Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Effectiveness of adjunctive stent implantation following directional coronary atherectomy for treatment of left anterior descending ostial stenosis
American Journal of Cardiology, Volume 90, No. 10, Year 2002
Notification
URL copied to clipboard!
Description
The aim of this study was to evaluate the acute and long-term angiographic and clinical results of optimal plaque debulking by means of directional coronary atherectomy (DCA) followed by stent implantation for treatment of left anterior descending (LAD) ostial stenosis. Eighty consecutive patients (66 men; aged 57 ± 10 years) with angina pectoris, documented anterior myocardial ischemia, and de novo LAD ostial stenosis prospectively underwent DCA and stent deployment. They were evaluated angiographically after 6 months and clinically for up to 30 ± 29 months. The primary success rate was 98%. The in-hospital complications were 1 death due to in-stent subacute thrombosis 7 days after the procedure, 1 non-Q-wave myocardial infarction, and 1 retrograde left main artery dissection. The angiographic binary restenosis rate was 14.5%, and the loss index was 0.38 ± 0.35. The target lesion revascularization (TLR) rates at 6, 12, and 24 months were 6.0%, 14.5%, and 16.3%, respectively, and the combined event rates (death, nonfatal myocardial infarction, TLR) at the same times were 8.7%, 17.5%, and 21.2%, respectively. These results indicate that the combined approach of DCA and stent implantation is feasible and safe in patients with LAD ostial lesions, has a high success rate, a low incidence of restenosis, and a good long-term outcome. © 2002 by Excerpta Medica, Inc.
Authors & Co-Authors
Repetto, Alessandra
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Ferrario, Maurizio
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Brambilla, N.
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Gnecchi, Massimiliano
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Merlini, Piera Angelica
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Ardissino, Diego
Italy, Bologna
Ospedale Maggiore
Tavazzi, Luigi T.
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Statistics
Citations: 21
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1016/S0002-9149(02)02772-8
ISSN:
00029149
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male