Skip to main content
NCBI home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1996 May;72(847):269–273. doi: 10.1136/pgmj.72.847.269

Primary coronary angioplasty in acute myocardial infarction.

E D Grech 1, D R Ramsdale 1
PMCID: PMC2398472  PMID: 8761498

Abstract

It is well established that recanalisation of the infarct-related artery is of great benefit in the early hours after acute myocardial infarction. This can be achieved by the use of thrombolytic agents and/or by percutaneous transluminal coronary angioplasty (PTCA). This article reviews data on the role of primary PTCA and summarises current opinion on its use.

Full text

PDF
269

Images in this article

270Figure 1
on p.270
270Figure 2
on p.270
271Figure 3
on p.271

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brodie B. R., Stuckey T. D., Hansen C. J., Cooper T. R., Weintraub R. A., LeBauer E. J., Katz J. D., Kelly T. A. Importance of a patent infarct-related artery for hospital and late survival after direct coronary angioplasty for acute myocardial infarction. Am J Cardiol. 1992 May 1;69(14):1113–1119. doi: 10.1016/0002-9149(92)90922-l. [DOI] [PubMed] [Google Scholar]
  2. Brodie B. R., Weintraub R. A., Stuckey T. D., LeBauer E. J., Katz J. D., Kelly T. A., Hansen C. J. Outcomes of direct coronary angioplasty for acute myocardial infarction in candidates and non-candidates for thrombolytic therapy. Am J Cardiol. 1991 Jan 1;67(1):7–12. doi: 10.1016/0002-9149(91)90090-8. [DOI] [PubMed] [Google Scholar]
  3. Colavita P. G., Ideker R. E., Reimer K. A., Hackel D. B., Stack R. S. The spectrum of pathology associated with percutaneous transluminal coronary angioplasty during acute myocardial infarction. J Am Coll Cardiol. 1986 Oct;8(4):855–860. doi: 10.1016/s0735-1097(86)80427-2. [DOI] [PubMed] [Google Scholar]
  4. DeWood M. A., Spores J., Notske R., Mouser L. T., Burroughs R., Golden M. S., Lang H. T. Prevalence of total coronary occlusion during the early hours of transmural myocardial infarction. N Engl J Med. 1980 Oct 16;303(16):897–902. doi: 10.1056/NEJM198010163031601. [DOI] [PubMed] [Google Scholar]
  5. Gacioch G. M., Topol E. J. Sudden paradoxic clinical deterioration during angioplasty of the occluded right coronary artery in acute myocardial infarction. J Am Coll Cardiol. 1989 Nov 1;14(5):1202–1209. doi: 10.1016/0735-1097(89)90418-x. [DOI] [PubMed] [Google Scholar]
  6. Gibbons R. J., Holmes D. R., Reeder G. S., Bailey K. R., Hopfenspirger M. R., Gersh B. J. Immediate angioplasty compared with the administration of a thrombolytic agent followed by conservative treatment for myocardial infarction. The Mayo Coronary Care Unit and Catheterization Laboratory Groups. N Engl J Med. 1993 Mar 11;328(10):685–691. doi: 10.1056/NEJM199303113281003. [DOI] [PubMed] [Google Scholar]
  7. Grech E. D., Ramsdale D. R. Percutaneous transluminal coronary angioplasty and acute myocardial infarction. 1994 Jun 15-Jul 12Br J Hosp Med. 52(1):35–41. [PubMed] [Google Scholar]
  8. Grech E. D., Ramsdale D. R. Termination of reperfusion arrhythmia by coronary artery occlusion. Br Heart J. 1994 Jul;72(1):94–95. doi: 10.1136/hrt.72.1.94. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Grines C. L., Browne K. F., Marco J., Rothbaum D., Stone G. W., O'Keefe J., Overlie P., Donohue B., Chelliah N., Timmis G. C. A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. The Primary Angioplasty in Myocardial Infarction Study Group. N Engl J Med. 1993 Mar 11;328(10):673–679. doi: 10.1056/NEJM199303113281001. [DOI] [PubMed] [Google Scholar]
