[Coronary angioplasty with direct stenting: assessment of primary results and some economical aspects].
Comparison of immediate angiographical and clinical results of direct coronary stenting and stenting after predilation was carried out in 68 patients. Groups of patients subjected to direct stenting and stenting with predilation had similar clinical and angiographical characteristics. Direct stenting was successful in 100%, stenting with predilation--in 97.2% of patients with residual stenosis 5.1 and 4.9%, respectively. There were no cases of stent loss, death or emergent bypass grafting during neither the procedure nor period of hospitalization. There was 1 Q-wave myocardial infarction (2.8%) and 2 non-Q wave myocardial infarctions (1 in each group). Compared with stenting with predilation procedure of direct stenting was associated with significantly shorter procedure duration (39-/+7.1 min, 60-/+12.5 min, respectively), radiation exposure time (7.9-/+6.3 and 13.5-/+8.9 min, respectively), lower workload of the laboratory (4.9-/+3.5 and 6.1-/+2.0 patients/day, respectively), decreased consumption of contrast medium (200-/+71 and 275-/+75.9 ml, respectively), and thus lower overall cost of the procedure.


CONCLUSIONS
Direct coronary stenting is a convenient, safe and economically justified method of stent implantation.
Bolomatov
N V
NV
Samko
A N
AN
Levitskiĭ
I V
IV
Smirnov
M A
MA
Sumarokov
A B
AB
Naumov
V G
VG
D015906:Angioplasty, Balloon, Coronary / Q000191:economics; D002404:Catheterization; D017023:Coronary Angiography; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D015607:Stents / Q000191:economics; D013997:Time Factors; D016896:Treatment Outcome