Intracoronary Stenting for Restenosis: Long-Term Follow-up: A Single Center Experience.

Détails

ID Serval
serval:BIB_5644
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Intracoronary Stenting for Restenosis: Long-Term Follow-up: A Single Center Experience.
Périodique
The Journal of Invasive Cardiology
Auteur⸱e⸱s
Debbas N.M., Sigwart U., Eeckhout E., Stauffer J.C., Karpuz H., Vogt P., Kappenberger L., Goy J.J.
ISSN
1557-2501[electronic]
Statut éditorial
Publié
Date de publication
1996
Volume
8
Numéro
6
Pages
241-248
Langue
anglais
Notes
Publication types: JOURNAL ARTICLE Publication Status: ppublish
Résumé
One-hundred thirteen stents (78 Wallstents, 29 Palmaz-Schatz and 6 Wiktor) were implanted in 106 patients aged 63 +/- 5 years to treat a restenosis following previous angioplasty in a native coronary artery (86 cases) and in a venous graft (20 cases). Implantation was technically possible in all cases. The native vessels had a mean reference diameter of 3.3 +/- 0.3 mm and their mean minimal lumen diameter increased from 1.2 +/- 0.3 mm before angioplasty to 2.8 +/- 0.8 after stent implantation. The venous grafts mean reference diameter was 4.4 +/- 0.7 mm and their mean minimal lumen diameter increased from 1.3 +/- 0.4 mm before angioplasty to 4.0 +/- 0.7 mm after implantation. Percentage stenosis in the native arteries and in the venous grafts were respectively 78 +/- 13% and 69 +/- 14% before angioplasty and 24 +/- 8% and 22 +/- 8% after stent implantation. Complications at 6 months, presented as a ranking scale with 100% follow-up rate were, overall, of 20% clinical events (4% deaths, 6% myocardial infractions, 2% coronary artery bypass grafting and 8% re-angioplasty). Angiographic complications were of 8% subacute thrombosis and 19% restenosis and chronic occlusions. Long-term, at 65 +/- 9 months, clinical (86% follow-up) and angiographic (74% follow-up) showed that only a further 9% clinical events and 14% restenosis (12% of them between 6 and 12 months) occurred after 6 months. At an estimated follow-up time of 104 months, 70% patients remain event-free and the survival rate is 95%. In conclusion, stent implantation in the treatment of restenosis following conventional balloon angioplasty is a valid strategy with good long-term results.
Pubmed
Web of science
Création de la notice
19/11/2007 13:42
Dernière modification de la notice
20/08/2019 15:10
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