Clinical application of noncompliant balloon post-dilatation during emergency PCI in patients with a-cute ST-segment elevation myocardial infarction and type 2 diabetes mellitus with low thrombus bur-den / 心血管康复医学杂志
Chinese Journal of cardiovascular Rehabilitation Medicine
;
(6): 84-89, 2024.
Article
Dans Chinois
| WPRIM
| ID: wpr-1022610
ABSTRACT
Objective:
To explore the clinical therapeutic effect and safety of noncompliant balloon post-dilatation(PD)during emergency percutaneous coronary intervention(PCI)in patients with acute ST-segment elevation my-ocardial infarction(STEMI)and type 2 diabetes mellitus(T2DM)with low thrombus burden.Methods:
A total of 122 STEMI±T2DM patients,who underwent emergency PCI in our hospital from Jan 2016 to Dec 2021,were con-secutively enrolled.According to PD therapy after PCI or not,they were divided into PD group(n=78)and non-PD group(n=44).Clinical data,PCI condition,postoperative TIMI blood flow,ST-segment elevation index res-olution(∑STIR),incidence rate of the major adverse cardiac events(MACE)during hospital and LVEF,incidence rates of in-stent restenosis and MACE within one year after PCI were compared between two groups.Results:
Compared with non-PD group,there were significant reductions in incidence rate of MACE during hospital(15.9%vs.3.8%),incidence rates of in-stent restenosis(14.3%vs.2.6%)and MACE within one year after PCI(21.4%vs.2.6%)in PD group(P<0.05 or<0.01),there were significant rise in LVEF within one year after PCI[58.50(52.75,65.25)%vs.64.00(58.25,67.50)%]in PD group(P=0.005).Conclusion:
It's safe and feasible to apply noncompliant balloon PD during emergency PCI in STEMI+T2DM patients with low thrombus bur-den.It can reduce incidence rate of MACE during hospital,in-stent restenosis and MACE within one year after PCI,and improve left heart function of patients,and provide clinical reference for the use of PD therapy in emer-gency PCI for these patients.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
langue:
Chinois
Texte intégral:
Chinese Journal of cardiovascular Rehabilitation Medicine
Année:
2024
Type:
Article
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