Intracoronary stenting using slotted tubular stents with intravascular ultrasound and anticoagulation

Catheterization and Cardiovascular Diagnosis
C M GoodsG S Roubin

Abstract

Intravascular ultrasound guidance has been suggested as a prerequisite before managing patients receiving slotted tubular stents without anticoagulation. The purpose of this prospective observational study was to determine if patients receiving this stent can be similarly managed following angiographic guided stent deployment without intravascular ultrasound assistance. A total of 137 patients receiving slotted tubular stents were selected to receive a protocol of aspirin 325 mg and ticlopidine 250 mg for 30 days following the satisfaction of certain angiographic criteria. These criteria were: adequate coverage of intimal dissections, absence of residual filling defects, and normal (TIMI III) flow in the stented vessel at the end of the procedure. The stenting procedure was planned in 68% of patients and unplanned in 32% of patients. During the 30 day clinical follow period there were no stent thrombosis events, no Q-wave myocardial infarctions, and no deaths. Non-Q-wave myocardial infarction occurred in 3 patients (2.2%), hemorrhage requiring blood transfusion in 3 patients (2.2%), and 1 patient (0.7%) developed a pseudo-aneurysm of the cannulated femoral artery. These data indicate that patients receiving slotted tubular sten...Continue Reading

References

Oct 1, 1994·Journal of the American College of Cardiology·S L GoldbergJ M Tobis
May 1, 1994·Circulation·S NakamuraJ M Tobis

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Citations

Sep 20, 2002·Journal of Interventional Cardiology·Martin UnverdorbenChristian Vallbracht
Mar 8, 2003·International Journal of Cardiovascular Interventions·Leo FinciAntonio Colombo
Nov 1, 2001·The Cochrane Database of Systematic Reviews·B CosmiM Milandri
Dec 1, 1996·Catheterization and Cardiovascular Diagnosis·J Tobis, A Colombo

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