Post‐dilatation trepidation: Post‐dil is "no big dil". Issue 7 (30th May 2020)

• Record Type: Journal Article
• Authors: Clegg, Stacey; Blankenship, James C.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 95:Issue 7(2020)
• Page Start: 1257
• Page End: 1258
• Publication Date: 2020-05-30
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29055
• Languages: English
• ISSNs: 1522-1946

Abstract

Key Points: 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.