Complications aigues et tardives secondaires a l'implantation d'une endoprothese coronarienne. [Immediate and late complications secondary to the implantation of a coronary endoprosthesis]

Details

Serval ID
serval:BIB_D99E19D1058F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Complications aigues et tardives secondaires a l'implantation d'une endoprothese coronarienne. [Immediate and late complications secondary to the implantation of a coronary endoprosthesis]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Vogt  P., Sigwart  U., Urban  P., Kaufmann  U., Goy  J. J., Stauffer  J. C., Endresen  K., Kappenberger  L.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
10/1989
Volume
119
Number
43
Pages
1521-4
Notes
English Abstract
Journal Article --- Old month value: Oct 28
Abstract
The incidence of acute and late complications after coronary stenting has been studied in 95 consecutive patients. A total of 113 stents were implanted: 23 cases for acute occlusion of the dilated vessel and 72 for restenosis. After 16 months of follow-up, minor complications had occurred in 22 patients (23%). They consisted of transient occlusion of the prosthesis in 7 patients (7.3%), non-Q wave infarction in 4 patients (4.2%) and 10 hemorrhages (11%). During the following period major complications were observed in 11 patients (12%) with myocardial infarction in 7 instances and acute occlusion in 7 patients. 5 patients (5.3%) underwent coronary artery bypass graft and 6 (6.3%) died (one in-hospital death). Two deaths were related to the stent, but in the other four no definite correlation between the prosthesis and the death could be demonstrated. Restenosis at 12 months was present in 4 cases: in 3 patients (4.7%) where the stent had been implanted for restenosis and 1 (4.7%) where it had been implanted for acute occlusion. We conclude that for selected patients, coronary stenting is a promising new technique, especially for acute occlusion after PTCA; moreover, at 12 months restenosis is less frequent than after PTCA. However, technical improvement is necessary to diminish the rate of complications, particularly thrombosis and hemorrhage.
Keywords
Aged Coronary Artery Bypass Coronary Disease/surgery/*therapy *Coronary Vessels Female Hemorrhage/etiology Humans Male Middle Aged Myocardial Infarction/etiology Recurrence Stents/*adverse effects
Pubmed
Web of science
Create date
28/01/2008 10:29
Last modification date
20/08/2019 15:58
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