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Titolo:
Direct coronary stenting: Effect on coronary blood flow, immediate and late clinical results
Autore:
Capozzolo, C; Piscione, F; De Luca, G; Cioppa, A; Mazzarotto, P; Leosco, D; Golino, P; Indolfi, C; Chiariello, M;
Indirizzi:
Univ Naples Federico II, Div Cardiol, I-80131 Naples, Italy Univ Naples Federico II Naples Italy I-80131 diol, I-80131 Naples, Italy
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 4, volume: 53, anno: 2001,
pagine: 464 - 473
SICI:
1522-1946(200108)53:4<464:DCSEOC>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON ANGIOPLASTY; ARTERY DISEASE; MYOCARDIAL-INFARCTION; FRAME COUNT; FOLLOW-UP; IMPLANTATION; PREDILATION;
Keywords:
coronary angioplasty; stent; TIMI frame count; cost containment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Piscione, F Univ Naples Federico II, Div Cardiol, Via S Pansini 5, I-80131Naples, Italy Univ Naples Federico II Via S Pansini 5 Naples Italy I-80131
Citazione:
C. Capozzolo et al., "Direct coronary stenting: Effect on coronary blood flow, immediate and late clinical results", CATHET C IN, 53(4), 2001, pp. 464-473

Abstract

Direct stenting (DS) was attempted in 99 coronary lesions in 94 patients while standard stenting (SS) was attempted in 113 lesions in 103 patients matched for clinical characteristics, stenosis type, and location and stent type. The angiographic result was also evaluated according to TIMI frame count method (TFC) before and after procedure. A clinical follow-up was performed 1 year after the procedure. Before the procedure, TIMI grade 3 flow wasdetected in 42 cases (42.4%), grade 2 in 40 cases (40.4%), grade 1 in 5 cases (5.1 %), and grade 0 in 12 cases (12.1 %) in the DS group; these data were similar in SS group. After the procedure, TIMI grade flow was 3 in 90 cases (92.8%) in DS group and in 87 (77.0%) in SS group (P < 0.005); grade 2was observed in 7 case (7.2%) in DS group and in 25 (22.1 %) in SS group (P < 0.005). Major adverse cardiac events during hospitalization and at follow-up were similar in two groups. Radiation exposure time and procedure costs per lesion were significantly reduced in DS group compared to SS group (10.1 8 min vs. 13.9 4.7 min, P < 0.001; and 1901 +/- 687 Euro vs. 2352 +/- 743 Euro, P < 0.001, respectively). This study confirms that, in selected patients, direct stenting is a safe and successful procedure, allowing a significant reduction in radiation exposure time and procedural costs comparedto standard stenting technique. The angiographic success is confirmed by the improvement in TFC in all cases. (C) Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 09:40:43