Document Detail


Acute and mid-term experiences with the Wiktor stent in acute complications and restenosis after coronary angioplasty.
MedLine Citation:
PMID:  10150955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report about the 6-month follow-up of 28 consecutive patients treated with a new tantalum stent (Wiktor¿ stent, Medtronic, Inc.). Indication for stenting was the prevention of restenosis in eight patients (restenosis group), and threatening or acute closure after PTCA in 20 patients (acute closure group). Twenty-eight of 30 stents were successfully positioned in 27 of 28 patients (96%), whereas implantation failed twice in one patient. Immediate stent occlusion developed in two patients in the acute closure group (7.4%) Subacute stent occlusion was observed in three patients (11%), one in the restenosis group, two in the acute closure group, between 3 and 5 days after implantation. Coronary bypass surgery had to be performed in four patients (15%): one patient after failed stent placement, two after acute, and one after subacute stent thrombosis. Major bleeding complications related to the anticoagulative drug regimen occurred in nine patients (33%). Three patients (11%) died for reasons most probably not related to stent implantation. A 6-month angiographic follow-up revealed restenosis in two of 19 patients (11%), one patient in each group. Sixteen of the 27 stented patients (59%) reached 6-month follow-up without death, acute or subacute stent thrombosis, or restenosis. It is concluded that the Wiktor stent can be placed with a high rate of success. It may also reduce the risk of restenosis. The stent also offers the possibility to circumvent emergency bypass surgery in case of PTCA related vessel occlusion. Acute and subacute stent occlusion still remains an unsolved topic.
Authors:
W Burger; H Sievert; J Steinmann; R Schräder; U Bauer; C Vallbracht; A Hartmann; G D Kneissl; A Utech; G Kober
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  5     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1993-03-25     Completed Date:  1993-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  147-57     Citation Subset:  T    
Affiliation:
Department of Cardiology, University Hospital, Frankfurt, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / radiography,  therapy*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Recurrence
Stents*
Tantalum
Treatment Outcome
Chemical
Reg. No./Substance:
7440-25-7/Tantalum

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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