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Angiology
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Long-Term Follow-up of Primary Stenting with Coil Stent in Acute Myocardial Infarction

Michiko Yano, MD

Shunichi Kojima, MD, PhD

Toshihiko Sugi, MD

Yuji Matsumoto, MD

Morio Kuramochi, MD, PhD

Yuji Yoshitomi, MD

Division of Cardiology Tohsei National Hospital 762-1 Nagasawa, Shimizu-cho, Suntoh-gun Shizuoka, 411, Japan

The authors evaluated clinical and angiographic outcomes for 1 year after primary stenting using coil stent for acute myocardial infarction. Twenty-eight patients underwent primary stenting with coil stent. Follow-up coronary arteriography at 3 months and 1 year was planned in all patients. Procedural success was achieved in 96%. There was no acute or subacute thrombosis. Minimal lumen diameter (MLD) was increased from 0.08 ±0.19 to 2.73 ±0.49 mm after stenting. MLD had decreased significantly for 3 months (MLD at 3 months: 2.03 ±0.86 mm, p = 0.001). On the other hand, MLD did not differ between 3-month; and 1-year follow-up (MLD at 1 year: 2.26 ±0.73 mm, p = NS). Only one patient manifested reocclusion at 3-month follow-up. The cumulative restenosis rate and target lesion revascularization rate at 1-year follow-up were 25.9% (7/27) and 11.1% (3/27). Primary stenting using coil stent is safe and feasible in patients with acute myocardial infarction and may improve clinical outcome and decrease restenosis and target lesion revascularization rate.

Angiology, Vol. 51, No. 2, 107-114 (2000)
DOI: 10.1177/000331970005100203
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