Complications and follow-up after intracoronary stenting: critical analysis of a 6-year single-center experience
Details
Serval ID
serval:BIB_348AA7F160BC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Complications and follow-up after intracoronary stenting: critical analysis of a 6-year single-center experience
Journal
American Heart Journal
ISSN
0002-8703 (Print)
Publication state
Published
Issued date
02/1994
Volume
127
Number
2
Pages
262-72
Notes
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Feb
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Feb
Abstract
From April 1986 through April 1992, 123 patients received 153 intracoronary stents (131 Medinvent, 13 Palmaz-Schatz, 9 Wiktor) during 131 procedures. The indication was bail-out treatment in 39, restenosis in 59 native coronary arteries, and stenosis or restenosis in 33 vein grafts. Stent-related events were studied during the in-hospital stay and on follow-up and included closure, stent restenosis, myocardial infarction, death, and the need for coronary bypass surgery. A Kaplan-Meier estimate extended to 6 years showed different short- and long-term outcomes for the distinct treatment groups (p < 0.05): right coronary artery stenting (more particularly, stenting for restenosis after angioplasty) had the lowest and vein graft stenting had the highest stent-related complication rate. The complication rate was similar (p > 0.25) (1) in the case of multiple nontandem stent implantation during the same procedure; (2) for the different endoprosthesis sizes; and (3) during the different procedural years. In native coronary arteries, restenosis after angioplasty of the right coronary artery could be a preferential indication for coronary artery stenting. Despite a favorable short-term outcome, vein graft stenting has a high incidence of events on long-term follow-up, mainly because of late restenosis. Multiple nontandem stenting during the same procedure is not associated with a higher incidence of complications, in particular, the restenosis rate is not appreciably higher. Finally, only a minor benefit for the learning curve is apparent from this single-center experience with continual unchanged postprocedural management.
Keywords
Adult
Aged
Aged, 80 and over
Angina Pectoris/etiology
Angioplasty, Transluminal, Percutaneous Coronary/*adverse effects
Coronary Artery Bypass
Coronary Disease/surgery/*therapy
Coronary Thrombosis/etiology
Coronary Vessels/*pathology
Equipment Design
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction/etiology
Recurrence
Saphenous Vein/pathology/transplantation
Stents/*adverse effects
Pubmed
Web of science
Create date
28/01/2008 10:51
Last modification date
20/08/2019 14:21