Hospital outcome after bailout coronary stenting in patients with acute myocardial infarction

✍ Scribed by Himbert, Dominique ;Juliard, Jean-Michel ;Benamer, Hakim ;Feldman, Laurent J. ;Aubry, Pierre ;Steg, Ph. Gabriel

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 120 KB
• Volume: 44
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199808)44:4<371::aid-ccd1>3.0.co;2-1

✦ Synopsis

We evaluated the outcome of bailout coronary stenting in acute myocardial infarction. Fifty patients (35 men, mean age 60 plusmn; 12) with acute myocardial infarction consecutively underwent bailout stenting after primary and rescue coronary angioplasty (n‫14؍‬ and 9, respectively). Cardiogenic shock was present in six patients, and 17 others had contraindications to thrombolysis. Stent implantation was successful in 49/50 patients. The antithrombotic regimen combined heparin, aspirin, and ticlopidine. One patient had symptomatic stent closure. Predischarge angiography in 41/44 survivors showed widely patent stents in 40/41 patients. Six patients (4 of whom had been admitted with cardiogenic shock) died in the hospital.

During acute myocardial infarction, bailout stenting can achieve high TIMI grade 3 coronary patency (here, 92%), and low acute stent closure rates (here, 2%). However, in-hospital mortality remained high, at nearly 10%, mainly due to the severe risk profile in this patient subset.