ST-Segment Elevation Myocardial Infarction Due to Early and Late Stent Thrombosis

• Published in: Journal of the American College of Cardiology 2008-06, Vol.51 (25), p.2396-2402
• Main Authors: Chechi, Tania, MD, Vecchio, Sabine, MD, Vittori, Guido, MD, Giuliani, Gabriele, MD, Lilli, Alessio, MD, Spaziani, Gaia, MD, Consoli, Lorenzo, MD, Baldereschi, Giorgio, MD, Biondi-Zoccai, Giuseppe G.L., MD, Sheiban, Imad, MD, Margheri, Massimo, MD
• Format: Article
• Language: English
• Subjects: Cardiovascular; Internal Medicine
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2008.01.070

ST-Segment Elevation Myocardial Infarction Due to Early and Late Stent Thrombosis: A New Group of High-Risk Patients Tania Chechi, Sabine Vecchio, Guido Vittori, Gabriele Giuliani, Alessio Lilli, Gaia Spaziani, Lorenzo Consoli, Giorgio Baldereschi, Giuseppe G. L. Biondi-Zoccai, Imad Sheiban, Massimo Margheri There are limited data for procedural and mid-term outcomes of patients with stent thrombosis (ST) presenting with ST-segment elevation myocardial infarction (STEMI). We retrospectively analyzed angiographic and clinical outcomes of 2 groups of consecutive patients with STEMI caused by ST versus de novo coronary thrombosis, all treated with primary percutaneous coronary intervention. Successful reperfusion rate was lower and in-hospital major adverse cardiovascular and cerebrovascular event rate was higher in patients with ST; no differences were observed at 6-month follow-up among hospital survivors between the 2 groups. Thus, ST identifies a subgroup of patients with STEMI with poor angiographic and early clinical outcomes, suggesting that the management of them should be improved.