Abstract | UNLABELLED: METHODS: Data from 163 consecutive patients who underwent PCI of SVG lesions without visible macro- thrombus without use of distal embolic protection device over a 10-year period were reviewed. Patients in the novel strategy group received prophylactic intra-graft administration of abciximab and verapamil followed by direct stenting (n=91). The control group (n=72) comprised of patients who had undergone conventional PCI technique before the routine availability of distal embolic protection devices, with balloon pre-dilatation of the target lesion followed by stent deployment and optional use of intragraft verapamil or intravenous abciximab. Patients with visible macro- thrombus in the vein graft were excluded from the study, since these patients underwent PCI with use of the distal embolic protection (filter). RESULTS: SF-NR (TIMI 0-1 flow) occurred more frequently in the control group compared to the novel strategy group (18% vs. 1%, P=0.0001). One patient in the control group died after developing persistent SF-NR and acute MI post-PCI. No death was reported in the novel strategy group. In the control group, 13% patients developed cardiac enzyme elevation 3 times more than normal after the PCI as compared to 1% in the novel strategy group (P < 0.05). CONCLUSIONS:
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Authors | Sanjiv Sharma, Joel A Lardizabal, Sarabjeet Singh, Rasham Sandhu, Brijesh K Bhambi |
Journal | Recent patents on cardiovascular drug discovery
(Recent Pat Cardiovasc Drug Discov)
Vol. 7
Issue 2
Pg. 152-9
(Aug 2012)
United Arab Emirates |
PMID | 22559269
(Publication Type: Controlled Clinical Trial, Journal Article)
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Chemical References |
- Antibodies, Monoclonal
- Immunoglobulin Fab Fragments
- Platelet Aggregation Inhibitors
- Vasodilator Agents
- Verapamil
- Abciximab
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Topics |
- Abciximab
- Administration, Intravenous
(methods)
- Aged
- Antibodies, Monoclonal
(administration & dosage, therapeutic use)
- Coronary Vasospasm
(drug therapy, prevention & control)
- Female
- Graft Occlusion, Vascular
(drug therapy, prevention & control)
- Humans
- Immunoglobulin Fab Fragments
(administration & dosage, therapeutic use)
- Male
- No-Reflow Phenomenon
(drug therapy, prevention & control)
- Percutaneous Coronary Intervention
(methods)
- Platelet Aggregation Inhibitors
(administration & dosage, therapeutic use)
- Saphenous Vein
(transplantation)
- Stents
- Vasodilator Agents
(administration & dosage, therapeutic use)
- Verapamil
(administration & dosage, therapeutic use)
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