Results of coronary stenting after delayed angioplasty of the culprit vessel in patients with recent myocardial infarction

Kuan Rau Chiou, Chia Yu Chou, Wan Leong Chan, Ju Pin Pan, Shing Jong Lin, Min Ji Charng, Ying Hwa Chen, Nai Wei Hsu, Shih Pu Wang, Philip Yu An Ding, Mau Song Chang

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Abstract

Little information is available concerning the effect of late coronary stenting in patients with recent myocardial infarction, especially long-term results. We retrospectively reviewed our results of 57 stent placements in 52 consecutive patients who received stents at an infarct-related lesion 24 hr to 30 days after an acute myocardial infarctions (median, 14 days). The average age was 67 years; 90% were male. Two patients who suffered from acute stent thrombosis received revascularization again and two early deaths were due to refractory cardiogenic shock before discharge. Mean patient clinical follow-up was 18.3 ± 6.5 months. There were 1 subacute stent thrombosis, 1 cardiogenic death, and 10 patients (20.8%) in total suffering from angina class II to IV. Angiographic follow-up was performed in 36 patients (80%) at a mean of 7.5 ± 3.1 months. Of these 36 patients, only 1 (3% of the total population undergoing follow-up angiography) had reocclusion at follow-up, but restenosis existed in 18 patients (50%). We conclude that there is still relatively high incidence of angiographic recurrence that is often silent in long-term follow-up, though the long-term result of late stenting in recent MI is low incidence of reocclusion.

Original languageEnglish
Pages (from-to)423-429
Number of pages7
JournalCatheterization and Cardiovascular Interventions
Volume47
Issue number4
DOIs
Publication statusPublished - Aug 1 1999
Externally publishedYes

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Angioplasty
Myocardial Infarction
Stents
Thrombosis
Cardiogenic Shock
Incidence
Psychological Stress
Angiography
Recurrence
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Results of coronary stenting after delayed angioplasty of the culprit vessel in patients with recent myocardial infarction. / Chiou, Kuan Rau; Chou, Chia Yu; Chan, Wan Leong; Pan, Ju Pin; Lin, Shing Jong; Charng, Min Ji; Chen, Ying Hwa; Hsu, Nai Wei; Wang, Shih Pu; Ding, Philip Yu An; Chang, Mau Song.

In: Catheterization and Cardiovascular Interventions, Vol. 47, No. 4, 01.08.1999, p. 423-429.

Research output: Contribution to journalArticle

Chiou, Kuan Rau ; Chou, Chia Yu ; Chan, Wan Leong ; Pan, Ju Pin ; Lin, Shing Jong ; Charng, Min Ji ; Chen, Ying Hwa ; Hsu, Nai Wei ; Wang, Shih Pu ; Ding, Philip Yu An ; Chang, Mau Song. / Results of coronary stenting after delayed angioplasty of the culprit vessel in patients with recent myocardial infarction. In: Catheterization and Cardiovascular Interventions. 1999 ; Vol. 47, No. 4. pp. 423-429.
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