Traitement par angioplastie au ballonnet de restenoses survenues sur protheses endocoronaires. [Balloon angioplasty for restenosis of coronary endoprostheses]

Détails

ID Serval
serval:BIB_F2480D9A5F93
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Traitement par angioplastie au ballonnet de restenoses survenues sur protheses endocoronaires. [Balloon angioplasty for restenosis of coronary endoprostheses]
Périodique
Archives des Maladies du Coeur et des Vaisseaux
Auteur(s)
Debbas  N., Eeckhout  E., Stauffer  J. C., Kaufman  U., Vogt  P., Sigwart  U., Kappenberger  L., Goy  J. J.
ISSN
0003-9683 (Print)
Statut éditorial
Publié
Date de publication
07/1995
Volume
88
Numéro
7
Pages
987-91
Notes
English Abstract
Journal Article --- Old month value: Jul
Résumé
Between March 1991 and June 1994, the authors treated restenosis (> or = 50%) of coronary endoprostheses in 17 men aged 39 to 72 years by balloon angioplasty. The stents had been implanted for de novo stenosis in 14 patients, restenosis in 1 patient and for acute occlusion in 2 patients. The vessels treated were the left anterior descending artery (1 case), the left circumflex artery (2 cases), the right coronary artery (7 cases) and venous bypass grafts (7 cases). The endoprostheses used were 5 Wallstents in 4 patients, 13 Wiktor stents in 11 patients and 2 Palmaz-Schatz in 2 patients. Clinically, the patients with restenosis presented with class II angina (6 patients), class III (8 patients) and class IV (3 patients) of the Canadian Cardiovascular Society Classification. Conventional balloon angioplasty was performed 17 months (range: 3 to 87 months) after stent implantation and resulted in immediate clinical and angiographic success (residual stenosis < or = 50% on quantitative analysis) in all patients. In particular, there were no dissections. The minimal lumenal diameter (MLD) and percentage stenosis changed from 1.04 mm (range: 0.87 to 1.20) and 72% (range: 68 to 76) respectively before stent implantation to 2.83 mm (range: 2.46 to 3.20) and 23% (range: 20 to 27) after stent implantation. Restenosis resulted in a MLD and percentage stenosis of 0.89 mm (range: 0.77 to 1.01) and 73% (range: 69 to 78) respectively. After angioplasty of the stent, they returned to 2.68 mm (range: 2.29 to 3.06) and 27% (range: 23 to 30) respectively. The patients were not anticoagulated after angioplasty.(ABSTRACT TRUNCATED AT 250 WORDS)
Mots-clé
Adult Aged *Angioplasty, Transluminal, Percutaneous Coronary *Blood Vessel Prosthesis Coronary Angiography Coronary Disease/*therapy Follow-Up Studies Humans Male Middle Aged Prosthesis Failure Recurrence Stents/*adverse effects
Pubmed
Web of science
Création de la notice
28/01/2008 10:52
Dernière modification de la notice
03/03/2018 22:40
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