2009 · EUROPEAN RADIOLOGY

Clinical safety of cardiac magnetic resonance imaging at 3 T early after stent placement for acute myocardial infarction

Jehl, Jerome, Comte, Alexandre, Aubry, Sebastien, Meneveau, Nicolas, Schiele, Francois, Kastler, Bruno

Journal
EUROPEAN RADIOLOGY
Année
2009
Volume
19
Numéro
12
Pages
2913-2918
Mois
DEC
DOI
10.1007/s00330-009-1498-z

Abstract

The purpose of this study was to prospectively evaluate the safety of cardiac magnetic resonance (CMR) imaging at 3 T performed early (less than 14 days) after bare metal or drug-eluting coronary stent implantation in patients with acute myocardial infarction (AMI). Seventy-two consecutive patients with AMI treated by percutaneous revascularisation with a stent underwent CMR examination with a median delay of 6 days. Patients were followed-up for major adverse cardiac events, during hospitalisation and at 6 months. After CMR imaging, no acute stent thrombosis, death or repeated AMI were recorded at 6-month follow-up. Two symptomatic in-stent restenoses and two silent in-stent restenoses were recorded, at a mean delay of 106 days. In our population, we found a target revascularisation rate of 5.6%. This is consistent with the 6-month event rates after coronary artery stent (CAS) placement for AMI, evaluated by several studies. This preliminary clinical study supports the safety of 3-T CMR imaging performed early after coronary stent placement.

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