Real-world bare metal stenting: identification of patients at low or very low risk of 9-month coronary revascularization

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Stephen G EllisEric J Topol

Abstract

The high cost of drug-eluting stents (DESs) has made identification of patients who are at low risk for subsequent revascularization after treatment with bare metal stents (BMSs) highly desirable. Previous reports from randomized trials suffer from biases induced by restricted entry criteria and protocol-mandated angiographic follow-up. Between 1994 and 2001, 5,239 consecutive BMS patients, excluding those with coil stents, technical failure, brachytherapy, staged procedure, or stent thrombosis within 30 days, were prospectively identified from a large single-center tertiary-referral-center prospective registry for long-term follow-up. We sought to identify characteristics of patients with very low (< or = 4%) or low (4-10%) likelihood of coronary revascularization 9 months after BMS. Nine-month clinical follow-up was obtained in 98.2% of patients. Coronary revascularization was required in 13.4% and did not differ significantly by stent type. On the basis of multivariate analysis identifying 11 independent correlates and previous reports, 20 potential low-risk patient and lesion groups (228 +/- 356 patients/groups) were identified (e.g, patients with all of the following: native vessel, de novo, reference diameter > or = 3.5 m...Continue Reading

References

Nov 15, 1997·Journal of the American College of Cardiology·A KastratiF J Neumann
May 15, 1998·Journal of the American College of Cardiology·C BautersM Bertrand
Jul 30, 1999·The American Journal of Cardiology·R A Hernández-AntolinC Macaya
May 18, 2001·The American Journal of Cardiology·M AngioiN Danchin
Oct 5, 2001·Journal of the American College of Cardiology·J M ten BergH W Thijs Plokker
Jun 1, 2002·American Heart Journal·Stephen E KimmelA Russell Localio
Jun 7, 2002·The New England Journal of Medicine·Marie-Claude MoriceUNKNOWN RAVEL Study Group. Randomized Study with the Sirolimus-Coated Bx Velocity Balloon-Expandable Stent in the Treatment of Patie

❮ Previous
Next ❯

Citations

Dec 16, 2006·BMJ : British Medical Journal·A H Gershlick, G Richardson
Feb 10, 2010·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Edit RemakAnthony Gershlick
Aug 19, 2008·International Journal of Cardiology·Bryan P YanUNKNOWN Melbourne Interventional Group Investigators
Oct 7, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Terrence L TrentmanSusan G Hagstrom
Mar 16, 2007·International Journal of Cardiology·Peter Barlis, Carlo Di Mario
Aug 4, 2007·The American Heart Hospital Journal·Mark G RabbatDeepak L Bhatt
Aug 4, 2007·The American Heart Hospital Journal·Daniel H Steinberg, Ron Waksman
Aug 29, 2006·Clinical Cardiology·A YockSpencer B King
Jun 3, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marcel A M BeijkRobbert J de Winter
Sep 29, 2009·American Heart Journal·Margo KlompUNKNOWN TRIAS Investigators
Oct 25, 2016·International Journal of Cardiology·Ming-Lung TsaiI-Chang Hsieh
Jan 16, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·John McB HodgsonUNKNOWN Society for Cardiovascular Angiography and Interventions
Aug 28, 2012·Nature Reviews. Cardiology·Matthew A Cavender, Stephen G Ellis
Dec 1, 2009·Korean journal of anesthesiology·Jong Pil MoonJune Seog Choi
Oct 4, 2006·The Medical Journal of Australia·Bryan P YanDavid J Clark

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.