Predictors and long-term prognostic significance of angiographically visible distal embolization during primary percutaneous coronary intervention

Autor: Vecih Oduncu, Ayhan Erkol, Burak Turan, Taylan Akgün, Can Yücel Karabay, İbrahim Halil Tanboga, Selçuk Pala, Cevat Kırma, Ali Metin Esen
Jazyk: English<br />Turkish
Rok vydání: 2013
Předmět:
Zdroj: Türk Kardiyoloji Derneği Arşivi, Vol 41, Iss 6, Pp 486-494 (2013)
Druh dokumentu: article
ISSN: 1016-5169
DOI: 10.5543/tkda.2013.48265
Popis: Objectives: We aimed to identify the predictors of angiographically visible distal embolization (AVDE) during primary percutaneous coronary intervention (p-PCI) as well as to assess its impact on short- and long-term clinical outcomes in patients with acute ST-segment elevation myocardial infarction (STEMI). Study design: We retrospectively enrolled 2007 patients with STEMI who underwent p-PCI. We assessed the clinical and angiographic characteristics of patients in order to identify the predictors of AVDE and compared the outcomes of patients with and without AVDE during p-PCI. Results: Distal embolization developed in 135 (6.7%) patients. Age (for each 10- year increase, Odds Ratio (OR) 1.34, 95% Confidence Interval (CI) 1.16-1.52, p15 mm (OR 1.67, 95% CI 1.09-2.58, p=0.019), and reference vessel diameter >3.5 mm (OR 5.08, 95% CI 3.32-7.65, p
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