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Titolo:
Direct coronary stenting without balloon or device pretreatment: Acute success and long-term results
Autore:
Stys, T; Lawson, WE; Liuzzo, JP; Hanif, B; Bragg, L; Cohn, PF;
Indirizzi:
SUNY Stony Brook, Div Cardiol, Stony Brook, NY 11794 USA SUNY Stony BrookStony Brook NY USA 11794 diol, Stony Brook, NY 11794 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 2, volume: 54, anno: 2001,
pagine: 158 - 163
SICI:
1522-1946(200110)54:2<158:DCSWBO>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; LATE OUTCOMES; ANGIOPLASTY; PREDILATION; IMPLANTATION; DISSECTION; IMMEDIATE;
Keywords:
angioplasty; coronary artery disease; direct stenting; outcomes;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Lawson, WE SUNY Stony Brook, Div Cardiol, HSC T-17-020, Stony Brook, NY 11794 USA SUNY Stony Brook HSC T-17-020 Stony Brook NY USA 11794 1794 USA
Citazione:
T. Stys et al., "Direct coronary stenting without balloon or device pretreatment: Acute success and long-term results", CATHET C IN, 54(2), 2001, pp. 158-163

Abstract

Improvements in coronary stents have made planned direct coronary stentingtechnically feasible, though safety, acute success, cost-effectiveness, and long-term results remain to be determined. Sequential patients eligible for direct stenting were prospectively characterized and treated with eitherdirect or secondary stenting. Major adverse cardiovascular events (MACE) such as cardiac death, myocardial infarction (MI), target vessel ischemia, or revascularization (TVR) were followed for 6 months post-PCI. Enrollment included 128 direct (1.38 lesions/patient) and 69 secondary (1.39 lesions/patient) stented patients. Direct stenting was successful in 99% (with 5% crossover to secondary stenting) without major procedural complications and with a similar rate of vessel wall dissection or no-ref low phenomenon (2.3% vs. 2.1%; P > 0.05) as the secondary stenting group. There was a trend toward less postprocedural CPK-MB elevation in the nonacute MI patients with direct vs. secondary stenting (3% vs. 11%, respectively). At 6 months, there were no statistically significant differences in overall MACE. Direct stenting has a high success rate, low complication rate, and durable long-term results. Procedural cost and time savings, less contrast use and radiation exposure make direct stenting attractive in properly selected patients. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 17:12:46