This prospective cohort of 2464 STEMI patients, 3% had stent thrombosis (ST). Those with ST had higher peak CK values, and required longer angiography procedure times and contrast load. Although PCI was successful in restoring flow 96% of the time, the 6 month angiographic restenosis/reocclusion rate was 54%, the 6 month non-fatal MI rate was 10%, and 6 month death was 12% (all significantly higher than the STEMI patients without ST). Stent thrombosis is associated with larger infarcts and worse outcomes (abstract).
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