title: Results of coronary stenting after delayed angioplasty of the culprit vessel in patients with recent myocardial infarction.
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.
authors.affiliation: Department of Medicine, National Yang-Ming University, School of Medicine, Taiwan.
authors.forename: K R
authors.initials: KR
authors.lastname: Chiou
authors.forename: C Y
authors.initials: CY
authors.lastname: Chou
authors.forename: W L
authors.initials: WL
authors.lastname: Chan
authors.forename: J P
authors.initials: JP
authors.lastname: Pan
authors.forename: S J
authors.initials: SJ
authors.lastname: Lin
authors.forename: M J
authors.initials: MJ
authors.lastname: Charng
authors.forename: Y H
authors.initials: YH
authors.lastname: Chen
authors.forename: N W
authors.initials: NW
authors.lastname: Hsu
authors.forename: S P
authors.initials: SP
authors.lastname: Wang
authors.forename: P Y
authors.initials: PY
authors.lastname: Ding
authors.forename: M S
authors.initials: MS
authors.lastname: Chang
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D012008:Recurrence; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects; D013927:Thrombosis / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome