Myocardial Infarction Clinical Trial
Official title:
Immediate Versus Delayed Stenting in Patients With ST-Elevation Myocardial Infarction Undergoing Mechanical Intervention
The goal of primary PCI is to restore anterograde myocardial flow. Stenting a largely thrombotic lesion may determine distal embolisation of thrombotic material therefore deteriorating myocardial perfusion.
In the setting of largely thrombotic lesions such as those treated in the context of primary
PCI, stenting often results in distal micro and macro-embolisation which hampers coronary
flow and microvascular recovery. Interestingly in some of these studies comparing BMS versus
balloon angioplasty an early hazard associated to the use of stent has been reported.
Thus, investigators hypothesize in this protocol that refraining from stenting during the
acute phase of ST segment myocardial infarction is safe and associated to improved
myocardial recovery as compared to acute stenting.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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