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dc.contributor.authorIşık, Turgay
dc.contributor.authorAyhan, Erkan
dc.contributor.authorUyarel, Hüseyin
dc.contributor.authorErgelen, Mehmet
dc.contributor.authorÇiçek, Gökhan
dc.contributor.authorOsmonov, Damirbek
dc.contributor.authorTürkkan, Ceyhan
dc.contributor.authorTürer, Ayça
dc.descriptionIşık, Turgay (Balikesir Author)en_US
dc.description.abstractObjective The aim of our study was to determine the impact of direct stenting (DS) on procedural success and the in-hospital outcome among patients with ST-elevation myocardial infarction (STEMI) treated with a primary percutaneous coronary intervention (PCI). Background With improvements in stent designs, DS has become more widespread. The theoretical advantages of DS include a shorter procedural time, a lower contrast dose, and reduced spiral dissections, along with reduced radiation exposure and procedural costs. Methods A total of 1992 consecutive STEMI patients were reviewed; 621 patients (31.2%) were included in the DS group and 1371 (68.8%) in the conventional stenting (CS) group. The clinical and angiographic characteristics, in-hospital outcomes, and predictors of unsuccessful primary angioplasty were analyzed. Results The incidence of in-hospital major adverse cardiac events (MACE) was 6.1% in the CS group and 4.3% in the DS group. The difference between the two patient groups was not statistically significant for myocardial reinfarction (re-MI), target-vessel revascularization, and MACE. Nonetheless, the rates of in-hospital mortality and advanced heart failure were significantly lower in the DS group. CS [ odds ratio (OR) 3.49, 95% confidence interval CI) 1.65-7.37, P = 0.001], Killip class 2/3 (OR 2.5, 95% CI 1.2-5.23, P = 0.01), glomerular filtration rate less than 60 ml/min/1.73m (2) (OR 2.2, 95% CI 1.22-3.94, P = 0.008), and anterior MI (OR 1.61, 95% CI 1.01-2.56, P = 0.04) were found to be independent predictors of unsuccessful procedures. Conclusion DS improves the in-hospital outcomes of STEMI patients treated with primary PCI, particularly by reducing the rates of in-hospital mortality and advanced heart failure. CS was an independent predictor of unsuccessful PCI.en_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.subjectConventional Stentingen_US
dc.subjectDirect Stentingen_US
dc.subjectST-Elevation Myocardial Infarctionen_US
dc.titleA comparison of direct versus conventional stenting in patients undergoing primary angioplasty for ST-elevation myocardial infarctionen_US
dc.relation.journalCoronary Artery Diseaseen_US
dc.contributor.departmentTıp Fakültesien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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