[Comparison of Direct Stenting Versus Stending After Pre-Dilation in ST-Elevation Myocardial Infarction].

Autor:	Kuznetsov VA; 'Tyumen Cardiology Science Center', Branch of the Federal State Budgetary Science Institution 'Tomsk National Research Medical Center of the Russian Academy of Sciences'., Bessonov IS; 'Tyumen Cardiology Science Center', Branch of the Federal State Budgetary Science Institution 'Tomsk National Research Medical Center of the Russian Academy of Sciences'., Zyrianov IP; 'Tyumen Cardiology Science Center', Branch of the Federal State Budgetary Science Institution 'Tomsk National Research Medical Center of the Russian Academy of Sciences'., Zyrianova TI; Federal State Budgetary Educational Institution of Higher Education 'Tyumen State Medical University' of the Ministry of Health of the Russian Federation., Sapozhnikov SS; 'Tyumen Cardiology Science Center', Branch of the Federal State Budgetary Science Institution 'Tomsk National Research Medical Center of the Russian Academy of Sciences'., Potolinskaya YV; 'Tyumen Cardiology Science Center', Branch of the Federal State Budgetary Science Institution 'Tomsk National Research Medical Center of the Russian Academy of Sciences'.
Jazyk:	ruština
Zdroj:	Kardiologiia [Kardiologiia] 2017 Nov; Vol. 57 (11), pp. 5-10.
DOI:	10.18087/cardio.2017.11.10048
Abstrakt:	Aim: To study was to assess in-hospital outcomes of direct coronary stenting (DS) compared with stenting after predilation (PD) in patients with ST-elevation myocardial infarction (STEMI). Material and Methods: Data were collected from all patients (n=1103) with STEMI subjected to primary PCI in Tyumen cardiology center from 2006 to 2014. The clinical and angiographic characteristics, in-hospital outcomes, as well as predictors of no-reflow phenomenon were analyzed. The composite of in-hospital death, myocardial infarction (MI) and stent thrombosis were defined as major adverse cardiac events (MACE). Results: Altogether 563 patients (51 %) underwent DS, and in 540 (49 %) stents were implanted after PD. Patients in DS group compared with those in PD group were younger (57.9±10.9 vs 60±11.5 years; p=0.001), less often had chronic kidney disease (5.2 vs 8.4 %; р=0.034), more often recieved prehospital thrombolysis (25 vs 11.9 %; p.
Databáze:	MEDLINE
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