Myocardial Infarction
Conditions
Keywords
STEMI, infarct size, primary PCI, no-reflow, ST-elevation myocardial infarction
Brief summary
Randomized comparison of abciximab i.v. versus i.c. in patients with STEMI undergoing primary PCI. The hypothesis is, that higher concentration of abciximab i.c. leads to improved epicardial flow, perfusion, reduction of no-reflow, reduction in infarct size and subsequently better outcome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Clinical symptoms: * Angina \< 12 h persistent Angina \> 30 min. 2. ECG-Criteria: * ST-elevation \> 1mm in ≥ 2 extremity leads * ST-elevation \> 2mm in ≥ 2 contiguous anterior leads 3. Informed consent
Exclusion criteria
1. No consent 2. Pregnancy 3. Allergy against abciximab, ASA or heparin 4. Active peptic ulcus ventriculi or duodeni 5. Active non-superficial bleeding 6. Major surgical intervention, intracerebral interventions, puncture central artery \< 4 weeks 7. Active internal bleeding 8. Cerebrovascular complications \< 2 years 9. Known coagulation disorders, thrombocytopenia 10. Arteriovenous malformations or aneurysms 11. Severe Liver or renal dysfunction 12. Severe untreated hypertension 13. Active vasculitis 14. Previous thrombolysis \< 12 h
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Infarct size and microvascular obstruction assessed by MRI | — |
Secondary
| Measure | Time frame |
|---|---|
| ST-segment resolution, TIMI-Flow, TIMI blush grade, ejection fraction, left ventricular volumes, clinical outcome (MACE) | — |
Countries
Germany