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Paclitaxel-Eluting Stents versus Bare-Metal Stents in Acute Myocardial Infarction
Ist Teil von
The New England journal of medicine, 2009-05, Vol.360 (19), p.1946-1959
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2009
Link zum Volltext
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Acute ST-segment elevation myocardial infarction is often treated with immediate coronary stenting of the infarct-related artery. The use of a paclitaxel-eluting stent, as compared with a bare-metal stent, reduced the risk of restenosis and was equally safe.
Acute ST-segment elevation myocardial infarction is often treated with immediate coronary stenting of the infarct-related artery. The use of a paclitaxel-eluting stent, as compared with a bare-metal stent, reduced the risk of restenosis and was equally safe.
By enlarging luminal dimensions and sealing dissection planes at the site of coronary-artery occlusion in patients with evolving ST-segment elevation myocardial infarction, bare-metal stents reduce the risk of early and late recurrent ischemia and reocclusion of the infarct-related artery, as compared with balloon angioplasty alone, decreasing the need for subsequent revascularization of the target lesion with repeat percutaneous coronary intervention (PCI) or coronary-artery bypass grafting.
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Nonetheless, restenosis occurs in more than 20% of patients in whom bare-metal stents are implanted during primary PCI, and implantation of bare-metal stents, as compared with balloon angioplasty, has not reduced the rates of . . .