AI Summary & Key Takeaways
AI InsightThe patients were classified into two groups based on the lesions treated with primary PCI, i.e., native vessels (n=2,625) and SVG (n=21).Results: Compared to patients with occluded native vessels, patients with SVG occlusion had significantly higher rates of coronary bypass operation (100% vs. 2.3%, p
📌 3 Key Takeaways
Abstract
Objectives: We evaluated the efficacy and outcome of primary percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) due to saphenous vein graft (SVG) occlusion.Study design: We reviewed 2,646 consecutive patients (mean age 56.6±11.8 years) who underwent primary PCI for STEMI between 2003 and 2009. All clinical and angiographic data and in-hospital and long-term (median 22 months) outcomes were retrospectively collected. The patients were classified into two groups based on the lesions treated with primary PCI, i.e., native vessels (n=2,625) and SVG (n=21).Results: Compared to patients with occluded native vessels, patients with SVG occlusion had significantly higher rates of coronary bypass operation (100% vs. 2.3%, p
Özet
Amaç: Safen ven greft (SVG) tıkanıklığına bağlı ST yükselmeli miyokart enfarktüsü (STYME) gelişen hastalarda, primer perkütan koroner girişimin (PKG) etkinliği ve sonuçları değerlendirildi.Çalışma planı: 2003-2009 yılları arasında, STYME nedeniyle primer PKG uygulanan ardışık 2646 hasta (ort. yaş 56.6 ±11.8) çalışmaya alındı. Hastaların tüm klinik ve anjiyografik verileri ve hastane içi ve uzun dönem (ortanca 22 ay) sonuçları geriye dönük olarak toplandı. Primer PKG’nin SVG’lere (n=21) ve doğal damarlara (n=2625) uygulanmasına göre hastalar iki gruba ayrıldı.Bulgular: Safen ven grefti tıkanıklığı olan grupta, doğal damarlara girişim yapılan gruba göre koroner baypas (%100 ve %2.3, p