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Drug-Eluting Stents during ST-Segment Elevation Acute Myocardial Infarction: A Critical Analysis.
MedLine Citation:
PMID:  21539610     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Primary percutaneous coronary intervention is the preferred reperfusion therapy for ST-segment elevation acute myocardial infarction patients within 12 hours of symptom-onset. Routine stent implantation during the procedure significantly reduces the rate of target vessel revascularization, although restenosis still represents a current limitation of the technique. Drug-eluting stents were developed to treat and prevent coronary restenosis. Randomized trials, meta-analysis, and registries proved their efficacy and safety in different clinical situations, including acute myocardial infarction. However, the increased risk of late stent thrombosis associated with drug-eluting stents during primary percutaneous coronary interventions encourages a careful analysis to identify which patients most benefit from them, as well as those where a prolonged dual antiplatelet therapy does not represent a limiting factor. (J Interven Cardiol 2011;**:1-8).
Authors:
Pedro Beraldo DE Andrade; Marden André Tebet; Felipe Souza Maia DA Silva; Mônica Vieira Athanazio DE Andrade; André Labrunie; Luiz Alberto Piva E Mattos
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-3
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  -     ISSN:  1540-8183     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2011, Wiley Periodicals, Inc.
Affiliation:
Irmandade da Santa Casa de Misericórdia de Marília, Marília - São Paulo - Brazil Hospital do Coração de Londrina, Londrina - Paraná- Brazil Instituto Dante Pazzanese de Cardiologia, São Paulo - São Paulo - Brazil.
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