Abstract
Intracoronary stenting has been shown to have better immediate and long-term clinical outcomes and less restenosis than standard balloon angioplasty. However, the benefit was achieved at the cost of higher rates of coronary thrombosis, bleeding complications, the need for anticoagulation, and longer hospital stay. For the latter reasons there is a tendency to replace the anticoagulants by antiplatelet agents alone after stenting. However, we prospectively monitored 150 consecutive patients (133 men, 17 women, mean age 58.5 years) from two centers since February 1993. They all had coronary artery disease and underwent percutaneous implantation of non-heparin-coated Palmaz-Schatz coronary stents under a full but lower dose of anticoagulation. The femoral approach was used in all patients except one. In the 150 patients, 200 stents were implanted in 165 target arteries with 172 lesions. Stenting was performed without the guidance of intravascular ultrasonography; high-pressure poststenting inflation was used in only 17.3% of patients with less than optimal angiographic results. Coronary angiography was performed at baseline, immediately after the procedure, and after 6 months (mean 207 +/- 53.6 days SD) of stenting. The mean (+/-S...Continue Reading
References
Sep 4, 1976·Lancet·S OramP Armstrong
Sep 1, 1976·Circulation·W C Roberts
Feb 1, 1991·Journal of the American College of Cardiology·M NobuyoshiK Kim
May 1, 1991·Journal of the American College of Cardiology·R A SchatzE Topol
Dec 1, 1990·Circulation·R S SchwartzD R Holmes
Nov 15, 1990·The American Journal of Cardiology·H D TheronC J Pepine
Dec 1, 1990·British Heart Journal·A H Gershlick, D P de Bono
Dec 1, 1985·Journal of the American College of Cardiology·J A AmbroseV Fuster
Apr 1, 1983·Circulation·G DorrosD O Williams
Dec 1, 1995·American Heart Journal·S LeeK K Chan
May 1, 1995·Catheterization and Cardiovascular Diagnosis·M C MoriceP Joly
Aug 1, 1995·The American Journal of Cardiology·E J Topol
Mar 15, 1995·Circulation·A ColomboJ M Tobis
Aug 25, 1994·The New England Journal of Medicine·P W SerruysP Materne
Aug 25, 1994·The New England Journal of Medicine·D L FischmanM Nobuyoshi
Jul 1, 1993·American Heart Journal·M HaudeJ Meyer
Jul 1, 1993·Journal of the American College of Cardiology·B S GeorgeD J Kereiakes
Jun 1, 1960·Circulation·H BLACKBURNS PUNSAR
Citations
Jul 23, 2003·The Journal of Surgical Research·Peter H LinStephen R Hanson
Oct 5, 2010·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·K E Juhani AiraksinenGregory Y H Lip
May 23, 2003·Journal of Vascular and Interventional Radiology : JVIR·Peter H LinStephen R Hanson