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临床试验/NCT04110691
NCT04110691Unknown不适用

Impact of Stent Length and Diameter on Short Term Outcomes in Patients With ST Segment Elevation Myocardial Infarction Undergoing Primary PCI.

Assiut University0 个研究点目标入组 200 人开始时间: 2020年7月1日最近更新:
适应症

试验速览

阶段
不适用
入组人数
200
主要终点
prognosis of patients with ST segment myocardial infarction undergoing primary PCI

研究概览

简要总结

The goal of the study is to evaluate the Impact of coronary stent length and/or diameter in patients with ST segment myocardial infarction undergoing primary PCI, on Short term clinical outcomes.

详细描述

  • ST segment elevation myocardial infarction is serious condition to the blood supply to the heart muscle. Rapid reperfusion of the ischemic myocardium using percutaneous coronary intervention (PCI) is the standard treatment for acute myocardial infarction (MI) to rescue the ischemic myocardium and reduce infarction size.
  • There are two types of stents:
  1. Drug-eluting stent which achieving local drug delivery to the injured blood vessel at the time of intervention, a drug is released from a polymer coating or loaded directly onto the stent (2). This is the best one.
  2. Bare metal stent is the old one and not effective as DES in reducing vascular restenosis by suppressing smooth muscle cell (SMC) proliferation.
  • The management of long coronary lesions by percutaneous coronary intervention (PCI) has become increasingly important because of the rising incidence of long or complex lesions in aging populations (3) Stent length has been considered as an important predictor of adverse events after PCI. The exact impact of lesion length on the short- and long-term clinical outcomes of DES implantations is not clear yet.
  • Myocardial necrosis complicates one-third of percutaneous coronary intervention (PCI) and may adversely affect the outcome(4)

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

性别
All
接受健康志愿者

入选标准

  • Patients with ST segment myocardial infarction who are eligible for PCI.
  • All categories (all age groups and both sex groups)

排除标准

  • Patients with previous PCI.
  • Patients of ectatic lesions.
  • Patients with with multi vessel disease and suitable for CABG.
  • Patients with complex lesions including bifurcational lesions and LM stenting.

结局指标

主要结局

prognosis of patients with ST segment myocardial infarction undergoing primary PCI

时间窗: 3 months

prognosis will be measured with ECG and ECHO

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Nada Deyaa

Principal investigator

Assiut University

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