| Autor: |
Rainer Uebis, Gisbert Kober, Patrick W. Serruys, V. Wiegand, Michel E. Bertrand, Jean Francois Marquis, Valeix B, Jan Piessens, Pim J. de Feyter, Peter de Jaegere |
| Rok vydání: |
1993 |
| Předmět: |
|
| Zdroj: |
Developments in Cardiovascular Medicine ISBN: 9789401048194 |
| DOI: |
10.1007/978-94-011-1854-5_36 |
| Popis: |
Intracoronary stenting has been introduced as a adjunct to balloon angioplasty, aimed at overcoming its limitations, namely acute vessel closure and late restenosis. This study reports the first experience with the Wiktor stent implanted in the first 50 consecutive patients. All patients had restenosis of a native coronary artery lesion following prior balloon angioplasty. The target coronary artery was the left anterior descending artery in 26 patients, the circumflex artery in 7 patients and the right coronary artery in 17 patients. The implantation success rate was 98% (49/50 patients). There were no procedural deaths. Acute or subacute thrombotic stent occlusion occurred in 5 patients (10%). All 5 patients sustained a nonfatal acute myocardial infarction. Four of these patients were recanalized by means of balloon angioplasty, the remaining patient was referred for bypass surgery. A major bleeding complication occurred in 11 patients (22%): groin bleeding necessitating blood transfusion in 6 patients, gastro-intestinal bleeding in 3 patients and hematuria in 2 patients. Repeat angiography was performed at a mean of 5.6 ± 1.1 months in all implanted patients except one. Restenosis, defined by a reduction of ≥0.72 mm in the minimal luminal diameter or a change in diameter stenosis from |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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