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논문번호 307
논문제목(영문) Comparative treatment outcomes of a single long stent vs. overlapped short stents in acute myocardial infarction.
국내외구분 국외 SCI여부 SCI(E)
연구책임자역할 교신저자
주저자명 Lee DH, Oh S
교신저자명 Kim IS, Jeong MH
공동저자명 Kim MC, Sim DS, Hong YJ, Kim JH, Ahn Y, Han JB
게제년월일 2023-12-19
ISSN 2297-055X
Impact Factor 3.6
학술지명 Front Cardiovasc Med
서지사항 0집 / 10권 / 0호,   페이지(1284396 - 1284396)
요약초록문
(Abstract) 입력		 Objectives: There is no consensus regarding the optimal choice between single long stent (SLS) and overlapped double short stents (DSS) in patients with acute myocardial infarction (AMI). Therefore, we aimed to compare treatment outcomes among patients with AMI treated with these two different stenting methods.

Methods: In total, 537 patients with AMI from a single tertiary center were categorized into two groups: (1) those who received an SLS (stent length ≥38 mm) (n = 254; 47.3%) and (2) those who received overlapped DSS (individual stent lengths <38 mm) (n = 283; 52.7%). The primary outcome was the incidence of major adverse cardiac and cerebrovascular events (MACCEs) within 1 year.

Results: The mean age of participants was 65.4 years, and 75.0% were male. Patients receiving an SLS had a higher rate of serum creatinine level ≥1.5 mg/dl (16.3% vs. 8.9%, p = 0.009) but a lower rate of hypertension (46.8% vs. 55.8%, p = 0.038), lesser total stent length (38.26 ± 1.31 vs. 45.20 ± 9.25 mm, p < 0.001), total procedure time (41.40 ± 15.74 vs. 53.31 ± 21.75 min, p < 0.001) and total contrast volume (134.13 ± 30.72 vs. 160.57 ± 39.77 ml, p < 0.001) than in those receiving DSS. One-year MACCEs were comparable between the two groups before [hazard ratio (HR), 1.33; 95% confidence interval (CI), 0.80-2.24] and after adjusting for covariates (HR, 1.21; 95% CI, 0.67-2.19).

Conclusions: Stenting with an SLS demonstrated similar outcomes compared to those achieved when using stenting with overlapped DSS in patients with AMI. Therefore, if the deliverability is acceptable, stenting with an SLS appears to be a safe and effective strategy for AMI treatment.
파일  C307.pdf (2.5M) DATE : 2024-06-18 10:08:08