Coronary stenting after unsuccessful emergency angioplasty in acute myocardial infarction: results in a series of consecutive patients

American Heart Journal
G SteffeninoE Uslenghi

Abstract

Nineteen consecutive procedures of coronary stenting were attempted in 70 consecutive patients (27%) with evolving myocardial infarction due to threatened vessel reocclusion after primary (16 cases) or rescue (3 cases) angioplasty. Two patients were in cardiogenic shock. Stent delivery was successful in 18 patients, with a Thrombolysis in Myocardial infarction flow grade 3; residual diameter stenosis and minimum luminal diameter were 19% +/- 11% and 2.96 +/- 0.62 mm, respectively. After the procedure, heparin was continued for 4 days and 250 mg ticlopidine twice a day for 1 month. Acute stent occlusion occurred in one patient 1 hour after the procedure and was successfully treated with emergency repeat angioplasty. Subacute stent occlusion occurred 6 days after the procedure in one patient, with multivessel coronary disease and a suboptimal stent result. He had been referred for surgery, and emergent coronary artery bypass was performed. Coronary bypass surgery was performed in another patient before discharge because of severe multivessel disease. Persistent cardiogenic shock and new myocardial infarction in another location were the causes of death in two patients, 3 and 10 days after the procedure, respectively. Fifteen pati...Continue Reading

References

Feb 1, 1985·Journal of the American College of Cardiology·T A MabinT A Orszulak
May 1, 1995·Catheterization and Cardiovascular Diagnosis·M C MoriceP Joly
Feb 1, 1995·Catheterization and Cardiovascular Diagnosis·A S WaltonA C Yeung
Jul 1, 1995·The American Journal of Cardiology·T AhmadA Dodek
Dec 1, 1994·Catheterization and Cardiovascular Diagnosis·V K MehanB Meier
Jul 1, 1994·Coronary Artery Disease·A Shaknovich
Sep 1, 1994·Catheterization and Cardiovascular Diagnosis·P H Wong, C M Wong
Jul 15, 1994·The American Journal of Cardiology·UNKNOWN CORAMI Study Group (COhort of Rescue Angioplasty in Myocardial Infarction)
Jun 1, 1994·Catheterization and Cardiovascular Diagnosis·P BarraganM Bremondy
Jan 1, 1993·Cancer Investigation·J P Richie
Mar 1, 1993·Journal of the American College of Cardiology·F C NathE J Topol

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Citations

Jun 5, 1998·Australian and New Zealand Journal of Medicine·Y M CheongY L Lim
Mar 31, 1999·American Heart Journal·A FarbR Virmani
Nov 13, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C KimJ Choi
Nov 9, 2016·Cardiovascular and Interventional Radiology·Nikolaos GalanakisDimitrios Tsetis
Mar 11, 2006·Neurosurgery·Elad I LevyL Nelson Hopkins
May 12, 1998·Vascular Medicine·C P JuergensS N Oesterle

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