학술대회안내사전등록초록등록안내초록등록/관리숙박 및 교통
초록심사

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ǥ : ȣ - 480358   21 
Impact of Balloon Inflation Pressure during Primary Coronary Stenting on Clinical Outcomes in Patient with Acute Myocardial Infarction
Division of Cardiology, Internal Medicine, Dongsan Medical Center, Keimyung University
Yun-Kyeong Cho, Seung-Ho Hur, Kwon-Bae Kim, Young-Soo Lee, Chang-Wook Nam, Sang-Hoon Lee, Seong-Wook Han, Mi-Sun Song, Kee-Sik Kim, Yoon-Nyun Kim
Background: High pressure balloon inflation has been used as a standard technique during stent implantation in practice. However, the efficacy of this strategy is not well established during primary coronary stenting. We evaluated the clinical outcomes at 6 months follow-up according to balloon inflation pressure in patient with acute myocardial infarction (AMI) who underwent primary coronary stenting. Methods: This retrospective study included 117 patients who underwent coronary stent (≥ 3.0mm sized) implantation. According to balloon inflation pressure, all patients were divided into 3 groups: Group 1 low pressure (< 12atm), Group 2 moderate pressure (≥ 12 to < 16atm), Group 3 high pressure (≥ 16atm). The clinical outcomes (include death, non-fatal myocardial infarction, target vessel revascularization) were evaluated at 6 months follow-up. Results: See as a following table. Conclusion: The use of moderate to high pressure balloon inflation during primary coronary stenting did not show better late clinical outcomes.

 

Group 1

Group 2

Group 3

Number of Patients

21

66

30

Age (years)

59

61

59

Reference VD (mm)

3.2

3.4

3.4

Post_MLD (mm)

3.1

3.3

3.3

Stent size (mm)

3.4

3.5

3.5

No - reflow

1 (4.8%)

5 (7.6%)

2 (6.7%)

AT or SAT

1 (4.8%)

0 (0.0%)

0 (0.0%)

Death

0 (0.0%)

4 (6.1%)

1 (3.3%)

Non-fatal MI

0 (0.0%)

1 (1.5%)

0 (0.0%)

TVR

1 (4.8%)

4 (6.1%)

1 (3.3%)

All data p>0.05, VD: vessel diameter, MLD: minimal lumen diameter,

AT: acute thrombosis, SAT: subacute thrombosis, TVR: total vessel revascularization



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