[The First Experience of Using Very Long Stents Covered With Sirolimus (4060 mm) in the Treatment of Patients With Extensive and Diffuse Lesions of the Coronary Arteries].

Autor:	Matchin YG; Institute of Cardiology of Russian Cardiology Scientific and Production Complex, Moscow, Russia., Atanesyan RV; Institute of Cardiology of Russian Cardiology Scientific and Production Complex, Moscow, Russia., Kononets EN; Institute of Cardiology of Russian Cardiology Scientific and Production Complex, Moscow, Russia., Danilov NM; Institute of Cardiology of Russian Cardiology Scientific and Production Complex, Moscow, Russia., Bubnov DS; Institute of Cardiology of Russian Cardiology Scientific and Production Complex, Moscow, Russia., Ageev FT; Institute of Cardiology of Russian Cardiology Scientific and Production Complex, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Kardiologiia [Kardiologiia] 2017 Apr; Vol. 57 (4), pp. 19-26.
Abstrakt:	Objectives: To assess the clinical outcome of one year follow-up in patients with diffuse long lesions treated with extra-long sirolimus-eluting stents. Methods and Results: 85 patients underwent implantation of very long BioMime stents during the period from March 2014 to February 2016. Results: The angiographic success rate was 100%, clinical success was observed in 98.8% cases (one patient developed periprocedural MI). The additional back-up support for stent delivery was used in 11 (12.9%) patients (the "buddy wire" technique in 6 pts and Guidzilla catheter in 2 pts.). Cumulative MACE rate at 12 months was 9.4% with 1.1% myocardial infarction and 5.9% TLR. One patient died 6 month after stent implantation from massive pulmonary thromboembolism. None of the patients had subacute or late stent thrombosis. Follow-up angiography was performed in 48 (68.5%) patients, 5 (10.4%) patients demonstrated restenoses. Conclusion: The use of extra-long sirolimus-eluting stents is associated with good procedural and one-year clinical outcomes in complex patients with long and diffuse lesions.
Databáze:	MEDLINE
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