title: [Acute and intermediate clinical and angiography results after coronary stent implantation].
abstract: The value of stenting in emergency situations in interventional angioplasty procedures is widely accepted. Stenting remains controversial as a therapeutic method for use beyond the acute phase, as the results reported in the acute phase are characterized by a wide range. This study reports the implantation results of Palmaz-Schatz stents in 64 cases mostly for failed PTCA. Stents were mounted on Monorail-PVC-balloon catheters. The acute success rate was 96.8%. In two cases with stent misplacement CABG was performed within 48 h. No lethal events occurred in the acute phase. Stent thrombosis has only been seen in four cases (6.5%) so far under subtle monitoring of the anticoagulant regime. Restenosis rate (definition: NHLBI-4) according to serial angiography 6 and 12 weeks after implantation was 4.25% at 6 weeks, with a cumulative rate of 19.4% up to 12 weeks. All recurrences eligible for PTCA have been successfully redilated. A high extracardiac complication rate--predominantly groin hematoma--is the main disadvantage of the procedure. Surgical repair was necessary in 11.4% up to 6 weeks after implantation. Surprisingly high was also the incidence of hematuria, also in 11.4%, in the phase of high anticoagulation. In conclusion, stenting is an effective therapeutic method to avoid emergency CABG and elective CABG in most cases of failed PTCA.
authors.affiliation: Medizinische Klinik I, Städtisches Klinikum Fulda.
authors.forename: G
authors.initials: G
authors.lastname: Strupp
authors.forename: T
authors.initials: T
authors.lastname: Bonzel
authors.forename: G
authors.initials: G
authors.lastname: Schreiner
authors.forename: Y
authors.initials: Y
authors.lastname: Lin
authors.forename: B
authors.initials: B
authors.lastname: Plappert
authors.forename: M
authors.initials: M
authors.lastname: Conze
authors.forename: J
authors.initials: J
authors.lastname: Volmar
authors.forename: H
authors.initials: H
authors.lastname: Zeplin
authors.forename: T
authors.initials: T
authors.lastname: Stegmann
mesh_terms: D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000628:therapy*; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015607:Stents; D014654:Vascular Patency / Q000502:physiology
vernacular_title: Akute und mittelfristige klinische und angiographische Ergebnisse nach koronarer Stentimplantation.