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Titolo:
REDUCTION IN ANGIOPLASTY COMPLICATIONS AFTER THE INTRODUCTION OF CORONARY STENTS - RESULTS FROM A CONSECUTIVE SERIES OF 2242 PATIENTS
Autore:
ALTMANN DB; RACZ M; BATTLEMAN DS; BERGMAN G; SPOKOJNY A; HANNAN EL; SANBORN TA;
Indirizzi:
NEW YORK HOSP,CORNELL MED CTR,DEPT MED,DIV CARDIOL,STARR 4 PAVIL,525 E 68TH ST NEW YORK NY 10021 SUNY ALBANY,SCH PUBL HLTH,DEPT HLTH POLICY & MANAGEMENT ALBANY NY 00000
Titolo Testata:
The American heart journal
fascicolo: 3, volume: 132, anno: 1996,
pagine: 503 - 507
SICI:
0002-8703(1996)132:3<503:RIACAT>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERY BYPASS-SURGERY; BALLOON ANGIOPLASTY; DIRECTIONAL ATHERECTOMY; DISEASE; CLOSURE; MULTICENTER; PREDICTORS; EXPERIENCE; OUTCOMES; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
D.B. Altmann et al., "REDUCTION IN ANGIOPLASTY COMPLICATIONS AFTER THE INTRODUCTION OF CORONARY STENTS - RESULTS FROM A CONSECUTIVE SERIES OF 2242 PATIENTS", The American heart journal, 132(3), 1996, pp. 503-507

Abstract

The introduction of coronary stents for the treatment of acute vesselclosure has probably improved the safety of angioplasty, but little data are available regarding angioplasty complication rates when bailout stenting is available. Therefore baseline and patient outcome data for 2242 consecutive patients treated at a single tertiary referral center were compared before and after bailout coronary stenting was introduced. Patients treated after stents became available were more likelyto have diabetes (16% prestent availability vs 19% poststent, p < 0.05), unstable angina (61% prestent vs 70% poststent, p < 0.01), and to have received intravenous nitroglycerin before the procedure (22% prestent vs 28% poststent, p < 0.01). Major complications occurred in 4.1%of patients before stent availability and 2.0% afterwards (p < 0.01). These complications included in-hospital death (1.1% prestent vs 0.7%poststent, p = not significant [NS]), Q wave myocardial infarction (0.5% prestent vs 0.3% poststent, p = NS), and emergency bypass surgery (2.9% prestent vs 1.1% poststent, p < 0.01). The introduction of coronary stents was associated with a >50% reduction in major complicationsdespite greater patient acuity. The traditionally reported complication rates for angioplasty appear nom to apply when bailout stenting is available.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 09:04:00