Post-dilatation trepidation: Post-dil is "no big dil".
Stacey CleggJames C BlankenshipPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
Selective stent post-dilatation (PD) in a cohort of STEMI patients did not affect major adverse cardiac events but it did decrease device-oriented composite events, a secondary composite end point of less clear significance. This study suggests that selective stent PD in STEMI does not increase the incidence of acute no-reflow or long-term adverse clinical events. In primary PCI for STEMI, if the stent appears under-expanded, then PD, perhaps guided by intravascular imaging (which was not reported in this study), is reasonable.
Keyphrases
- percutaneous coronary intervention
- st elevation myocardial infarction
- st segment elevation myocardial infarction
- ejection fraction
- coronary artery disease
- acute coronary syndrome
- high resolution
- newly diagnosed
- acute myocardial infarction
- end stage renal disease
- liver failure
- risk factors
- machine learning
- left ventricular
- intensive care unit
- prognostic factors
- adverse drug
- artificial intelligence
- acute respiratory distress syndrome