Coronary disease & ACS

Impact of intracoronary supersaturated oxygen therapy on microvascular obstruction and infarct size in patients with acute anterior myocardial infarction

EuroInterventionPublished Comparison of 20 SSO2 patients with 20 similar non-SSO2 acute myocardial infarction (AMI) patients

Authors' conclusion

SSO2 therapy was associated with significantly reduced microvascular obstruction and FIS in patients with anterior AMI in clinical routine practice.

Study context

Population
Patients with anterior AMI after successful primary percutaneous coronary intervention (PCI)20 SSO2 patients and 20 similar non-SSO2 AMI patients
Participants
20 vs 20
Comparison
SSO2 vs non-SSO2
  • SSO2n = 20
  • non-SSO2n = 20
Outcome
Baseline characteristics (sex, age, weight, hypertension, dyslipidaemia, smoking, diabetes, prehospital cardiac arrest, door-to-balloon time, TIMI flow, renal function)
Methodological detailsclinical routine practice, multimodal imaging (single-photon emission computed tomography (SPECT), fibroblast activation protein inhibitor positron emission tomography (FAPI-PET), CMR)
  • Clinical routine practice
  • Multimodal imaging (SPECT, FAPI-PET, CMR)

Main finding

As reported in the abstract

The two groups did not significantly differ
p>0.1 for each

Further findings

FIS determined by CMR · lower FIS with SSO2

P < 0.001

FIS determined by SPECT · lower FIS with SSO2

P = 0.014

Myocardial salvage · higher with SSO2

P = 0.002

Microvascular obstruction (MVO)

MVO occurred less often and was less extreme under SSO2 therapy

Original publication

Impact of intracoronary supersaturated oxygen therapy on microvascular obstruction and infarct size in patients with acute anterior myocardial infarction. EuroIntervention. Published 21 July 2025. doi:10.4244/eij-d-25-00034

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