Prevention of coronary restenosis by stenting.
- Sigwart U Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
- Kaufmann U
- Goy JJ
- Grbic M
- Golf S
- Essinger A
- Fischer A
- Sadeghi H
- Mirkovitch V
- Kappenberger L
- 1988-03-01
Published in:
- European heart journal. - 1988
Adult
Aged
Angioplasty, Balloon
Blood Vessel Prosthesis
Coronary Disease
Electrocardiography
Exercise Test
Female
Humans
Male
Middle Aged
Recurrence
English
Balloon angioplasty fails to provide acceptable long-term results for a significant proportion of patients. An intravascular mechanical support, developed with the aim of preventing restenosis and acute closure of diseased arteries after transluminal angioplasty, was implanted in 44 patients (39 male and five female), aged from 35 to 70 years (mean 56 years) with documented restenosis of native coronary artery (41 stents) and bypass grafts (12 stents). In the group of bypass graft patients there was no local restenosis and no major complication. In patients in whom stents were placed in native coronary arteries, the complication rate was higher (two patients died after coronary bypass surgery). One patient died suddenly at home. Except for one patient, in whom a new lesion developed proximally with extension into the stent, no case of restenosis could be observed. Despite the still relatively high complication rate, we feel that stenting may present a rational approach to the unresolved problem of restenosis after coronary angioplasty.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1093/eurheartj/9.suppl_c.31
- PMID 2968256
- Persistent URL
- https://sonar.ch/global/documents/35229
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