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khosravi O, shekarian M M. Investigation of the clinical outcomes of primary angioplasty in hospitalized patients with ST-segment elevation acute myocardial infarction, Imam Reza Hospital, Mashhad, 1399-1401. Iranian Journal of Vascular Surgery and Endovascular Therapy 2025; 5 (1) :5-14
URL: http://ijvset.gums.ac.ir/article-1-74-en.html
URL: http://ijvset.gums.ac.ir/article-1-74-en.html
Mashhad, Chamran street , khosravio@mums.ac.ir
Abstract: (42 Views)
Ischemic heart disease (IHD) remains a major global health concern, with significant implications on patient mortality and life expectancy. Vascular reconstruction procedures such as coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) play a crucial role in managing IHD.
In this study conducted at Imam Reza Hospital, 103 patients with MI-STE who underwent PCI were evaluated. The study cohort consisted of 84 men and 19 women, with varying age ranges. A subset of patients had a history of CABG, addiction, or a family history of heart disease. The overall population experienced a low mortality rate of 1.9%.
The most commonly used stents were Supraflex and Xience, with a majority being ≤20 mm in length and 2.75mm in diameter. Complications post-PCI included hematoma at the angiography site, rehospitalization, coronary artery revascularization, contrast-induced nephropathy (CIN), No reflow, In Stent Restenosis (ISR), coronary artery dissection, and cardiogenic shock. Cardiogenic shock was significantly associated with mortality, posing a 100-fold increased risk.
This study highlights the importance of monitoring and managing post-PCI complications to improve patient outcomes and reduce mortality in individuals with IHD. Further research is needed to explore preventive strategies and optimize treatment approaches in this patient population.
In this study conducted at Imam Reza Hospital, 103 patients with MI-STE who underwent PCI were evaluated. The study cohort consisted of 84 men and 19 women, with varying age ranges. A subset of patients had a history of CABG, addiction, or a family history of heart disease. The overall population experienced a low mortality rate of 1.9%.
The most commonly used stents were Supraflex and Xience, with a majority being ≤20 mm in length and 2.75mm in diameter. Complications post-PCI included hematoma at the angiography site, rehospitalization, coronary artery revascularization, contrast-induced nephropathy (CIN), No reflow, In Stent Restenosis (ISR), coronary artery dissection, and cardiogenic shock. Cardiogenic shock was significantly associated with mortality, posing a 100-fold increased risk.
This study highlights the importance of monitoring and managing post-PCI complications to improve patient outcomes and reduce mortality in individuals with IHD. Further research is needed to explore preventive strategies and optimize treatment approaches in this patient population.
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Received: 2024/09/23 | Accepted: 2025/10/12 | Published: 2025/10/12
Received: 2024/09/23 | Accepted: 2025/10/12 | Published: 2025/10/12
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