Abstract
Coronary artery stenting has been shown to improve the short- and long-term results of coronary angioplasty in mainly stable patients with 1-vessel disease, but it is uncertain whether its use in an unstable clinical setting may be safe and useful. To evaluate the stenting efficacy in patients with unstable angina, we retrospectively examined our experience with the Palmaz-Schatz balloon expandable stent in 231 consecutive patients. Patients were divided into 2 groups on the basis of symptoms at the time of stent implantation: group U (132 patients) had unstable angina, and group S (99 patients) had stable angina. After stent insertion, patients were treated with anticoagulant or combined antiplatelet therapy. Baseline characteristics of the 2 groups were comparable with the exception of age (higher in the unstable group) and angiographic characteristics of the target lesions (more unfavorable in unstable patients). In both groups, coronary stenting presented a high procedural success rate. Major in-hospital complications occurred in 9 unstable (6.8%) and in 2 stable (2%) patients (p = NS) and were mainly related to subacute stent thrombosis. In both groups, subacute stent thrombosis mostly occurred in patients treated with ant...Continue Reading
References
Feb 1, 1978·The American Journal of Cardiology·H W AlisonC E Rackley
Mar 1, 1992·Circulation·G S RoubinJ Breland
Jan 23, 1992·The New England Journal of Medicine·V FusterJ H Chesebro
Jan 30, 1992·The New England Journal of Medicine·V FusterJ H Chesebro
Oct 1, 1990·Circulation·S G EllisT M Bulle
May 1, 1989·American Heart Journal·O KampP W Serruys
Jul 1, 1989·Circulation·M R FreemanP W Armstrong
Aug 1, 1989·Circulation·E Braunwald
Feb 1, 1988·Circulation·S G EllisW R Cox
Jan 1, 1988·Catheterization and Cardiovascular Diagnosis·H W Thijs PlokkerC A Ascoop
Aug 1, 1988·Journal of the American College of Cardiology·P J de FeyterP G Hugenholtz
Nov 1, 1988·British Heart Journal·R A PerryM F Shiu
Nov 1, 1994·Journal of the American College of Cardiology·L G BentivoglioD P Faxon
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
Feb 1, 1994·Catheterization and Cardiovascular Diagnosis·S A MaloskyH C Herrmann
Jul 22, 1993·The New England Journal of Medicine·E J TopolD O Williams
Apr 25, 1996·The New England Journal of Medicine·A SchömigK Ulm
Citations
Jan 12, 2001·The American Journal of Cardiology·H Tomoda, N Aoki
Jul 27, 2010·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·D A A M SchellingsH Suryapranata
Jun 22, 1999·Lancet·F W Verheugt
Jun 19, 2001·Current Cardiology Reports·T J Ryan
Jan 13, 2000·The New England Journal of Medicine·Y YeghiazariansP H Stone
Apr 27, 2000·The American Journal of Cardiology·M AngioiF Cherrier
Sep 5, 2006·The American Journal of Cardiology·Abid R AssaliRichard W Smalling
Sep 15, 2000·Journal of the American College of Cardiology·E BraunwaldS C Smith
Feb 6, 1999·Journal of the American College of Cardiology·S M ZaacksL W Klein
Jun 27, 2002·Journal of the American College of Cardiology·Eelko RonnerMaarten L Simoons
Aug 19, 2007·Journal of the American College of Cardiology·Jeffrey L AndersonUNKNOWN Society for Academic Emergency Medicine
May 7, 2011·Journal of the American College of Cardiology·R Scott WrightUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Jun 6, 2003·Angiology·Haruo Tomoda, Naoto Aoki
Jul 6, 2000·Circulation·C W Hamm, E Braunwald
Mar 30, 2011·Circulation·Jeffrey L AndersonUNKNOWN ACCF/AHA TASK FORCE MEMBERS
Apr 1, 1998·Circulation·D J KereiakesE J Topol
Aug 8, 2007·Circulation·Jeffrey L AndersonUNKNOWN Society for Academic Emergency Medicine
Sep 29, 1999·Current Opinion in Cardiology·T R Tolleson, R A Harrington
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S De ServiC Klersy
Sep 6, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G BernardiP M Fioretti