Clinical and angiographic outcome after implantation of a home-made stent for complicated coronary angioplasty

• Published in: Catheterization and cardiovascular diagnosis Vol. 42; no. 3; pp. 339 - 347
• Main Authors: DE SCHEERDER, I. K, WANG, K, KERDSINCHAI, P, DESMET, W, DENS, J, SUPANANTAROEK, C, PIESSENS, J. H
• Format: Journal Article
• Language: English
• Published: New York, NY Wiley 01-11-1997
• Subjects: Aneurysm, Dissecting - etiology; Angioplasty, Balloon, Coronary - adverse effects; Biological and medical sciences; Constriction, Pathologic; Coronary Aneurysm - etiology; Coronary Angiography; Coronary Disease - therapy; Diseases of the cardiovascular system; Equipment Design; Humans; Medical sciences; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Recurrence; Stents; Treatment Outcome; Human; Endoprosthesis; Prognosis; Treatment; Radiodiagnosis; Angiography; Coronary artery; Instrumentation therapy; Instrumental dilatation; Technique
• ISSN: 0098-6569; 1097-0304
• DOI: 10.1002/(SICI)1097-0304(199711)42:3<339::AID-CCD27>3.0.CO;2-F

To defray the escalating costs of coronary stenting, we handmade a balloon-expandable, stainless steel stent, which after experimental evaluation, was implanted in 156 patients undergoing PTCA complicated by a major dissection. The procedural success rate was 98%. The in-hospital course was characterized by a 1.3% cardiopulmonary mortality and a 4.5% nonfatal myocardial infarction rate, while emergency bypass surgery and early repeat PTCA were necessary in only one patient each (0.6%). Clinical 6-mo follow-up in 150 patients revealed no deaths and no myocardial infarctions, and the event-free survival rate was 82%. Six-month control angiography was performed in 93.3% of eligible patients and revealed a restenosis rate of 20%.