Influência da pressäo de liberaçäo dos stents coronários implantados em pacientes com infarto agudo do miocárdio. Análise pela angiografia coronária quantitativa / Influence of balloon pressure inflation in patients undergoing primary coronary stent implantation during acute myocardial infarction. A quantitative coronary angiography analysis
Arq. bras. cardiol
;
80(3): 250-268, Mar. 2003. tab, graf
Artigo
em Português, Inglês
| LILACS, SES-SP
| ID: lil-331104
ABSTRACT
OBJECTIVE:
To verify the influence of moderate- or high-pressure balloon inflation during primary coronary stent implantation for acute myocardial infarction.METHODS:
After successful coronary stent implantation, 82 patients were divided into 2 groups according to the last balloon inflation pressure group 1 (FACE="Symbol"> 12 to <16 atm) and group 2 (FACE="Symbol"> 16 to 20 atm), each with 41 cases. All patients underwent late coronary angiography.RESULTS:
In group 1, the mean stent deployment pressure was 13.58±0.92 atm, and in the group 2 it was 18.15±1.66 atm. Stents implanted with moderate pressures (FACE="Symbol"> 12 to <16 atm) had a significantly smaller postprocedural minimal lumen diameter, compared to with those with higher pressure, with lesser acute gain (2.7± 0.4 mm vs 2.9±04 mm; p=0.004), but the late lumen loss (0,9±0,8 mm vs 0,9±0,6 mm) and the restenosis (22 percent vs. 17.1 percent) and target-vessel revascularization rates (9.8 percent vs 7.3 percent) were similar between the groups.CONCLUSION:
During AMI stenting, the use of high pressures (FACE="Symbol"> 16 atm) did not cause a measurable improvement in late outcome, either in the late loss, its index, and the net gain, or in clinical and angiographic restenosis rates
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Angioplastia Coronária com Balão
/
Stents
/
Angiografia Coronária
/
Reestenose Coronária
/
Infarto do Miocárdio
Tipo de estudo:
Guia de Prática Clínica
/
Estudo observacional
Limite:
Adolescente
/
Adulto
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Ano de publicação:
2003
Tipo de documento:
Artigo
Instituição/País de afiliação:
Instituto Dante Pazzanese de Cardiologia/BR
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