423::aid-ccd9>3.0.co;2-k
Subject(s) - medicine , cardiogenic shock , myocardial infarction , cardiology , angioplasty , culprit , restenosis , thrombosis , stent , surgery , population , environmental health
Little information is available concerning the effect of late coronary stenting in patients with recent myocardial infarction, especially long‐term results. We retrospectively reviewed our results of 57 stent placements in 52 consecutive patients who received stents at an infarct‐related lesion 24 hr to 30 days after an acute myocardial infarctions (median, 14 days). The average age was 67 years; 90% were male. Two patients who suffered from acute stent thrombosis received revascularization again and two early deaths were due to refractory cardiogenic shock before discharge. Mean patient clinical follow‐up was 18.3 ± 6.5 months. There were 1 subacute stent thrombosis, 1 cardiogenic death, and 10 patients (20.8%) in total suffering from angina class II to IV. Angiographic follow‐up was performed in 36 patients (80%) at a mean of 7.5 ± 3.1 months. Of these 36 patients, only 1 (3% of the total population undergoing follow‐up angiography) had reocclusion at follow‐up, but restenosis existed in 18 patients (50%). We conclude that there is still relatively high incidence of angiographic recurrence that is often silent in long‐term follow‐up, though the long‐term result of late stenting in recent MI is low incidence of reocclusion. Cathet. Cardiovasc. Intervent. 47:423–429, 1999. © 1999 Wiley‐Liss, Inc.