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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-3-3
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pubmed:abstractText |
From April 1986 through April 1992, 123 patients received 153 intracoronary stents (131 Medinvent, 13 Palmaz-Schatz, 9 Wiktor) during 131 procedures. The indication was bail-out treatment in 39, restenosis in 59 native coronary arteries, and stenosis or restenosis in 33 vein grafts. Stent-related events were studied during the in-hospital stay and on follow-up and included closure, stent restenosis, myocardial infarction, death, and the need for coronary bypass surgery. A Kaplan-Meier estimate extended to 6 years showed different short- and long-term outcomes for the distinct treatment groups (p < 0.05): right coronary artery stenting (more particularly, stenting for restenosis after angioplasty) had the lowest and vein graft stenting had the highest stent-related complication rate. The complication rate was similar (p > 0.25) (1) in the case of multiple nontandem stent implantation during the same procedure; (2) for the different endoprosthesis sizes; and (3) during the different procedural years. In native coronary arteries, restenosis after angioplasty of the right coronary artery could be a preferential indication for coronary artery stenting. Despite a favorable short-term outcome, vein graft stenting has a high incidence of events on long-term follow-up, mainly because of late restenosis. Multiple nontandem stenting during the same procedure is not associated with a higher incidence of complications, in particular, the restenosis rate is not appreciably higher. Finally, only a minor benefit for the learning curve is apparent from this single-center experience with continual unchanged postprocedural management.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0002-8703
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
127
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
262-72
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8296692-Adult,
pubmed-meshheading:8296692-Aged,
pubmed-meshheading:8296692-Aged, 80 and over,
pubmed-meshheading:8296692-Angina Pectoris,
pubmed-meshheading:8296692-Angioplasty, Balloon, Coronary,
pubmed-meshheading:8296692-Coronary Artery Bypass,
pubmed-meshheading:8296692-Coronary Disease,
pubmed-meshheading:8296692-Coronary Thrombosis,
pubmed-meshheading:8296692-Coronary Vessels,
pubmed-meshheading:8296692-Equipment Design,
pubmed-meshheading:8296692-Female,
pubmed-meshheading:8296692-Follow-Up Studies,
pubmed-meshheading:8296692-Humans,
pubmed-meshheading:8296692-Male,
pubmed-meshheading:8296692-Middle Aged,
pubmed-meshheading:8296692-Myocardial Infarction,
pubmed-meshheading:8296692-Recurrence,
pubmed-meshheading:8296692-Saphenous Vein,
pubmed-meshheading:8296692-Stents
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pubmed:year |
1994
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pubmed:articleTitle |
Complications and follow-up after intracoronary stenting: critical analysis of a 6-year single-center experience.
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pubmed:affiliation |
Department of Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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