Clinical and angiographic outcome after implantation of a home-made stent for complicated coronary angioplasty.
To defray the escalating costs of coronary stenting, we handmade a balloon-expandable, stainless steel stent, which after experimental evaluation, was implanted in 156 patients undergoing PTCA complicated by a major dissection. The procedural success rate was 98%. The in-hospital course was characterized by a 1.3% cardiopulmonary mortality and a 4.5% nonfatal myocardial infarction rate, while emergency bypass surgery and early repeat PTCA were necessary in only one patient each (0.6%). Clinical 6-mo follow-up in 150 patients revealed no deaths and no myocardial infarctions, and the event-free survival rate was 82%. Six-month control angiography was performed in 93.3% of eligible patients and revealed a restenosis rate of 20%.
De Scheerder
I K
IK
Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium.
Wang
K
K
Kerdsinchai
P
P
Desmet
W
W
Dens
J
J
Supanantaroek
C
C
Piessens
J H
JH
D000784:Aortic Dissection / Q000209:etiology; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D003251:Constriction, Pathologic; D003323:Coronary Aneurysm / Q000209:etiology; D017023:Coronary Angiography; D003327:Coronary Disease / Q000628:therapy*; D004867:Equipment Design; D006801:Humans; D012008:Recurrence; D015607:Stents; D016896:Treatment Outcome