A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial
OBJECTIVE: To compare the outcome of balloon PTCA with final coronary stenosis diameter (SD) <=30%, with elective coronary stenting. METHODS: We performed a comparative analysis of the 6 month outcomes in patients treated with primary stenting and those who obtained an optimal balloon PTCA result...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2000-12-01
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| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001200004 |
| _version_ | 1818559116977635328 |
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| author | Luiz Alberto Mattos Cindy L. Grines David Cox J. Eduardo Sousa Costantino Costantini Gregg Stone Marie C. Morice William O'Neill Eulógio Garcia Judith Boura |
| author_facet | Luiz Alberto Mattos Cindy L. Grines David Cox J. Eduardo Sousa Costantino Costantini Gregg Stone Marie C. Morice William O'Neill Eulógio Garcia Judith Boura |
| author_sort | Luiz Alberto Mattos |
| collection | DOAJ |
| description | OBJECTIVE: To compare the outcome of balloon PTCA with final coronary stenosis diameter (SD) <=30%, with elective coronary stenting. METHODS: We performed a comparative analysis of the 6 month outcomes in patients treated with primary stenting and those who obtained an optimal balloon PTCA result treated during the first 12 hours of AMI onset included in the STENT PAMI randomized trial. RESULTS: The results were analysed into 3 groups: primary stenting (441 patients, SD=22±6%), optimal PTCA (245 patients), and nonoptimal PTCA (182 patients, SD= 37±5%). At the end of the 6 months primary stent group presented with the lowest restenosis(23 vs. 31 vs. 45%, p=0.001, respectively). Ischemia-driven target vessel revascularization rate (TVR) (7 vs. 15.5 vs. 19%, p=0.001, respectively). CONCLUSION: At the 6 month follow-up, primary stenting offered the lowest restenosis and ischemia-driven TVR rates. Compared to optimal balloon PTCA. Nonoptimal primary balloon PTCA pts (SD=31-50%), had the worst late angiographic outcomes and should be treated more actively with coronary stent implantation. |
| first_indexed | 2024-12-14T00:21:12Z |
| format | Article |
| id | doaj.art-430bb7d13bfb4d1eb9f625b5f648bf2c |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-14T00:21:12Z |
| publishDate | 2000-12-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-430bb7d13bfb4d1eb9f625b5f648bf2c2022-12-21T23:25:13ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702000-12-0175650851410.1590/S0066-782X2000001200004A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trialLuiz Alberto MattosCindy L. GrinesDavid CoxJ. Eduardo SousaCostantino CostantiniGregg StoneMarie C. MoriceWilliam O'NeillEulógio GarciaJudith BouraOBJECTIVE: To compare the outcome of balloon PTCA with final coronary stenosis diameter (SD) <=30%, with elective coronary stenting. METHODS: We performed a comparative analysis of the 6 month outcomes in patients treated with primary stenting and those who obtained an optimal balloon PTCA result treated during the first 12 hours of AMI onset included in the STENT PAMI randomized trial. RESULTS: The results were analysed into 3 groups: primary stenting (441 patients, SD=22±6%), optimal PTCA (245 patients), and nonoptimal PTCA (182 patients, SD= 37±5%). At the end of the 6 months primary stent group presented with the lowest restenosis(23 vs. 31 vs. 45%, p=0.001, respectively). Ischemia-driven target vessel revascularization rate (TVR) (7 vs. 15.5 vs. 19%, p=0.001, respectively). CONCLUSION: At the 6 month follow-up, primary stenting offered the lowest restenosis and ischemia-driven TVR rates. Compared to optimal balloon PTCA. Nonoptimal primary balloon PTCA pts (SD=31-50%), had the worst late angiographic outcomes and should be treated more actively with coronary stent implantation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001200004stentangioplastyrestenosis |
| spellingShingle | Luiz Alberto Mattos Cindy L. Grines David Cox J. Eduardo Sousa Costantino Costantini Gregg Stone Marie C. Morice William O'Neill Eulógio Garcia Judith Boura A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial Arquivos Brasileiros de Cardiologia stent angioplasty restenosis |
| title | A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial |
| title_full | A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial |
| title_fullStr | A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial |
| title_full_unstemmed | A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial |
| title_short | A comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction. Six month results from the STENT PAMI trial |
| title_sort | comparative analysis of primary stenting and optimal balloon coronary angioplasty in acute myocardial infarction six month results from the stent pami trial |
| topic | stent angioplasty restenosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001200004 |
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