Abstract | AIM: Although distal embolization during percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) deteriorates cardiac function, whether distal protection (DP) can improve prognosis is still controversial. We investigated whether a filter-type DP device, Filtrap®, could improve long-term outcomes after PCI for AMI. METHOD: RESULT: Between DP (n=53, 41 men, mean age: 65.5 years) and non-DP (n=111, 89 men, mean age: 65.8 years) groups, although there was significantly greater plaque area in the DP group than in the non-DP group, there were no significant differences in coronary reperfusion flow after PCI. Interestingly, patients with CHF in the non-DP group exhibited a higher CK level than those in the DP group. During a 2-year follow-up period, cumulative CHF was significantly lower in the DP group than in the non-DP group (log-rank p=0.018), and there was no significant difference in the MACE rate (log-rank p=0.238). The use of DP device could not predict MACE, but could predict CHF by multivariate analysis (odds ratio=0.099, 95% CI: 0.02-0.42, p=0.005). CONCLUSION: These results demonstrate that favorable clinical outcomes could be achieved by the filter-type DP device in AMI, particularly in patients with CHF.
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Authors | Ryota Teramoto, Kenji Sakata, Kenji Miwa, Takao Matsubara, Toshihiko Yasuda, Masaru Inoue, Hirofumi Okada, Honin Kanaya, Masa-Aki Kawashiri, Masakazu Yamagishi, Kenshi Hayashi |
Journal | Journal of atherosclerosis and thrombosis
(J Atheroscler Thromb)
Vol. 23
Issue 12
Pg. 1313-1323
(Dec 01 2016)
ISSN: 1880-3873 [Electronic] Japan |
PMID | 27251330
(Publication Type: Journal Article)
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Topics |
- Aged
- Angioplasty, Balloon, Coronary
(methods)
- Electrocardiography
(methods)
- Embolic Protection Devices
(statistics & numerical data)
- Female
- Filtration
(instrumentation)
- Heart Failure
(diagnosis, etiology, prevention & control)
- Humans
- Male
- Middle Aged
- Myocardial Infarction
(surgery)
- Percutaneous Coronary Intervention
(adverse effects)
- Prognosis
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