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

Détails

ID Serval
serval:BIB_D99E19D1058F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Complications aigues et tardives secondaires a l'implantation d'une endoprothese coronarienne. [Immediate and late complications secondary to the implantation of a coronary endoprosthesis]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
Vogt  P., Sigwart  U., Urban  P., Kaufmann  U., Goy  J. J., Stauffer  J. C., Endresen  K., Kappenberger  L.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
10/1989
Volume
119
Numéro
43
Pages
1521-4
Notes
English Abstract
Journal Article --- Old month value: Oct 28
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 11:29
Dernière modification de la notice
20/08/2019 16:58
Données d'usage