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Drug-eluting stents during ST-segment elevation acute myocardial infarction: a critical analysis.

Abstract：

:Primary percutaneous coronary intervention is the preferred reperfusion therapy for ST-segment elevation acute myocardial infarction patients within 12 hours of symptom-onset. Routine stent implantation during the procedure significantly reduces the rate of target vessel revascularization, although restenosis still represents a current limitation of the technique. Drug-eluting stents were developed to treat and prevent coronary restenosis. Randomized trials, meta-analysis, and registries proved their efficacy and safety in different clinical situations, including acute myocardial infarction. However, the increased risk of late stent thrombosis associated with drug-eluting stents during primary percutaneous coronary interventions encourages a careful analysis to identify which patients most benefit from them, as well as those where a prolonged dual antiplatelet therapy does not represent a limiting factor.

journal_name

J Interv Cardiol

journal_title

Journal of interventional cardiology

authors

Andrade PB,Tebet MA,Silva FS,Andrade MV,Labrunie A,Piva e Mattos LA

doi

10.1111/j.1540-8183.2011.00650.x

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

416-23

issue

5

eissn

0896-4327

issn

1540-8183

journal_volume

24

pub_type

杂志文章,评审

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