A randomized study of direct coronary stent delivery compared with stenting after predilatation: the NIR future trial. On behalf of the NIR Future Trial Investigators.
This randomized trial compared a strategy of direct stenting without predilatation (n = 39) with conventional stenting with predilatation (n = 42) in patients with suitable lesions in native vessels > or = 2. 5-mm diameter to be covered by either a 9- or 16-mm-length NIR Primo stent. Equipment cost [mean (median) +/- SD] was less in those with direct stenting [$1,199 (979) +/- 526] than in those with predilatation [$1,455 (1,285) +/- 401, P < 0.001]. There was no significant difference in contrast use or fluoroscopy time. Procedural time was shorter in the direct stenting group. The clinical outcome at 1 month was satisfactory in both groups. In selected patients, a strategy of direct stenting is feasible, costs less, and is quicker to perform than the conventional strategy of stenting following predilatation.
Ormiston
J A
JA
Green Lane Hospital, Auckland, New Zealand. johno@mercyangiography.co.nz
Webster
M W
MW
Ruygrok
P N
PN
Elliott
J M
JM
Simmonds
M B
MB
Meredith
I T
IT
Devlin
G P
GP
Stewart
J T
JT
Dixon
S R
SR
Price
S
S
Ellis
C J
CJ
West
T M
TM
D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000191:economics / Q000295:instrumentation*; D001315:Australia; D017023:Coronary Angiography; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D015607:Stents / Q000191:economics