[Comparison of Direct Stenting Versus Stending After Pre-Dilation in ST-Elevation Myocardial Infarction]
| Autor: | I. P. Zyrianov, V. A. Kuznetsov, I S Bessonov, S S Sapozhnikov, Yu V Potolinskaya, T I Zyrianova |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Myocardial Infarction 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention St elevation myocardial infarction Internal medicine medicine Direct stenting Humans In patient cardiovascular diseases 030212 general & internal medicine Myocardial infarction business.industry medicine.disease Prehospital thrombolysis Dilatation Treatment Outcome 030220 oncology & carcinogenesis Conventional PCI Cardiology ST Elevation Myocardial Infarction Stents Cardiology and Cardiovascular Medicine business Mace Kidney disease |
| Zdroj: | Kardiologiia. 57(11) |
| ISSN: | 0022-9040 |
| Popis: | 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: | OpenAIRE |
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