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Rescue percutaneous transluminal coronary angioplasty for acute myocardial infarction



Rescue percutaneous transluminal coronary angioplasty for acute myocardial infarction



Zhonghua Xinxueguanbing Zazhi 26(6): 426-428



Objective To evaluate the role of rescue angioplasty for patients with acute myocardial infarction(AMI). Methods Rescue angioplasty was performed for 36 AMI patients. Four patients presented in killp class III and IV, and 32 in Killp class I and II. The infarct-related artery (IRA) was left anterior descending artery in 17, right coronary artery in 14, left circumflex in 4, intermediate artery in 1. All patients had TIMI 0 flow before PTCA except 2 patients with TIMI I flow and the other 2 patients with TIMI I-II flow. PTCA failed in 3 patients. PTCA was successfully performed in 33 patients, including 13 patients with stent implantation. Results TIMI III was achieved in 31 patients, TIMI II to III flow in 2 patients. So procedural success rate was 91.7%. Inhospital complications included that one died of refractory cardiogenic shock and Vf on the same day of PTCA. Mortality rate was 5.6%. There were 14 patients who were repeatedly performed with coronary angiography within two monthsand only 2 patients had restenosis. Conclusion For AMI patients who failed to response to thrombolysis, rescue PTCA is the alternative. Results of our early experience in rescue PTCA in a small population demonstrated high procedural success rate. Rescue PTCA may be benefitial to the short-term and long-term outcome of patients with AMI.

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Accession: 011288189

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