Abstract
Coronary ectasia accounts for 0.3%-4.9% of patients undergoing coronary angiography. We conducted the present study to evaluate the angiographic characteristics of ST-elevation myocardial infarction (STEMI) patients with infarct-related coronary artery ectasia (IRAE) undergoing primary percutaneous coronary intervention. We evaluated 667 STEMI patients who were divided into 2 groups of IRAE (n = 81) and non-IRAE (n = 568). Preprocedural thrombolysis in myocardial infarction (TIMI) flow grade, postprocedural TIMI flow grade, thrombus burden grade, and TIMI frame count were then evaluated. In adjusted analysis, fewer patients with IRAE had open (TIMI flow grade II or III) infarct-related arteries before the primary percutaneous coronary intervention (7.4% vs. 27.5%; odds ratio: 4.522; 95% confidence interval, 1.924-10.628; P = 0.001). Meanwhile, postprocedural TIMI flow grade 3 was less common in these patients (49.4% vs. 68.4%; odds ratio: 2.239; 95% confidence interval, 1.392-3.599; P = 0.001). High thrombus burden was more frequent in the patients with IRAE, with an odds ratio of 1.938 in the adjusted analysis. The corrected TIMI frame count was also significantly higher in the IRAE patients than in those without. Our STEMI pa...Continue Reading
References
Mar 1, 1996·Circulation·C M GibsonE Braunwald
Nov 13, 2001·The American Journal of Cardiology·M C PapadakisD V Cokkinos
Dec 14, 2001·The American Journal of Cardiology·W LepperR Hoffmann
Feb 19, 2002·Journal of the American College of Cardiology·Gregg W StoneMartin B Leon
Apr 11, 2003·The American Journal of Cardiology·Sadi GulecDervis Oral
Aug 13, 2008·International Journal of Cardiology·Antonios P AntoniadisGeorge D Giannoglou
Feb 27, 2010·The American Journal of Cardiology·Giampaolo NiccoliFilippo Crea
Apr 17, 2010·Angiology·Ismail ErdenMehmet Yazici
May 11, 2012·International Journal of Cardiology·Theodoros A ZografosDemosthenes G Katritsis
Feb 16, 2013·The International Journal of Cardiovascular Imaging·Alessandro Di GiorgioFrancesco Prati
Feb 21, 2014·Atherosclerosis·Natale Daniele BrunettiMatteo Di Biase
Jan 23, 2016·International Journal of Cardiology·Alessandro Di GiorgioFrancesco Saporito
Apr 26, 2016·International Journal of Cardiology·Alexios S AntonopoulosDimitris Tousoulis
Feb 22, 2017·Heart, Lung & Circulation·Vimalraj Bogana ShanmugamWally Ahmar
Oct 22, 2017·Indian Heart Journal·Amit MalviyaAnimesh Mishra
Citations
Jul 28, 2019·Critical Pathways in Cardiology·Younes NozariSeyedeh Hamideh Mortazavi
Jan 31, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Leire UnzueLeire Moreno
Feb 16, 2021·Expert Review of Cardiovascular Therapy·Tanveer MirWaqas T Qureshi