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Titolo:
CLINICAL OUTCOME OF PATIENTS UNDERGOING ENDOLUMINAL CORONARY-ARTERY RECONSTRUCTION WITH 3 OR MORE STENTS
Autore:
MATHEW V; HASDAI D; HOLMES DR; GARRATT KN; BELL MR; LERMAN A; MELBY S; GRILL DE; BERGER PB;
Indirizzi:
MAYO CLIN & MAYO FDN,DIV CARDIOVASC DIS & INTERNAL MED,200 1ST ST SW ROCHESTER MN 55905 MAYO CLIN & MAYO FDN,DIV CARDIOVASC DIS & INTERNAL MED ROCHESTER MN 55905
Titolo Testata:
Journal of the American College of Cardiology
fascicolo: 3, volume: 30, anno: 1997,
pagine: 676 - 681
SICI:
0735-1097(1997)30:3<676:COOPUE>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON-EXPANDABLE-STENT; ANGIOGRAPHIC FOLLOW-UP; ANGIOPLASTY; IMPLANTATION; THROMBOSIS; PLACEMENT; OCCLUSION; FREQUENCY; DISEASE; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
V. Mathew et al., "CLINICAL OUTCOME OF PATIENTS UNDERGOING ENDOLUMINAL CORONARY-ARTERY RECONSTRUCTION WITH 3 OR MORE STENTS", Journal of the American College of Cardiology, 30(3), 1997, pp. 676-681

Abstract

Objectives. We sought to evaluate the outcome of patients undergoing multiple (three or more), contiguous stent implantation within a single native coronary artery. Background. The implantation of multiple stents within a single coronary artery is increasing in frequency, although the outcome of such patients is not well described. Methods. Forty-five patients without previous coronary artery bypass graft surgery (CABG) undergoing multiple, contiguous stent implantation in a single coronary artery were identified. Clinical and angiographic characteristics and outcomes were analyzed. Results. The angiographic success rate was 97.8%, The procedural success rate was 91.1%; stent occlusion during the initial hospital period occurred in four patients (8.9%). Death, myocardial infarction (MI), CABG, repeat target vessel intervention or severe angina occurred in 10 (23.3%) of 43 hospital survivors at 6-month follow-up. The indication for stent placement was threatened or abrupt closure in 30 patients (66.7%), Of the 25 patients with abrupt or threatened closure whose clinical and angiographic data would have indicated emergent CABG had stents not been available, the frequency of in-hospital death and Q wave MI was similar to that of a matched consecutive series of patients at our institution who underwent emergent CABG after failed angioplasty. At 1 year, the frequency of death, Q wave MI, CABG and severe angina at 1 year was similar in the two groups;the need for repeat percutaneous intervention was more common in the stent group (25% vs. 0%, p = 0.01). Conclusions. Implantation of multiple, contiguous intracoronary stents was associated with a high initial success rate, although the incidence of early stent closure was relatively high. Adverse events at 6 months of follow-up were more frequent than previously reported for elective single-stene implantation, however, adverse angiographic characteristics such as dissection and thrombus were frequent in this group, In addition, the strategy of multiple stent implantation in the setting of failed angioplasty is a reasonable alternative to emergent CABG, although the need for further percutaneous intervention must he anticipated. (C) 1997 by the American College of Cardiology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 10:27:15