Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Acute and long-term outcomes of stenting in coronary vessel > 3.0 mm, 3.0-2.5 mm, and < 2.5 mm
Autore:
Hsieh, IC; Chien, CC; Chang, HJ; Chern, MS; Hung, KC; Lin, FC; Wu, D;
Indirizzi:
Chang Gung Univ Col Med & Hosp, Sect Cardiol 2, Tao Yuan, Taiwan Chang Gung Univ Col Med & Hosp Tao Yuan Taiwan diol 2, Tao Yuan, Taiwan Chang Gung Univ Coll Med & Hosp, Nephrol Sect, Tao Yuan, Taiwan Chang GungUniv Coll Med & Hosp Tao Yuan Taiwan Sect, Tao Yuan, Taiwan
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 3, volume: 53, anno: 2001,
pagine: 314 - 322
SICI:
1522-1946(200107)53:3<314:AALOOS>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
PALMAZ-SCHATZ STENTS; BALLOON ANGIOPLASTY; THREATENED CLOSURE; ULTRASOUND GUIDANCE; ARTERY DISEASE; RESTENOSIS; PLACEMENT; SIZE; ANTICOAGULATION; PREDICTORS;
Keywords:
coronary stenting; angioplasty; small coronary artery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Wu, D Chang Gung Mem Hosp, 199 Tung Hwa N Rd, Taipei 10591, Taiwan Chang Gung Mem Hosp 199 Tung Hwa N Rd Taipei Taiwan 10591 1, Taiwan
Citazione:
I.C. Hsieh et al., "Acute and long-term outcomes of stenting in coronary vessel > 3.0 mm, 3.0-2.5 mm, and < 2.5 mm", CATHET C IN, 53(3), 2001, pp. 314-322

Abstract

We compared the acute and long-term outcomes of stentings in coronary vessels > 3.0 mm, 3.0-2.5 mm, and < 2.5 mm, A total of 1,152 patients underwentcoronary stenting was divided into three groups based on the reference vessel size. Group A consisted of 598 patients (667 lesions) with a reference vessel diameter > 3.0 mm, group B 485 patients (544 lesions) with a reference vessel diameter of 3.0-2.5 mm, and group C 114 patients (119 lesions) with a reference vessel diameter < 2.5 mm. The procedural success, stent thrombosis, and in-hospital cardiac event rate were similar in the three groups. At B-month angiographic follow-up, the lesion restenotic rate was significantly higher in the small-vessel group 114%, 22%, and 26% in groups A, B, and C, respectively; P = 0.011). These differences appeared to result from a lesser acute gain and a lesser net gain in small-vessel group; the late luminal loss was similar in the three groups. During a follow-up duration of28 +/- 3 months, group C patients had a significantly lower rate of event-free survival than the group A and B patients (71% vs. 85% and 82%; P = 0.002), Stepwise regression analysis demonstrated that complex lesion (P = 0.032) and long lesion (P = 0.046) are independent predictors of restenosis invery-small-vessel (< 2.5 mm) stenting, In conclusion, the acute results ofstenting in small coronary arteries appear safe and feasible with a high procedural success rate and a low incidence of stent thrombosis, Stenting inpatients with a small coronary artery appears to have a similar in-hospital cardiac event rate, but a higher angiographic restenosis rate and a lowerevent-free survival rate, compared to stenting in patients with a larger coronary artery. The predictors of restenosis in very-small-vessel stenting are complex lesions and long lesions. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 19:43:02