Objective: To study the role of intracoronary (IC) stenting in the treatment of patients with acute myocardial infarction (AMI) Methods: Retrospective case reviews were used Thirty patients were treated by PTCA and IC...
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Objective: To study the role of intracoronary (IC) stenting in the treatment of patients with acute myocardial infarction (AMI) Methods: Retrospective case reviews were used Thirty patients were treated by PTCA and IC stenting during AMI in our Institute Results: There were 30 patients, 26 men and 4 women, mean age 60 0±10 3 years Three patients were in cardiogenic shock at admission, 27 in Killip′s class Ⅰ and Ⅱ Direct angioplasty and stenting were performed for 15 patients, rescue angioplasty and stenting for the remaining patients The infarct related artery was left descending in 15, right coronary artery in 13, left circumflex in 2 Thirty eight stents were implanted, 9 with suboptimal results, 11 with bail out Angiographic success (<30% residual stenosis, TIMI flow Ⅱ or Ⅲ) was achieved in 28 patients (93 3%) after procedure Inhospital events: 2 patients died from refractory cardiogenic shock, no reflow in one patient, VF in 3 patients, in stent thrombosis in 3 patients, low blood pressure in 4 patients (Intra aortic balloon pump was used in 3 patients) No patient required emergency coronary artery bypass graft surgery So procedural success rate was 90 0% (27/30) There were no other major complications during hospital course Conclusion: Results of our study in a small AMI population demonstrated that intracoronary stenting when used in treatment of AMI was of high success rate and lower complications
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