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Post‐dilatation trepidation: Post‐dil is “no big dil”
Author(s) -
Clegg Stacey,
Blankenship James C.
Publication year - 2020
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/ccd.29055
Subject(s) - medicine , conventional pci , stent , intravascular ultrasound , incidence (geometry) , percutaneous coronary intervention , cardiology , clinical significance , radiology , myocardial infarction , physics , optics
Key Points Selective stent post‐dilatation (PD) in a cohort of STEMI patients did not affect major adverse cardiac events but it did decrease device‐oriented composite events, a secondary composite end point of less clear significance. This study suggests that selective stent PD in STEMI does not increase the incidence of acute no‐reflow or long‐term adverse clinical events. In primary PCI for STEMI, if the stent appears under‐expanded, then PD, perhaps guided by intravascular imaging (which was not reported in this study), is reasonable.