title: Corrective use of the 2.5-mm GFX stent for suboptimal angioplasty results in small coronary arteries.
abstract: To evaluate the clinical efficacy of endoluminal stenting in the setting of percutaneous intervention for small coronary artery lesions, we reviewed our results on stenting with the 2.5-mm GFX stent (Arterial Vascular Engineering, Santa Rosa, CA) during an 18-month study period. A total of 120 patients with significant coronary artery disease in vessels </=2.6 mm were followed up clinically. Procedural success (defined as angiographic residual stenosis <20% without clinical complications) was obtained in 94% of cases. In-hospital complications were death (1%), non-Q-wave myocardial infarction (5%), and urgent repeat percutaneous intervention because of stent thrombosis (3%). During a mean follow-up of 9.8 months (range, 6-23 months), the following complications were noted: myocardial infarction (1%), clinical need for repeat intervention (13%) requiring repeat percutaneous treatment (12%) and surgical revascularization (1%). In conclusion, transcatheter application of a specifically designed stent for coronary artery disease in small vessels seems safe and efficient with a low incidence of adverse events during follow-up. Cathet. Cardiovasc. Intervent. 48:157-161, 1999.
authors.affiliation: Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. eeeckhou@hola.hospvd.ch
authors.forename: E
authors.initials: E
authors.lastname: Eeckhout
authors.forename: M
authors.initials: M
authors.lastname: Grobéty
authors.forename: P
authors.initials: P
authors.lastname: Vogt
authors.forename: J C
authors.initials: JC
authors.lastname: Stauffer
authors.forename: H
authors.initials: H
authors.lastname: Roguelov
authors.forename: P
authors.initials: P
authors.lastname: Urban
authors.forename: J J
authors.initials: JJ
authors.lastname: Goy
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019233:Retreatment; D015607:Stents; D016896:Treatment Outcome