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Deferred stenting in STEMI

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Henning Kelbæk, Dan Eik Høfsten, Lars Køber, Steffen Helqvist, Lene Kløvgaard, Lene Holmvang, Erik Jørgensen, Frants Pedersen, Kari Saunamäki, Ole De Backer, Lia E Bang, Klaus F Kofoed, Jacob Lønborg, Kiril Ahtarovski, Niels Vejlstrup, Hans E Bøtker, Christian J Terkelsen, Evald H Christiansen, Jan Ravkilde, Hans-Henrik Tilsted, Anton B Villadsen, Jens Aarøe, Svend E Jensen, Bent Raungaard, Lisette O Jensen, Peter Clemmensen, Peer Grande, Jan K Madsen, Christian Torp-Pedersen, Thomas Engstrøm
BACKGROUND: Despite successful treatment of the culprit artery lesion by primary percutaneous coronary intervention (PCI) with stent implantation, thrombotic embolisation occurs in some cases, which impairs the prognosis of patients with ST-segment elevation myocardial infarction (STEMI). We aimed to assess the clinical outcomes of deferred stent implantation versus standard PCI in patients with STEMI. METHODS: We did this open-label, randomised controlled trial at four primary PCI centres in Denmark...
May 28, 2016: Lancet
Guillaume Marquis-Gravel, E Marc Jolicoeur
No abstract text is available yet for this article.
August 2016: Canadian Journal of Cardiology
Karl Isaaz, Antoine Gerbay
No abstract text is available yet for this article.
October 1, 2016: Lancet
Henning Kelbæk, Thomas Engstrøm, Kiril A Ahtarovski, Jacob Lønborg, Niels Vejlstrup, Frants Pedersen, Lene Holmvang, Steffen Helqvist, Kari Saunamäki, Erik Jørgensen, Peter Clemmensen, Lene Kløvgaard, Hans-Henrik Tilsted, Bent Raungaard, Jan Ravkilde, Jens Aaroe, Svend Eggert, Lars Køber
AIMS: Disturbance in the flow of an infarct-related artery due to embolisation of thrombus and plaque material occurs frequently during primary percutaneous coronary intervention (PCI) and is associated with impaired prognosis. The aim of the present study was to minimise the risk of embolisation during PCI in patients with ST-segment elevation myocardial infarction (STEMI). METHODS AND RESULTS: Of 124 consecutive patients with STEMI, thrombectomy and/or balloon dilatation was performed in 110 (89%)...
February 22, 2013: EuroIntervention
David Carrick, Keith G Oldroyd, Margaret McEntegart, Caroline Haig, Mark C Petrie, Hany Eteiba, Stuart Hood, Colum Owens, Stuart Watkins, Jamie Layland, Mitchell Lindsay, Eileen Peat, Alan Rae, Miles Behan, Arvind Sood, W Stewart Hillis, Ify Mordi, Ahmed Mahrous, Nadeem Ahmed, Rebekah Wilson, Laura Lasalle, Philippe Généreux, Ian Ford, Colin Berry
OBJECTIVES: The aim of this study was to assess whether deferred stenting might reduce no-reflow and salvage myocardium in primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI). BACKGROUND: No-reflow is associated with adverse outcomes in STEMI. METHODS: This was a prospective, single-center, randomized, controlled, proof-of-concept trial in reperfused STEMI patients with ≥1 risk factors for no-reflow...
May 27, 2014: Journal of the American College of Cardiology
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