Coronary stenting for failed angioplasty in acute myocardial infarction

Mohamed El Setiha, Mamdouh El Gamal, Jacques Koolen, Nico Pijls, Hans Bonnier, Rolf Michels

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)

Abstract

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 Palmaz Schatz, Johnson and Johnson; and 1 Wiktor, Medtronic). Follow-up: 1 patient died 10 days after stent implantation as a result of renal failure and cardiogenic 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 revascularization) after a mean follow-up of 18.7 ± 4.1 months. We conclude that the long-term results of intracoronary stenting in AMI after failed PTCA are favourable.

Original languageEnglish
Pages (from-to)149-156
Number of pages8
JournalCatheterization and Cardiovascular Diagnosis
Volume39
Issue number2
DOIs
Publication statusPublished - 1 Oct 1996
Externally publishedYes

Keywords

  • acute myocardial infarction
  • angioplasty
  • coronary stenting

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