Document Detail


Safety, feasibility, and six-month outcomes of a systematic strategy of direct coronary stenting by a transradial approach in patients with single-vessel disease.
MedLine Citation:
PMID:  15080577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Strategies for percutaneous coronary intervention are continuously evolving, in order to reduce complications and to warrant better immediate and long-term outcomes. We sought to evaluate the safety, feasibility, and long-term outcomes of a systematic strategy of coronary stenting without predilation (direct stenting) via a transradial approach for single-vessel procedures. METHODS: Stenting was performed with Snapper stent and wide inner-lumen, preformed, guiding catheters; 118 minimally-selected patients (59% of all single-vessel procedures performed at our center during the study period) were enrolled: among them 39% presented for acute coronary syndromes, 28% were under glycoprotein IIb/IIIa inhibitor treatment, and 10% had a poor left ventricular function; 130 lesions were treated (1.1 stents/lesion): 53% were type B2/C, 8% longer than 20 mm, and 16% on bifurcations. RESULTS: The transradial approach was successful in 96% of cases; 7% required predilation. The immediate angiographic and clinical success rates were 100 and 98% respectively. No bleeding complications occurred when the transradial approach was successful. At 6 months, the mortality, major adverse events, recurrent ischemia, and target lesion revascularization rates were 0, 14, 15, and 10% respectively. CONCLUSIONS: A systematic strategy of direct stenting via a transradial approach for single-vessel procedures seems safe, feasible, and efficacious both immediately, and at 6 months of follow-up, even when treating complex lesions and/or high-risk patients.
Authors:
Giovanni Amoroso; Ugo Limbruno; Anna Sonia Petronio; Elisa Ferrali; Nicola Ciabatti; Marco De Carlo; Roberta Rossini; Mario Mariani
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  5     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-11-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  22-8     Citation Subset:  IM    
Affiliation:
Cardio Thoracic Department, University of Pisa, Italy. gioamor@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Dissecting / radiography,  therapy
Angioplasty, Transluminal, Percutaneous Coronary*
Blood Vessel Prosthesis Implantation
Brachial Artery / radiography,  surgery
Coronary Aneurysm / radiography,  therapy
Coronary Angiography
Coronary Stenosis / radiography,  therapy*
Feasibility Studies
Female
Femoral Artery / radiography,  surgery
Humans
Italy
Male
Middle Aged
Postoperative Complications / etiology
Prospective Studies
Radial Artery / radiography,  surgery
Safety
Stents*
Time Factors
Treatment Outcome

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