Acute and late outcome after use of 2.5-mm intracoronary stents in small (< 2.5 mm) coronary arteries.
We describe the high-pressure deployment of 2.5-mm stents in small (< 2.5 mm) coronary vessels. Forty-three lesions in 40 patients were treated. The mean reference vessel diameter was 2.3 +/- 0.2 mm. The mean % luminal stenosis was 90 +/- 9. The mean lesion length was 11. 7 +/- 9.1 mm. Sixteen lesions were pretreated with rotational atherectomy, and the remainder with PTCA. The rate of successful stent deployment was 41/43 (95%). The mean postintervention % stenosis was -1 +/- 10. There were no in-hospital deaths or procedure-related Q-wave MI. The patients were followed for a mean of 18 months. Eight patients (or 21%) developed recurrent chest pain and/or angiographically proven restenosis. One patient (3%) developed intermediate restenosis. Twenty-nine patients (or 76%) either remain symptom-free or have patent target sites on repeat angiography. It appears that reasonable acute and long-term results can be achieved with 2.5-mm stents in small coronary arteries using high-pressure deployment techniques. Cathet. Cardiovasc. Intervent. 49:121-126, 2000.
Huang
P
P
Hans Hecht Hemodynamics Laboratory, Pritzker School of Medicine, the University of Chicago Hospital, Chicago, Illinois 60637, USA.
Levin
T
T
Kabour
A
A
Feldman
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D017225:Atherectomy, Coronary; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome