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Published on: April 25, 2014
[Angiographic results of primary angioplasty in acute myocardial infarction]
N E Kløw1, B Bendz, J Eritsland
1Hjerte-lungesenteret, Ullevål sykehus, 0407 Oslo. n.e.klow@ioks.uio.no
Insights
Primary angioplasty for acute myocardial infarction offers high success rates and good short-term outcomes. This effective treatment for restoring coronary blood flow has few complications.
Area of Science:
- Cardiology
- Interventional Cardiology
- Acute Myocardial Infarction Management
Context:
- Percutaneous angioplasty is an alternative to thrombolysis for restoring coronary blood flow in patients with transmural myocardial infarction.
- This treatment is not widely accepted in Norway.
- Study conducted from 1996 to 1998 involving 100 consecutive patients.
Purpose:
- To evaluate the efficacy and safety of primary angioplasty in treating acute transmural myocardial infarction.
- To assess the success rates, complications, and short-term outcomes of the procedure.
Summary:
- Angioplasty was performed on 100 patients with acute transmural infarction, with 92% having TIMI 0 or 1 flow.
- Successful angioplasty was achieved in 95% of cases.
- Complications and events within 24 hours were observed in 9% of patients.
Impact:
- Primary angioplasty for acute myocardial infarction demonstrates high primary success rates.
- The procedure yields good short-term results with a low complication rate.
- Findings support the wider adoption of percutaneous angioplasty for 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.
Material And 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%.
Conclusion:
Primary angioplasty for acute myocardial infarction can be done with high primary success, good short-term results and few complications.
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