Short‐term safety and long‐term benefits of stent postdilation after primary percutaneous coronary intervention: Results of a cohort study
Catheterization and Cardiovascular Interventions Jun 19, 2020
Saadat N, Saadatagah S, Nargesi AA, et al. - Given that it is not always feasible to achieve the optimal apposition of coronary stents during percutaneous coronary intervention, and that there exists controversy about the risks as well as benefits of stent postdilation in primary percutaneous coronary intervention (PPCI) in patients encountering ST‐elevation myocardial infarction (STEMI), so, researchers assessed the immediate angiographic as well as the long‐term results in patients with and without stent postdilation. Participants were 1,224 STEMI patients, managed with PPCI (n = 500 postdilated; n = 724 controls). Major adverse cardiovascular events and device‐oriented composite endpoint (DOCE; including cardiac death, target lesion revascularization, and target vessel revascularization) were evaluated. The postdilation group had lower DOCE and cardiac mortality. Reduced DOCE was shown in relation to postdilation in the fully adjusted propensity score‐matched analysis. Overall, improvement in some angiographic and clinical outcomes was brought about by selective postdilation, and it could not be discouraged in PPCI on patients with STEMI.
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