Abstract | AIMS: 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 <30% residual stenosis and no visible thrombus, and all lesions re-examined three months later were patent. Major adverse cardiac events occurred in two patients during eight months of follow-up (one cardiac death, one case of reinfarction with target lesion revascularisation). In five patients no PCI was performed at all. Myocardial salvage determined by cardiac magnetic resonance in a subset of patients was relatively high. CONCLUSIONS: Deferred stent implantation is safe in the majority of patients with STEMI. Although the concept has to be evaluated in a randomised trial, the strategy may prove beneficial for many patients referred for primary PCI.
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Authors | Henning Kelbæk, Thomas Engstrøm, Kiril A Ahtarovski, Jacob Lønborg, Niels Vejlstrup, Frants Pedersen, Lene Holmvang, Steffen Helqvist, Kari Saunamäki, Erik Jørgensen, Peter Clemmensen, Lene Kløvgaard, Hans-Henrik Tilsted, Bent Raungaard, Jan Ravkilde, Jens Aaroe, Svend Eggert, Lars Køber |
Journal | EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
(EuroIntervention)
Vol. 8
Issue 10
Pg. 1126-33
(Feb 22 2013)
ISSN: 1969-6213 [Electronic] France |
PMID | 23425538
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Coronary Angiography
- Electrocardiography
- Female
- Humans
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Myocardial Infarction
(therapy)
- Percutaneous Coronary Intervention
- Pilot Projects
- Stents
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