Coronary stenting for failed angioplasty in acute myocardial infarction

✍ Scribed by El Setiha, Mohamed ;El Gamal, Mamdouh ;Koolen, Jacques ;Pijls, Nico ;Bonnier, Hans ;Michels, Rolf

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 636 KB
• Volume: 39
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199610)39:2<149::aid-ccd8>3.0.co;2-f

✦ Synopsis

intracoronary stents were implanted in 15 patients after unsuccessful PTCA in the setting of acute myocardial infarction (AMI). The stented vessel was the left anterior descending (LAD) in 11 patients, the right coronary artery (RCA) in 3 patients, and a venous bypass graft to the LAD In a single patient. A total of 16 stents were implanted (15 Paimaz Schatz, Johnson and Johnson; and 1 Wiktor, Medtronic). Foiiow-up: 1 patient died 10 days after stent implantation as a result of renal failure and cardlogenic shock. Subacute thrombosis occurred in 2 patients, 5 and 15 days after stent implantation; both underwent successful emergency coronary artery bypass grafting (CABG). The remaining 12 patients were free from major ischemic events (death, AMI, and further revasculariration) after a mean follow-up of 18.7 e 4.1 months. We conclude that the long-term results of intracoronary stenting In AM1 after failed PTCA are favourable.