title: Immediate and long-term results of the splinting for acute closure trial.
abstract: The ability of coronary splinting to salvage acute coronary occlusion was prospectively studied in 22 patients whose coronary occlusion was refractory to a 15-min balloon dilatation. Splinting was successful in 20 patients (91%). One patient required emergency bypass surgery, and one patient was treated medically for continued coronary occlusion. There was no late ischemic events. The peak CK was 1081 +/- 733 U/L and 1,451 +/- 1,646 U/L for the study and control patients (P = NS). The peak CK-MB was 110 +/- 102 mg/dl and 78 +/- 84 mg/dl, respectively (P = NS). There were no differences in electrocardiographic changes or Q-wave myocardial infarction between the groups. At 6-month follow-up, one patient required coronary artery bypass graft surgery. There were no late myocardial infarctions or deaths.
authors.affiliation: St. Lukes Regional Heart Center, Bethlehem, Pennsylvania, USA.
authors.forename: T
authors.initials: T
authors.lastname: Little
authors.forename: G
authors.initials: G
authors.lastname: Majcher
authors.forename: A
authors.initials: A
authors.lastname: Doorey
authors.forename: M
authors.initials: M
authors.lastname: Nguen
authors.forename: J
authors.initials: J
authors.lastname: Cassel
authors.forename: J
authors.initials: J
authors.lastname: Snyder
authors.forename: S
authors.initials: S
authors.lastname: Smith
authors.forename: D
authors.initials: D
authors.lastname: Scoblionko
authors.forename: S
authors.initials: S
authors.lastname: Singh
authors.forename: A
authors.initials: A
authors.lastname: Aboulmagd
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D002404:Catheterization / Q000379:methods*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000628:therapy*; D003402:Creatine Kinase / Q000097:blood; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D003402:Creatine Kinase