| Direct stenting in angiographically apparent thrombus-containing lesions. | |
| | |
MedLine Citation:
|
PMID: 11689718 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The data regarding the potential benefits of direct stenting in the setting of angiographically apparent thrombus-containing lesions are scarce. The aim of this study was to evaluate the impact of direct stenting on the angiographic results in the setting of thrombus. We reviewed our institutional interventional database and identified 30 patients who had undergone stenting in the setting of angiographically apparent thrombus-containing lesions (33% unstable angina pectoris, 67% acute myocardial infarction). The majority of patients had a baseline TIMI 2 and 3 flow (80%). Of the 6 patients (20%) who had TIMI 0-1 flow at baseline, four of them achieved a TIMI 2 flow immediately after crossing the lesion with a 0.014 guidewire. Although the remaining 2 patients had TIMI 1 flow, as distal opacification beyond the stenosis was obtained we successfully implanted the stents directly. All stents were successfully implanted without any crossing failure or stent loss. There was no "no re-flow", with a final TIMI 3 flow rate in 93%. In 1 patient with TIMI 2 flow after stenting, TIMI 3 flow was obtained after intracoronary verapamil. In 2 patients (7%, TIMI 2 flow), a final TIMI 3 flow could not be achieved despite intracoronary nitroglycerin and verapamil. There was no stent loss and imprecise stent placement. There were no in-hospital deaths, repeat interventions or coronary artery bypass graft surgeries. However, two patients had undergone mitral valve replacement due to severe mitral regurgitation. Eight patients with recurrent ischemia had control angiography; stents were found to be patent in all 8 patients. Two patients experienced recurrent myocardial infarction (6.6%). Direct stenting strategy in thrombus-containing lesions seems to be a safe and feasible approach in avoiding no re-flow. We believe that benefits observed with direct stenting in this study should be compared to conventional stenting in the same setting with a randomized study. |
| | |
Authors:
|
T Timurkaynak; M Ozdemir; A Cengel; M Cemri; H Ciftci; R Yalcin; B Boyaci; O Dortlemez; H Dortlemez |
Related Documents
:
|
6976738 - Transient ureteral obstruction after ureteral stenting. 15297588 - Radiopacity of current endovascular stents: evaluation in a multiple reader phantom study. 10841218 - A comparison of systematic stenting and conventional balloon angioplasty during primary... 19643768 - Simple versus complex stenting strategy for coronary artery bifurcation lesions in the ... 11696658 - Testing genetic susceptibility loci for alcoholic heart muscle disease. 17241328 - Unusual pacing observed in a biventricular pacemaker with epicardial pacing leads. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: The Journal of invasive cardiology Volume: 13 ISSN: 1042-3931 ISO Abbreviation: J Invasive Cardiol Publication Date: 2001 Nov |
Date Detail:
|
Created Date: 2001-11-05 Completed Date: 2002-01-09 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 742-7 Citation Subset: IM |
Affiliation:
|
Gazi University Medical School, Department of Cardiology, Besevler, 06500, Ankara, Turkey. ttimurkaynak@superonline.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Coronary Angiography* Creatine Kinase / analysis Creatine Kinase, MB Form Electrocardiography Female Follow-Up Studies Humans Isoenzymes / analysis Male Middle Aged Myocardial Infarction / etiology, mortality, surgery Recurrence Stents* Survival Analysis Thrombosis / etiology, radiography*, surgery* Treatment Outcome Turkey / epidemiology |
| Chemical | |
Reg. No./Substance:
|
0/Isoenzymes; EC 2.7.3.2/Creatine Kinase; EC 2.7.3.2/Creatine Kinase, MB Form |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Aminophylline does not protect against radiocontrast nephropathy in patients undergoing percutaneous...
Next Document: Life-saving balloon mitral valvuloplasty in patient with cardiogenic shock after cardiac arrest.