TY - JOUR
T1 - Initial experience with long coronary stents
T2 - The changing practice of coronary angioplasty
AU - Rozenman, Y.
AU - Mereuta, A.
AU - Mosseri, M.
AU - Lotan, C.
AU - Nassar, H.
AU - Hasin, Y.
AU - Gotsman, M. S.
N1 - Funding Information:
Supported by a research grant from the Dr. Herbert Berman Foundation.
PY - 1997
Y1 - 1997
N2 - The initial experience with the use of long coronary stents (>30 mm in length) was analyzed retrospectively. Sixty-seven stents were deployed in 58 narrowings in 57 patients (34 AVE Microstents, 16 Nir stents, four Gianturco- Roubin II stents, and 13 Wallstents). Steers were implanted in 22 patients with unstable angina, 34 patients with stable angina, and one patient during direct angioplasty for acute myocardial infarction. Eighteen additional short stents were implanted to cover the entire length of the lesions so that an average of one and a half stents were deployed per patient. The length of the narrowings before stenting was 40 ± 20 mm and the length of the stented segments was 45 ± 20 mm. Stents were deployed for 'boilout' in 23 narrowings, to improve suboptimal results of balloon angioplasty in 18 narrowings, and electively in 17 narrowings. Twenty of the 67 long stents were deployed in saphenous vein grafts. The success rate of stent implantation was 100%. One patient had a rupture of o saphenous vein graft after deployment of two long stents, with tamponade treated by emergency surgery. One patient had chest pain 18 hours after stent deployment; by the time he arrived at the catheterization laboratory the pain had subsided and the angiogram revealed a patent artery with normal flow. There were no other major complications during the hospital course and 1-month follow-up. We conclude that long coronary stents can be deployed successfully in native coronary arteries and vein grafts. They are useful for elective implantation and extremely helpful in bailout situations. The immediate results are excellent, but long-term outcome is awaited.
AB - The initial experience with the use of long coronary stents (>30 mm in length) was analyzed retrospectively. Sixty-seven stents were deployed in 58 narrowings in 57 patients (34 AVE Microstents, 16 Nir stents, four Gianturco- Roubin II stents, and 13 Wallstents). Steers were implanted in 22 patients with unstable angina, 34 patients with stable angina, and one patient during direct angioplasty for acute myocardial infarction. Eighteen additional short stents were implanted to cover the entire length of the lesions so that an average of one and a half stents were deployed per patient. The length of the narrowings before stenting was 40 ± 20 mm and the length of the stented segments was 45 ± 20 mm. Stents were deployed for 'boilout' in 23 narrowings, to improve suboptimal results of balloon angioplasty in 18 narrowings, and electively in 17 narrowings. Twenty of the 67 long stents were deployed in saphenous vein grafts. The success rate of stent implantation was 100%. One patient had a rupture of o saphenous vein graft after deployment of two long stents, with tamponade treated by emergency surgery. One patient had chest pain 18 hours after stent deployment; by the time he arrived at the catheterization laboratory the pain had subsided and the angiogram revealed a patent artery with normal flow. There were no other major complications during the hospital course and 1-month follow-up. We conclude that long coronary stents can be deployed successfully in native coronary arteries and vein grafts. They are useful for elective implantation and extremely helpful in bailout situations. The immediate results are excellent, but long-term outcome is awaited.
UR - http://www.scopus.com/inward/record.url?scp=0030987577&partnerID=8YFLogxK
U2 - 10.1016/S0002-8703(97)70068-1
DO - 10.1016/S0002-8703(97)70068-1
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C2 - 9327689
AN - SCOPUS:0030987577
SN - 0002-8703
VL - 134
SP - 355
EP - 361
JO - American Heart Journal
JF - American Heart Journal
IS - 3
ER -