Complications and follow-up after intracoronary stenting: critical analysis of a 6-year single-center experience

Détails

ID Serval
serval:BIB_348AA7F160BC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Complications and follow-up after intracoronary stenting: critical analysis of a 6-year single-center experience
Périodique
American Heart Journal
Auteur⸱e⸱s
Eeckhout  E., Goy  J. J., Vogt  P., Stauffer  J. C., Sigwart  U., Kappenberger  L.
ISSN
0002-8703 (Print)
Statut éditorial
Publié
Date de publication
02/1994
Volume
127
Numéro
2
Pages
262-72
Notes
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Feb
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 10:51
Dernière modification de la notice
20/08/2019 14:21
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