Insights in Pediatric Cardiology

Abstract

Primary angioplasty is the gold standard in the management of STEMI in the acute phase. However, due to the thrombotic burden this procedure can cause serious complications in cath-lab such as slow flow, no reflow and distal embolizations which can compromise myocardial reperfusion and microcirculation. In an attempt to reduce these complications, the differed stenting strategy was adopted by our center, with the primary objective: Assessing whether it is safe to postpone the implantation of a stent to an average time of 05 days (Occurrence of peri -procedural) and as a secondary objective: Occurrence of MACE after a follow-up of 05 years. Patients and Methods: Descriptive retrospective mono-centric study of 51 patients over 18 years of age (men: 90%; average age: 52 years; 28% of diabetics, 37% of hypertensives, 1% of dyslipidemias, 56 % of smoking) received in the cardiology and internal medicine department of the Blida University Hospital (during the period from February 01, 2014 to December 31, 2014 with a follow-up of 05 years) for STEMI of less than 12 hours In whom coronary angiography was performed and a deferred stenting approach was adopted Results: The main criterion leading to a differed stenting strategy was the presence of a significant thrombotic load leading to extensive use of thrombo-aspiration (37%) and balloon dilation (23%) to restore an acceptable TIMI flow. , followed by the administration of AntiGpIIbIIIa (61%)