[Efficacy and safety of coronary stenting during diagnostic coronary angiography in patients with stable angina].
The authors assessed the in-hospital and long-term (up to 6 months) results of coronary stenting conducted just after diagnostic coronarography during a common procedure in patients with stable angina pectoris on effort. The 2001-2002 study included 2277 patients. The clinical indications for catheterization were Functional Classes II-IV stable angina on effort in 83 % of patients and silent ischemia in 17%. The study excluded patients with previous coronarography, acute coronary syndrome on admission, renal failure, left ventricular ejection fraction <30%, and left trunk stenosis. All the patients received aspirin and clopidogrel before catheterization.


RESULTS
57% of patients had multivessel disease; full revascularization was performed in 59% of the patients with multivessel disease. The coronary intervention was successful in 100% of cases. Significant in-hospital events (myocardial infarction without Q wave) were in 1.2% of cases. The mean length of hospital stay was 2.9 +/- 2.4 days. The rate of stent thrombosis for as long as 30 days was 0.2%. Recurrent angina and/or positive exercise tests were in 12% during 6 months.


CONCLUSIONS
immediate stening is effective and safe in most patients with stable angina during diagnostic catheterization. It does not increase immediate and late complications.
Vural
A
A
Pershukov
I V
IV
Batyraliev
T A
TA
Niiazova-Karben
Z A
ZA
Suleĭmanova
T
T
Peresypko
M K
MK
Petrakova
L N
LN
D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis*; D017023:Coronary Angiography / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015203:Reproducibility of Results; D015607:Stents