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Short-Term Clinical Benefit of Sirolimus-Eluting Stents Compared to Bare Metal Stents for Patients with Acute Myocardial Infarction

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Author(s)
이상훈김권배남창욱허승호조윤경한성욱김윤년김기식이영수
Keimyung Author(s)
Kim, Kwon BaeNam, Chang WookHur, Seung HoCho, Yun KyeongHan, Seong WookKim, Yoon Nyun
Department
Dept. of Internal Medicine (내과학)
Journal Title
Keimyung Medical Journal
Issued Date
2007
Volume
26
Issue
1
Keyword
Acute myocardial infarctionAngioplastySirolimus-eluting stent
Abstract
Sirolimus-eluting stents (SES) have been recently proven to reduce restenosis and reintervention compared with bare metal stents (BMS). However, the effectiveness of SES in acute myocardial infarction (AMI) remains uncertain. The aim of this study was to evaluate the efficacy of SES implantation in patients with AMI compared with that of BMS. From January 2003 to April 2004, angioplasty with SES was performed in 76 patients (82 lesions) with AMI and the result was compared with that of 106 patients (113 lesions) treated with BMS. The incidence of
major adverse cardiac events (death, nonfatal myocardial infarction, and target lesion
revascularization) and binary angiographic restenosis were evaluated. Antiplatelet therapies
included aspirin with clopidogrel, or cilostazole. follow-up angiography was performed at sixth month. Baseline demographic characteristics and the incidence of short term adverse events were
similar between both SES and BMS groups. At follow-up angiography, SES group showed the significantly lower incidences in adverse events (8.2% vs. 39.3%, p<0.01). late loss (0.38 ± 0.54 mm vs 1.34 ± 0.96 mm, p<0.01) and restenosis (5.9% vs. 35.6%, p<0.01) comparing to BMS group. Therefore, SES implantation could be a safe and effective strategy for the treatment in patients with AMI.
Keimyung Author(s)(Kor)
김권배
남창욱
허승호
조윤경
한성욱
김윤년
Publisher
Keimyung University School of Medicine
Citation
이상훈 et al. (2007). Short-Term Clinical Benefit of Sirolimus-Eluting
Stents Compared to Bare Metal Stents for Patients with Acute Myocardial Infarction. Keimyung Medical Journal, 26(1), 13–19.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15385
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2007
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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