  10. Hartzler G. O., Rutherford B. D., McConahay D. R., Johnson W. L., Jr, McCallister B. D., Gura G. M., Jr, Conn R. C., Crockett J. E. Percutaneous transluminal coronary angioplasty with and without thrombolytic therapy for treatment of acute myocardial infarction. Am Heart J. 1983 Nov;106(5 Pt 1):965–973. doi: 10.1016/0002-8703(83)90639-7. [DOI] [PubMed] [Google Scholar]
  11. Hibbard M. D., Holmes D. R., Jr, Bailey K. R., Reeder G. S., Bresnahan J. F., Gersh B. J. Percutaneous transluminal coronary angioplasty in patients with cardiogenic shock. J Am Coll Cardiol. 1992 Mar 1;19(3):639–646. doi: 10.1016/s0735-1097(10)80285-2. [DOI] [PubMed] [Google Scholar]
  12. Kahn J. K., Rutherford B. D., McConahay D. R., Johnson W. L., Giorgi L. V., Shimshak T. M., Ligon R. W., Hartzler G. O. Catheterization laboratory events and hospital outcome with direct angioplasty for acute myocardial infarction. Circulation. 1990 Dec;82(6):1910–1915. doi: 10.1161/01.cir.82.6.1910. [DOI] [PubMed] [Google Scholar]
  13. Kahn J. K., Rutherford B. D., McConahay D. R., Johnson W. L., Giorgi L. V., Shimshak T. M., Ligon R., Hartzler G. O. Results of primary angioplasty for acute myocardial infarction in patients with multivessel coronary artery disease. J Am Coll Cardiol. 1990 Nov;16(5):1089–1096. doi: 10.1016/0735-1097(90)90537-y. [DOI] [PubMed] [Google Scholar]
  14. Kahn J. K., Rutherford B. D., McConahay D. R., Johnson W., Giorgi L. V., Ligon R., Hartzler G. O. Usefulness of angioplasty during acute myocardial infarction in patients with prior coronary artery bypass grafting. Am J Cardiol. 1990 Mar 15;65(11):698–702. doi: 10.1016/0002-9149(90)91373-e. [DOI] [PubMed] [Google Scholar]
  15. Kuhn L. A. The treatment of cardiogenic shock. I. The nature of cardiogenic shock. Am Heart J. 1967 Oct;74(4):578–581. doi: 10.1016/0002-8703(67)90019-1. [DOI] [PubMed] [Google Scholar]
  16. Lee L., Erbel R., Brown T. M., Laufer N., Meyer J., O'Neill W. W. Multicenter registry of angioplasty therapy of cardiogenic shock: initial and long-term survival. J Am Coll Cardiol. 1991 Mar 1;17(3):599–603. doi: 10.1016/s0735-1097(10)80171-8. [DOI] [PubMed] [Google Scholar]
  17. Lee T. C., Laramee L. A., Rutherford B. D., McConahay D. R., Johnson W. L., Jr, Giorgi L. V., Ligon R. W., Hartzler G. O. Emergency percutaneous transluminal coronary angioplasty for acute myocardial infarction in patients 70 years of age and older. Am J Cardiol. 1990 Sep 15;66(7):663–667. doi: 10.1016/0002-9149(90)91126-q. [DOI] [PubMed] [Google Scholar]
  18. Mathey D. G., Schofer J., Kuck K. H., Beil U., Klöppel G. Transmural, haemorrhagic myocardial infarction after intracoronary streptokinase. Clinical, angiographic, and necropsy findings. Br Heart J. 1982 Dec;48(6):546–551. doi: 10.1136/hrt.48.6.546. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Meyer J., Merx W., Dörr R., Erbel R., von Essen R., Lambertz H., Bethge C., Schmitz H. J., Bardos P., Minale C. Sequential intervention procedures after intracoronary thrombolysis; balloon dilatation, bypass surgery, and medical treatment. Int J Cardiol. 1985 Mar;7(3):281–293. doi: 10.1016/0167-5273(85)90053-1. [DOI] [PubMed] [Google Scholar]
  20. O'Keefe J. H., Jr, Rutherford B. D., McConahay D. R., Johnson W. L., Jr, Giorgi L. V., Shimshak T. M., Ligon R. W., McCallister B. D., Hartzler G. O. Myocardial salvage with direct coronary angioplasty for acute infarction. Am Heart J. 1992 Jan;123(1):1–6. doi: 10.1016/0002-8703(92)90739-i. [DOI] [PubMed] [Google Scholar]
