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. 2008 Nov;4(4):293–299. doi: 10.2174/157340308786349480

Table 2.

Trials Evaluating Intravenous vs. Intracoronary Abciximab

Author Year [ref.] N° of Patients Studied
iv/ic
Population Design Follow-up Evaluation Conclusion
Belandi 2004 [53] 45
23/22
STEMI Prospective.
Randomized.
7 days.
1 month.
IS, MS, SI, left ventricular function recovery after 1 month. ↓ in IS, ↑ in MS, SI and LVEF in ic-group*.
Romagnoli 2005 [54] 74
37/37
STEMI
NSTEACS
Prospective.
Control-group matched by baseline-characteristics.
In-hospital. Angiographic by CTFC.
Cardiac enzymes (CK, CK-MB, TNT).
↓ in CTFC*.
Trend towards ↓ of peak enzyme values in ic-group.
↓ of CK-MB peak value in STEMI-subgroup in ic-group*.
Wöhrle 2007 [55] 633 STEMI Observational.
Control: Other studies with no or iv-Abciximab
30 days. MACE (death, myocardial infarction, urgent TVR).
Bleeding.
↓ MACE in present study vs. earlier iv-studies.
No safety issues.
Kakkar
2004 [56]
173
72/101
Stable angina
STEMI NSTEACS
Retrospective. 6 months. MACE (death, myocardial infarction). MACE ↓ in ic-group, 5.8% vs. 13.9%*.
Wöhrle 2003 [57] 403
109/294
Unstable angina
STEMI NSTEACS
Retrospective. 30 days. MACE (death, myocardial infarction, urgent revascularization). MACE ↓ in ic-group, 10.2% vs. 20.2%*.
*

P<0.05.

Abbreviations: CK: Creatin-kinase; CK-MB: Creatin-kinase-MB; CTFC: Corrected TIMI frame count; IS: Infarct Size; MACE: Major Adverse Cardiovascular events; MS: Myocardial Salvage; NSTEACS: non-ST-elevation acute coronary syndrome; SI: Salvage Index; STEMI: ST-elevation myocardial infarction; TNT: Troponin T; TVR: Target vessel revascularization.