Long-term follow-up of the first 56 patients treated with intracoronary self-expanding stents (the Lausanne experience)

Détails

ID Serval
serval:BIB_F52B543EE005
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Long-term follow-up of the first 56 patients treated with intracoronary self-expanding stents (the Lausanne experience)
Périodique
American Journal of Cardiology
Auteur⸱e⸱s
Goy  J. J., Sigwart  U., Vogt  P., Stauffer  J. C., Kaufmann  U., Urban  P., Kappenberger  L.
ISSN
0002-9149 (Print)
Statut éditorial
Publié
Date de publication
03/1991
Volume
67
Numéro
7
Pages
569-72
Notes
Journal Article --- Old month value: Mar 15
Résumé
Fifty-six patients treated with the self-expanding intracoronary stent for acute occlusion during percutaneous transluminal coronary angioplasty (PTCA) or restenosis were followed for 24 to 43 months (mean 34). Successful deployment and positioning were achieved in 55 of 56 patients. Occlusion of the stent was documented in 8 patients, the earliest occurring 30 minutes and the latest 8 months after implantation. Three of the occluded stents were recanalized by PTCA. Coronary artery bypass grafts (CABG) were required in 4 patients: 1 for symptomatic restenosis, 1 for left main stenosis adjacent to the stent and 2 for acute ischemia during the in-hospital stay (less than 7 days). Myocardial infarction occurred in the territory of the stented vessel in 8 patients. Seven patients died between 1 day and 19 months after implantation. Local bleeding complications occurred in 10 patients, with 5 requiring blood transfusion. Restenosis within the stent was angiographically documented in 5 patients (9%). A new lesion in the treated vessel was found in 10 patients, followed by implantation of a second stent in 5 and a third stent in 1 patient. Medical treatment was instituted in the remaining 4 patients. Forty-nine patients (88%) are alive. Twenty-nine patients (51%) remained asymptomatic, and 44 (78%) are in a better functional class than before the implantation. Eleven of 15 (79%) major complications (acute occlusions or deaths) occurred in patients who received a stent in the left anterior descending coronary artery. In conclusion, implantation of the self-expanding intracoronary stent appears to be a new therapeutic option for treating acute occlusion or restenosis after PTCA.(ABSTRACT TRUNCATED AT 250 WORDS)
Mots-clé
Angioplasty, Transluminal, Percutaneous Coronary Coronary Angiography Coronary Disease/mortality/radiography/*therapy Equipment Design Female Follow-Up Studies Humans Male Middle Aged Myocardial Infarction/etiology Recurrence Retrospective Studies *Stents Survival Rate
Pubmed
Web of science
Création de la notice
28/01/2008 10:29
Dernière modification de la notice
20/08/2019 16:21
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