Coronary Angioplasty with or without Stent Implantation for Acute Myocardial Infarction

• Published in: The New England journal of medicine Vol. 341; no. 26; pp. 1949 - 1956
• Main Authors: Grines, Cindy L, Cox, David A, Stone, Gregg W, Garcia, Eulogio, Mattos, Luiz A, Giambartolomei, Alessandro, Brodie, Bruce R, Madonna, Olivier, Eijgelshoven, Marcel, Lansky, Alexandra J, O'Neill, William W, Morice, Marie-Claude
• Format: Journal Article
• Language: English
• Published: Boston, MA Massachusetts Medical Society 23-12-1999
• Subjects: Angioplasty; Biological and medical sciences; Blood clots; Diseases of the cardiovascular system; Heart attacks; Intubation; Ischemia; Medical sciences; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Stents; Veins & arteries; Human; Treatment; Infarct; Acute; Coronary artery; Instrumentation therapy; Myocardium; Cardiovascular disease; Instrumental dilatation; Coronary heart disease; Myocardial disease; Stent
• ISSN: 0028-4793; 1533-4406
• DOI: 10.1056/NEJM199912233412601

Percutaneous transluminal coronary angioplasty for primary treatment after acute myocardial infarction has been demonstrated to be superior to thrombolytic therapy with regard to the restoration of normal coronary blood flow
1
and is associated with lower rates of recurrent ischemia, reinfarction, stroke, and death.
2
–
4
Primary angioplasty has clinical limitations, however. Abrupt closure occurs more often after primary angioplasty for emergency reperfusion than after elective procedures, and in 10 to 15 percent of patients ischemia recurs before hospital discharge.
2
,
5
Routine angiographic follow-up at six months has demonstrated reocclusion of the infarct-related artery in 10 to 15 percent of patients and . . .