HOSPITAL OUTCOME AFTER BAILOUT CORONARY STENTING IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION

We evaluated the outcome of bailout coronary stenting in acute myocard ial infarction, Fifty patients (35 men, mean age 60 plusmn; 12) with a cute myocardial infarction consecutively underwent bailout stenting af ter primary and rescue coronary angioplasty (n=41 and 9, respectively) . Cardiogenic shock was present in six patients, and 17 others had con traindications to thrombolysis, Stent implantation was successful in 4 9/50 patients. The antithrombotic regimen combined heparin, aspirin, a nd ticlopidine. One patient had symptomatic stent closure, Predischarg e angiography in 41/44 survivors showed widely patent stents in 40/41 patients. Six patients (4 of whom had been admitted with cardiogenic s hock) died in the hospital. During acute myocardial infarction, bailou t stenting can achieve high TIMI grade 3 coronary patency there, 92%), and low acute stent closure rates there, 2%), However, in-hospital mo rtality remained high, at nearly 10%, mainly due to the severe risk pr ofile in this patient subset. (C) 1998 Wiley-Liss, Inc.