Stenting of long coronary artery lesions: Initial angiographic results and 6-month clinical outcome of the micro stent II-XL
To evaluate the results of long Micro Stent II (MS‐XL) implantations, 119 MS‐XLs were implanted in 102 patients (age, 62.83 years). Nineteen stents (16%) were implanted in saphenous vein grafts; 100 stents (84%) were implanted in native coronary arteries. Twenty‐five patients (25%) were treated beca...
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Published in | Catheterization and cardiovascular interventions Vol. 48; no. 1; pp. 105 - 112 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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New York
John Wiley & Sons, Inc
01.09.1999
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Abstract | To evaluate the results of long Micro Stent II (MS‐XL) implantations, 119 MS‐XLs were implanted in 102 patients (age, 62.83 years). Nineteen stents (16%) were implanted in saphenous vein grafts; 100 stents (84%) were implanted in native coronary arteries. Twenty‐five patients (25%) were treated because of acute myocardial infarction (AMI); 30 patients (29%) because of unstable angina or angina class IV, and 47 patients (46%) because of stable angina. Eighty‐six de novo lesions (84%) and 16 restenotic lesions (16%) were treated. Indications for stent implantation include elective, 61 patients (60%); suboptimal balloon angioplasty result, 22 patients (21%); and bailout after balloon angioplasty, 19 patients (19%). Because of residual thrombus after stenting, 27 patients (26%) received abciximab. All patients received ticlopidin for 28 days and acetylsalicylic acid. One hundred and seventeen MS‐XLs (98%) were implanted successfully. Additional (shorter) MS‐II were implanted in 40 patients (39%). The stented segment length was 45 ± 20 mm. The minimum lumen diameter increased from 0.5 ± 0.5 mm before to 2.7 ± 0.5 mm after stent implantation. The acute gain was 2.2 ± 0.4 mm. Early clinical events (<4 weeks) include death, 3 (3%); subacute stent thrombosis, 1 (1%); non–Q‐wave infarction, 2 (2%); CABG, 1 (1%); vascular complications, 2 (2%). Late clinical events (<6 months) include acute myocardial infarction, 5 (5%); reintervention, 6 (6%); CABG, 1 (1%). The procedural success rate was 88%, and the event free survival at 6 months was 76%. Stenting of long lesions with the MS‐XL was successful and associated with an acceptable complication rate. Cathet. Cardiovasc. Intervent. 48:105–112, 1999. © 1999 Wiley‐Liss, Inc. |
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AbstractList | To evaluate the results of long Micro Stent II (MS‐XL) implantations, 119 MS‐XLs were implanted in 102 patients (age, 62.83 years). Nineteen stents (16%) were implanted in saphenous vein grafts; 100 stents (84%) were implanted in native coronary arteries. Twenty‐five patients (25%) were treated because of acute myocardial infarction (AMI); 30 patients (29%) because of unstable angina or angina class IV, and 47 patients (46%) because of stable angina. Eighty‐six de novo lesions (84%) and 16 restenotic lesions (16%) were treated. Indications for stent implantation include elective, 61 patients (60%); suboptimal balloon angioplasty result, 22 patients (21%); and bailout after balloon angioplasty, 19 patients (19%). Because of residual thrombus after stenting, 27 patients (26%) received abciximab. All patients received ticlopidin for 28 days and acetylsalicylic acid. One hundred and seventeen MS‐XLs (98%) were implanted successfully. Additional (shorter) MS‐II were implanted in 40 patients (39%). The stented segment length was 45 ± 20 mm. The minimum lumen diameter increased from 0.5 ± 0.5 mm before to 2.7 ± 0.5 mm after stent implantation. The acute gain was 2.2 ± 0.4 mm. Early clinical events (<4 weeks) include death, 3 (3%); subacute stent thrombosis, 1 (1%); non–Q‐wave infarction, 2 (2%); CABG, 1 (1%); vascular complications, 2 (2%). Late clinical events (<6 months) include acute myocardial infarction, 5 (5%); reintervention, 6 (6%); CABG, 1 (1%). The procedural success rate was 88%, and the event free survival at 6 months was 76%. Stenting of long lesions with the MS‐XL was successful and associated with an acceptable complication rate. Cathet. Cardiovasc. Intervent. 48:105–112, 1999. © 1999 Wiley‐Liss, Inc. To evaluate the results of long Micro Stent II (MS-XL) implantations, 119 MS-XLs were implanted in 102 patients (age, 62.83 years). Nineteen stents (16%) were implanted in saphenous vein grafts; 100 stents (84%) were implanted in native coronary arteries. Twenty-five patients (25%) were treated because of acute myocardial infarction (AMI); 30 patients (29%) because of unstable angina or angina class IV, and 47 patients (46%) because of stable angina. Eighty-six de novo lesions (84%) and 16 restenotic lesions (16%) were treated. Indications for stent implantation include elective, 61 patients (60%); suboptimal balloon angioplasty result, 22 patients (21%); and bailout after balloon angioplasty, 19 patients (19%). Because of residual thrombus after stenting, 27 patients (26%) received abciximab. All patients received ticlopidin for 28 days and acetylsalicylic acid. One hundred and seventeen MS-XLs (98%) were implanted successfully. Additional (shorter) MS-II were implanted in 40 patients (39%). The stented segment length was 45 +/- 20 mm. The minimum lumen diameter increased from 0.5 +/- 0.5 mm before to 2.7 +/- 0.5 mm after stent implantation. The acute gain was 2.2 +/- 0.4 mm. Early clinical events (<4 weeks) include death, 3 (3%); subacute stent thrombosis, 1 (1%); non-Q-wave infarction, 2 (2%); CABG, 1 (1%); vascular complications, 2 (2%). Late clinical events (<6 months) include acute myocardial infarction, 5 (5%); reintervention, 6 (6%); CABG, 1 (1%). The procedural success rate was 88%, and the event free survival at 6 months was 76%. Stenting of long lesions with the MS-XL was successful and associated with an acceptable complication rate. Cathet. Cardiovasc. Intervent. 48:105-112, 1999. |
Author | Bruschke, Albert V.G. Oemrawsingh, Pranobe Jukema, J. Wouter Reiber, Johan H.C. Schalij, Martin J. Udayachalerm, Wasan |
Author_xml | – sequence: 1 givenname: Martin J. surname: Schalij fullname: Schalij, Martin J. email: mjschalijecardio.lumc.nl organization: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands – sequence: 2 givenname: Wasan surname: Udayachalerm fullname: Udayachalerm, Wasan organization: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands – sequence: 3 givenname: Pranobe surname: Oemrawsingh fullname: Oemrawsingh, Pranobe organization: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands – sequence: 4 givenname: J. Wouter surname: Jukema fullname: Jukema, J. Wouter organization: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands – sequence: 5 givenname: Johan H.C. surname: Reiber fullname: Reiber, Johan H.C. organization: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands – sequence: 6 givenname: Albert V.G. surname: Bruschke fullname: Bruschke, Albert V.G. organization: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands |
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Medline 1988; 2 1991; 18 1994; 331 1993; 28 1993; 21 1992; 124 1996; 93 1985; 312 1998; 81 1996; 131 1996; 334 1998; 43 1998; 135 1993; 126 1996; 48 1995; 130 1998; 97 1994; 73 1998; 44 1990; 82 1994; 7 1983; 67 1996; 77 Eeckhout (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB16) 1995; 130 Ozaki (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB15) 1996; 93 (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB19) 1985; 312 Hall (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB11) 1996; 93 Detre (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB4) 1990; 82 Nath (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB10) 1993; 21 Reiber (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB20) 1993; 28 Teirstein (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB3) 1991; 18 Kereiakes (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB25) 1998; 97 Serruys (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB5) 1994; 331 Ryan (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB18) 1988; 2 Meier (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB1) 1983; 67 Fischman (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB6) 1994; 331 Haude (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB9) 1993; 126 Adgey (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB24) 1998; 135 Cannon (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB2) 1994; 73 Lau (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB23) 1992; 124 von Birgelen (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB22) 1996; 131 Schomig (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB12) 1996; 334 Gambhir (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB14) 1996; 48 Schalij (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB7) 1998; 43 Oemrawsingh (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB13) 1998; 44 Oemrawsingh (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB8) 1998; 81 Lefkovits (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB17) 1996; 77 Keane (10.1002/(SICI)1522-726X(199909)48:1<105::AID-CCD22>3.0.CO;2-0-BIB21) 1994; 7 |
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Snippet | To evaluate the results of long Micro Stent II (MS‐XL) implantations, 119 MS‐XLs were implanted in 102 patients (age, 62.83 years). Nineteen stents (16%) were... To evaluate the results of long Micro Stent II (MS-XL) implantations, 119 MS-XLs were implanted in 102 patients (age, 62.83 years). Nineteen stents (16%) were... |
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SubjectTerms | Adult Aged Aged, 80 and over Angioplasty, Balloon, Coronary balloon angioplasty Coronary Angiography coronary artery disease Coronary Vessels - pathology Equipment Design Female Follow-Up Studies Humans Male Middle Aged stents Stents - adverse effects |
Title | Stenting of long coronary artery lesions: Initial angiographic results and 6-month clinical outcome of the micro stent II-XL |
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