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Titolo:
CLINICAL OUTCOME OF PATIENTS UNDERGOING MULTIVESSEL CORONARY STENT IMPLANTATION
Autore:
MATHEW V; RIHAL CS; BERGER PB; BELL MR; GARRATT KN; HOLMES DR;
Indirizzi:
MAYO CLIN & MAYO FDN,DIV CARDIOVASC DIS & INTERNAL MED,200 1ST ST SW ROCHESTER MN 55905
Titolo Testata:
International journal of cardiology
fascicolo: 1, volume: 64, anno: 1998,
pagine: 1 - 7
SICI:
0167-5273(1998)64:1<1:COOPUM>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON-EXPANDABLE-STENT; BYPASS-SURGERY; ARTERY DISEASE; FOLLOW-UP; RANDOMIZED TRIAL; ANGIOPLASTY; DETERMINANTS; PREDICTORS; OCCLUSION; FREQUENCY;
Keywords:
INTRACORONARY STENTS; MULTIVESSEL CORONARY DISEASE; PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
V. Mathew et al., "CLINICAL OUTCOME OF PATIENTS UNDERGOING MULTIVESSEL CORONARY STENT IMPLANTATION", International journal of cardiology, 64(1), 1998, pp. 1-7

Abstract

Objectives: To evaluate the outcome of patients undergoing multivessel coronary stent implantation. Background: Percutaneous transluminal coronary angioplasty has been shown to be an effective treatment for multivessel coronary artery disease, although the need for repeat revascularization continues to be a limitation. Intracoronary stent placement has been shown to reduce the need for subsequent revascularization. Methods: Seventy-seven patients without prior coronary artery bypass grafting (CABG) undergoing multivessel coronary revascularization in which stents were placed in all treated segments over a 5 year period atour institution were identified. Clinical and angiographic characteristics and outcomes were analyzed. Results: One hundred and eighty-eight coronary lesions were successfully treated (2.1+/-0.3 treated vessels/patient, 2.4+/-0.6 treated lesions/patient) using 2.8+/-1.2 stents/patient (range 2-9) and 1.4+/-0.8 stents/vessel (range 1-6). Proceduralsuccess rate [angiographic success without in-hospital death, Q-wave myocardial infarction (Q-wave MI) or CABG] was achieved in 76 of 77 patients (98.7%). Anatomically complete revascularization was achieved in 46 (59.7%) patients. Modified ACC/AHA Type B2 and C lesions comprised 75.5% of the 188 lesions. The left anterior descending artery was treated in 57 (74.0%) patients. The indication for stent placement was dissection or threatened/abrupt closure in 54 segments (28.8%). In-hospital events included death in one patient (1.3%); no patient suffered a Q-wave MI or required CABG. Stent occlusion occurred in two (2.6%) patients, and repeat percutaneous intervention of the target vessel wasalso required in these two patients. Any of these adverse events occurred in three (3.9%) patients. No further events occurred after hospital discharge in the 30 days after the procedure. Of hospital survivors(n=76), adverse events at 6 months included death in two patients (2.6%), MI in two (2.6%), CABG in six (7.9%); nine (11.8%) patients underwent repeat percutaneous intervention and 15 (19.7%) underwent any revascularization. Conclusions: Multivessel coronary stent placement is associated with an excellent procedural success rate despite a high rate of adverse lesion characteristics, and a low rate of death or MI during follow-up. The need for further revascularization compares favorably with published rates with multivessel PTCA and single stent implantation for discrete de novo lesions. (C) 1998 Elsevier Science Ireland Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 23:08:26