Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1997-3-5
pubmed:abstractText
Intravascular ultrasound guidance has been suggested as a prerequisite before managing patients receiving slotted tubular stents without anticoagulation. The purpose of this prospective observational study was to determine if patients receiving this stent can be similarly managed following angiographic guided stent deployment without intravascular ultrasound assistance. A total of 137 patients receiving slotted tubular stents were selected to receive a protocol of aspirin 325 mg and ticlopidine 250 mg for 30 days following the satisfaction of certain angiographic criteria. These criteria were: adequate coverage of intimal dissections, absence of residual filling defects, and normal (TIMI III) flow in the stented vessel at the end of the procedure. The stenting procedure was planned in 68% of patients and unplanned in 32% of patients. During the 30 day clinical follow period there were no stent thrombosis events, no Q-wave myocardial infarctions, and no deaths. Non-Q-wave myocardial infarction occurred in 3 patients (2.2%), hemorrhage requiring blood transfusion in 3 patients (2.2%), and 1 patient (0.7%) developed a pseudo-aneurysm of the cannulated femoral artery. These data indicate that patients receiving slotted tubular stents with optimal angiographic results can be safely managed with the combination of aspirin and ticlopidine without anticoagulation or the need for intravascular ultrasound guidance.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0098-6569
pubmed:author
pubmed:issnType
Print
pubmed:volume
39
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
341-5
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:8958420-Adult, pubmed-meshheading:8958420-Aged, pubmed-meshheading:8958420-Aged, 80 and over, pubmed-meshheading:8958420-Angioplasty, Balloon, Coronary, pubmed-meshheading:8958420-Anticoagulants, pubmed-meshheading:8958420-Aspirin, pubmed-meshheading:8958420-Combined Modality Therapy, pubmed-meshheading:8958420-Coronary Disease, pubmed-meshheading:8958420-Coronary Vessels, pubmed-meshheading:8958420-Drug Therapy, Combination, pubmed-meshheading:8958420-Equipment Design, pubmed-meshheading:8958420-Female, pubmed-meshheading:8958420-Humans, pubmed-meshheading:8958420-Male, pubmed-meshheading:8958420-Middle Aged, pubmed-meshheading:8958420-Platelet Aggregation Inhibitors, pubmed-meshheading:8958420-Prospective Studies, pubmed-meshheading:8958420-Stents, pubmed-meshheading:8958420-Ticlopidine, pubmed-meshheading:8958420-Treatment Outcome, pubmed-meshheading:8958420-Ultrasonography, Interventional
pubmed:year
1996
pubmed:articleTitle
Intracoronary stenting using slotted tubular stents with intravascular ultrasound and anticoagulation.
pubmed:affiliation
Division of Cardiovascular Diseases, University of Alabama at Birmingham 35294, USA.
pubmed:publicationType
Journal Article, Comparative Study