[Angiographic results of primary angioplasty in acute myocardial infarction].
BACKGROUND
Percutaneous angioplasty is an alternative to thrombolysis to reestablish coronary blood flow in patients with transmural myocardial infarction. At present, this treatment option is not widely accepted in Norway.


METHODS
From 1996 to 1998, one hundred consecutive patients were treated with angioplasty for acute transmural infarction. The angiography showed one-vessel disease in 55%, two-vessel in 25%, and multivessel in 20%. The infarct related artery was the LAD in 44%, the CX in 14%, the RCA in 41%, and bypass graft in one. 92% had TIMI 0 or 1 flow. Stent was placed in 73%, GPIIb/IIIa was used in 11% and temporary pacemaker placed in 5%.


RESULTS
Successful angioplasty was performed in 95%, 3% was not done, and 2% failed. Peripheral stenoses were treated in 15% and stenoses in other arteries in 10%. Complications and events within 24 hours related to the angioplasty were seen in 9%.


CONCLUSIONS
Primary angioplasty for acute myocardial infarction can be done with high primary success, good short-term results and few complications.
Kløw
N E
NE
Hjerte-lungesenteret, Ullevål sykehus, 0407 Oslo. n.e.klow@ioks.uio.no
Bendz
B
B
Eritsland
J
J
Hoffman
P
P
Stavnes
S
S
Stensaeth
K H
KH
Søvik
E
E
Brekke
M
M
Mangschau
A
A
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D016896:Treatment Outcome