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- Title
Outcome of Primary Percutaneous Intervention in Patients With Infarct-Related Coronary Artery Ectasia.
- Authors
Erden, İsmail; Erden, Emine Çakcak; Özhan, Hakan; Karabulut, Ahmet; Ordu, Serkan; Yazici, Mehmet
- Abstract
Data related to the incidence and clinical outcome of acute myocardial infarction (AMI) in patients with preexisting coronary artery ectasia (CAE) are limited. We assessed whether infarct-related artery ectasia (EIRA) indicates an untoward clinical outcome in patients with AMI undergoing primary percutaneous coronary intervention (pPCI). Consecutive patients (n = 643) who presented with AMI and were treated with pPCI were analyzed retrospectively; 31 patients (4.8%) had EIRA. Patients who had EIRA were significantly younger and had higher incidence of hypertension, previous stroke, smoking, inferior wall AMI, and Killip score >1. Infarct-related artery ectasia was more frequent in the right coronary artery (RCA). Impaired epicardial arterial flow, thrombus burden score of infarct-related artery (IRA), impaired Thrombolysis in Myocardial Infarction (TIMI) Myocardial Perfusion Grade, and distal embolization were significantly higher whereas ST-segment resolution and collateral vascular development were significantly lower in patients with EIRA. Infarct-related artery ectasia was an independent predictor of adverse outcome (odds ratio: 0.197; 95% confidence interval [CI]: 0.062-0.633; P = .006).
- Subjects
HEALTH outcome assessment; MYOCARDIAL infarction; CORONARY disease; CORONARY arteries; THROMBOLYTIC therapy
- Publication
Angiology, 2010, Vol 61, Issue 6, p574
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319709361197