الفهرس | Only 14 pages are availabe for public view |
Abstract Primary percutaneous coronary intervention (PCI) is the preferred strategy for reperfusion in the treatment of STEMI allowing effective and rapid restoration of blood flow to ischemic myocardial tissue. The aim of this study is to evaluate the impact of stent features on short and long term clinical outcome following primary percutaneous coronary intervention. This study included 100 patients presented by AMI and underwent primary percutaneous intervention using variables types of stents in two PCI centers in our locality Minia Government included, Minia cardiac center and El Raii salah center during period from May 2015 to May 2016. All patients in this study were subjected to: • History taking and clinical examination. • Electrocardiogram. • Echocardiography to assess left ventricular systolic function and dimensions. • Primary invasive coronary angiography and stent implantation using variable type of stents. This study demonstrated that In STEMI patients underwent PPCI, DES implantation is safe and is associated with lower MACE at short and long-term follow-up than BMS and there is an advantage of Thin struts thickness stents in improving clinical outcome results more than thick struts thickness stents with no effect of other stent features on the clinical outcome of patients after using variable types of stents. Finally, we proved that DES stents is superior to BMS in improving clinical outcome results and thin struts thickness stents is more preferable than thick struts thickness stents. |