Major dissection during coronary angioplasty: outcome using prolonged balloon inflation versus coronary stenting

Détails

ID Serval
serval:BIB_F3D0B15E7E29
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Major dissection during coronary angioplasty: outcome using prolonged balloon inflation versus coronary stenting
Périodique
Journal of Invasive Cardiology
Auteur(s)
Stauffer  J. C., Eeckhout  E., Goy  J. J., Nacht  C. A., Vogt  P., Kappenberger  L.
ISSN
1042-3931 (Print)
Statut éditorial
Publié
Date de publication
10/1995
Volume
7
Numéro
8
Pages
221-7
Notes
Comparative Study
Journal Article --- Old month value: Oct
Résumé
BACKGROUND: Abrupt or threatened closure is the major acute complication following conventional coronary angioplasty with a persistent incidence of 2% to 10%. OBJECTIVES: In order to evaluate the safety and efficacy of endoluminal stenting and autoperfusion balloon angioplasty in the setting of abrupt or threatened closure following coronary angioplasty, the short- and long-term clinical and angiographic follow-up of respectively 45 and 51 patients treated by either method were compared. METHODS: From August 1986 through August 1992, consecutive patients treated by either endoluminal stenting or autoperfusion balloon angioplasty for abrupt closure following coronary angioplasty, were entered into an observational trial that requested clinical follow-up and repeat angiography at 6 months. RESULTS: Except for vessel localization, baseline clinical, angiographic and procedural characteristics were comparable. The in-hospital clinical and angiographic outcome was similar (p = 0.85) with 69% event-free patients in both treatment groups. The postprocedural minimal luminal diameter was larger following stenting: 2.67 +/- 0.76mm versus 2.07 +/- 0.70mm (autoperfusion balloon) (p = 0.0002). At follow-up, there were less events in the stent group: 11% versus 34% for the autoperfusion balloon angioplasty group, (p = 0.03). Restenosis rates were 5% (2/37 patients, stent) versus 27% (11/41 patients, autoperfusion balloon) (p = 0.02). CONCLUSIONS: Autoperfusion balloon angioplasty and endoluminal stenting are effective and safe therapeutic options for abrupt or threatened closure following coronary angioplasty with a comparable short-term clinical and angiographic outcome. However, during follow-up, more complications occur following autoperfusion balloon angioplasty. This is explained by a higher restenosis rate in this treatment group.
Mots-clé
Adult Aged Aged, 80 and over Aneurysm, Dissecting/radiography/*therapy Angioplasty, Balloon/*instrumentation Angioplasty, Transluminal, Percutaneous Coronary/*instrumentation Coronary Aneurysm/radiography/*therapy Coronary Angiography Coronary Disease/radiography/*therapy Female Humans Male Middle Aged Myocardial Infarction/radiography/*therapy Recurrence *Stents Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 10:51
Dernière modification de la notice
03/03/2018 22:43
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