Coronary Stent Choice in Patients with Acute Myocardial Infarction

被引：3
|
作者：
Stefanini, Giulio G. [1 ]
Windecker, Stephan [1 ]
机构：
[1] Univ Hosp Bern, Dept Cardiol, CH-3010 Bern, Switzerland
来源：
CURRENT CARDIOLOGY REPORTS | 2012年 / 14卷 / 04期
基金：
瑞士国家科学基金会;
关键词：
Acute myocardial infarction; STEMI; Primary percutaneous coronary intervention; Coronary artery stents; Drug-eluting stents; Bare-metal stents; Newer-generation drug-eluting stents; Everolimus; Zotarolimus; Biolimus; Biodegradable polymer; Stent thrombosis; SIROLIMUS-ELUTING STENT; BARE-METAL STENTS; UNCOATED STENTS; BIODEGRADABLE POLYMER; PRIMARY ANGIOPLASTY; RANDOMIZED-TRIAL; DURABLE POLYMER; FOLLOW-UP; PACLITAXEL; THROMBOSIS;
D O I：
10.1007/s11886-012-0281-y
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A prompt reperfusion with primary percutaneous coronary intervention represents the current gold standard treatment for patients with acute myocardial infarction. In this setting, coronary stents have been shown to improve outcomes compared to plain angioplasty and are routinely used. However, the stent selection among patients with acute myocardial infarction is still a matter of some debate. An increased risk of very late (> 1-year) stent thrombosis has been associated with the use of early-generation drug-eluting stents (DES), leading to concerns regarding the long-term safety of these devices. Newer-generation DES were developed with the aim of addressing this safety issue, and were recently investigated in a few randomized studies in patients with acute myocardial infarction. The objective of the present review is to summarize the accumulated evidence, to guide the stent selection in patients with acute myocardial infarction.
引用
收藏
页码：477 / 485
页数：9
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