Effect of Peri-Interventional Blood Loss on In-Stent Thrombosis After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

被引：0

作者：

Youssef, Akram ^{[1
]}

Mashaly, Ahmed ^{[2
,3
]}

Alkomi, Usama ^{[1
]}

Christoph, Marian ^{[1
]}

Abdelsamad, Ahmed ^{[4
]}

Quick, Silvio ^{[1
]}

Elzanaty, Nesma ^{[5
]}

Mahlmann, Adrian ^{[6
,7
]}

Ibrahim, Karim ^{[1
]}

Ghazy, Tamer ^{[8
]}

机构：

[1] Klinikum Chemnitz, Dept Internal Med & Cardiol, Flemmingstr 2, D-09116 Chemnitz, Germany

[2] Tanta Univ, Tanta Fac Med, Dept Cardiol, El Bahr St, Tanta 31111, Egypt

[3] Korea Univ, Guro Hosp, Cardiovasc Ctr, Seoul 08308, South Korea

[4] Evangel Krankenhaus Lippstadt EVK Hosp, Dept Gen Surg, D-59555 Lippstadt, Germany

[5] Tanta Univ, Tanta Fac Med, Dept Med Physiol, El Bahr St, Tanta 31111, Egypt

[6] Katholisches Krankenhaus Hagen, St Josefs Hosp, Vasc Ctr South Westphalia, Clin Angiol, D-58097 Hagen, Germany

[7] Ruhr Univ Bochum, Univ Hosp, Dept Internal Med, D-44801 Bochum, Germany

[8] Philipps Univ Marburg, Marburg Univ Hosp, Dept Cardiac Surg, D-35043 Marburg, Germany

来源：

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE | 2025年 / 12卷 / 02期

关键词：

peri-interventional bleeding; acute myocardial infarction; in-stent stenosis; ELUTING STENTS; FOLLOW-UP; ANEMIA; IMPACT; OUTCOMES; BMS; DES; COMPLICATIONS; TRANSFUSION; HEMOGLOBIN;

D O I：

10.3390/jcdd12020067

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This paper evaluates the effect of blood loss on in-stent stenosis after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI). Nine hundred and ninety-seven patients who underwent PCI for AMI as well as follow-up coronary angiography at 6-12 months from two centers were categorized into three groups based on peri-interventional blood loss at the primary intervention (mild, <1 mmol/L moderate, 1-2 mmol/L; severe > 2 mmol/L). The endpoint was to evaluate the incidence and severity of in-stent stenosis at follow-up angiography and the revascularization rate. The incidence of in-stent stenosis and revascularization in mild, moderate, and severe groups was 19.3%, 33.1%, and 61.1%, respectively (p = 0.001), with HR: 1.35 (95% CI; 1.10-1.65), p < 0.001. Peri-interventional blood loss was associated with a higher incidence of in-stent stenosis and revascularization 6-12 months after successful PCI in patients with AMI.

引用

页数：10

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