  21. O'Keefe J. H., Jr, Rutherford B. D., McConahay D. R., Ligon R. W., Johnson W. L., Jr, Giorgi L. V., Crockett J. E., McCallister B. D., Conn R. D., Gura G. M., Jr Early and late results of coronary angioplasty without antecedent thrombolytic therapy for acute myocardial infarction. Am J Cardiol. 1989 Dec 1;64(19):1221–1230. doi: 10.1016/0002-9149(89)90558-4. [DOI] [PubMed] [Google Scholar]
  22. O'Murchu B., Gersh B. J., Reeder G. S., Bailey K. R., Holmes D. R., Jr Late outcome after percutaneous transluminal coronary angioplasty during acute myocardial infarction. Am J Cardiol. 1993 Sep 15;72(9):634–639. doi: 10.1016/0002-9149(93)90876-e. [DOI] [PubMed] [Google Scholar]
  23. O'Neill W. W., Brodie B. R., Ivanhoe R., Knopf W., Taylor G., O'Keefe J., Grines C. L., Weintraub R., Sickinger B. G., Berdan L. G. Primary coronary angioplasty for acute myocardial infarction (the Primary Angioplasty Registry). Am J Cardiol. 1994 Apr 1;73(9):627–634. doi: 10.1016/0002-9149(94)90924-5. [DOI] [PubMed] [Google Scholar]
  24. O'Neill W., Timmis G. C., Bourdillon P. D., Lai P., Ganghadarhan V., Walton J., Jr, Ramos R., Laufer N., Gordon S., Schork M. A. A prospective randomized clinical trial of intracoronary streptokinase versus coronary angioplasty for acute myocardial infarction. N Engl J Med. 1986 Mar 27;314(13):812–818. doi: 10.1056/NEJM198603273141303. [DOI] [PubMed] [Google Scholar]
  25. Rentrop P., Blanke H., Karsch K. R., Kaiser H., Köstering H., Leitz K. Selective intracoronary thrombolysis in acute myocardial infarction and unstable angina pectoris. Circulation. 1981 Feb;63(2):307–317. doi: 10.1161/01.cir.63.2.307. [DOI] [PubMed] [Google Scholar]
  26. Stone G. W., Grines C. L., Browne K. F., Marco J., Rothbaum D., O'Keefe J., Hartzler G. O., Overlie P., Donohue B., Chelliah N. Predictors of in-hospital and 6-month outcome after acute myocardial infarction in the reperfusion era: the Primary Angioplasty in Myocardial Infarction (PAMI) trail. J Am Coll Cardiol. 1995 Feb;25(2):370–377. doi: 10.1016/0735-1097(94)00367-y. [DOI] [PubMed] [Google Scholar]
  27. Stone G. W., Rutherford B. D., McConahay D. R., Johnson W. L., Jr, Giorgi L. V., Ligon R. W., Hartzler G. O. Direct coronary angioplasty in acute myocardial infarction: outcome in patients with single vessel disease. J Am Coll Cardiol. 1990 Mar 1;15(3):534–543. doi: 10.1016/0735-1097(90)90621-u. [DOI] [PubMed] [Google Scholar]
  28. Veen G., Meyer A., Verheugt F. W., Werter C. J., de Swart H., Lie K. I., van der Pol J. M., Michels H. R., van Eenige M. J. Culprit lesion morphology and stenosis severity in the prediction of reocclusion after coronary thrombolysis: angiographic results of the APRICOT study. Antithrombotics in the Prevention of Reocclusion in Coronary Thrombolysis. J Am Coll Cardiol. 1993 Dec;22(7):1755–1762. doi: 10.1016/0735-1097(93)90754-o. [DOI] [PubMed] [Google Scholar]
  29. Verstraete M., Bernard R., Bory M., Brower R. W., Collen D., de Bono D. P., Erbel R., Huhmann W., Lennane R. J., Lubsen J. Randomised trial of intravenous recombinant tissue-type plasminogen activator versus intravenous streptokinase in acute myocardial infarction. Report from the European Cooperative Study Group for Recombinant Tissue-type Plasminogen Activator. Lancet. 1985 Apr 13;1(8433):842–847. doi: 10.1016/s0140-6736(85)92208-1. [DOI] [PubMed] [Google Scholar]
  30. Zijlstra F., de Boer M. J., Hoorntje J. C., Reiffers S., Reiber J. H., Suryapranata H. A comparison of immediate coronary angioplasty with intravenous streptokinase in acute myocardial infarction. N Engl J Med. 1993 Mar 11;328(10):680–684. doi: 10.1056/NEJM199303113281002. [DOI] [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES