open access

Vol 65, No 5 (2007)
Other
Published online: 2007-06-01
Submitted: 2012-12-28
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Original article
Effects of direct stenting on epicardial and myocardial perfusion in patients with acute ST segment elevation myocardial infarction

Mariusz Gąsior, Marek Gierlotka, Damian Pres, Andrzej Lekston, Tadeusz Zębik, Michał Hawranek, Mateusz Tajstra, Gabriela Stasik-Pres, Zbigniew Kalarus, Lech Poloński
Kardiol Pol 2007;65(5):503-512.

open access

Vol 65, No 5 (2007)
Other
Published online: 2007-06-01
Submitted: 2012-12-28

Abstract

Background: Results of studies comparing direct stenting (DS) with conventional stenting (CS) after balloon predilatation in patients with acute myocardial infarction (MI) have been reported in the past, however they are conflicting. There are only few randomised studies that aim to answer whether DS improves epicardial and myocardial patency. Aim: To assess the effects of DS on epicardial and myocardial patency in patients with acute MI. Methods: Consecutive patients with acute MI were randomised either to DS or CS strategy. Clinical exclusion criteria were as follows: clinical and electrocardiographic features of reperfusion, pulmonary oedema, cardiogenic shock, contradictions to coronarography, allergy to aspirin, ticlopidine, clopidogrel, heparin and stainless steel. Angiographic exclusion criteria were as follows: lesion

Abstract

Background: Results of studies comparing direct stenting (DS) with conventional stenting (CS) after balloon predilatation in patients with acute myocardial infarction (MI) have been reported in the past, however they are conflicting. There are only few randomised studies that aim to answer whether DS improves epicardial and myocardial patency. Aim: To assess the effects of DS on epicardial and myocardial patency in patients with acute MI. Methods: Consecutive patients with acute MI were randomised either to DS or CS strategy. Clinical exclusion criteria were as follows: clinical and electrocardiographic features of reperfusion, pulmonary oedema, cardiogenic shock, contradictions to coronarography, allergy to aspirin, ticlopidine, clopidogrel, heparin and stainless steel. Angiographic exclusion criteria were as follows: lesion
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Keywords

myocardial infarction; direct stenting; epicardial patency; myocardial patency; no-reflow phenomenon

About this article
Title

Original article
Effects of direct stenting on epicardial and myocardial perfusion in patients with acute ST segment elevation myocardial infarction

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 5 (2007)

Pages

503-512

Published online

2007-06-01

Bibliographic record

Kardiol Pol 2007;65(5):503-512.

Keywords

myocardial infarction
direct stenting
epicardial patency
myocardial patency
no-reflow phenomenon

Authors

Mariusz Gąsior
Marek Gierlotka
Damian Pres
Andrzej Lekston
Tadeusz Zębik
Michał Hawranek
Mateusz Tajstra
Gabriela Stasik-Pres
Zbigniew Kalarus
Lech Poloński

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