Long-term clinical follow-up after successful direct coronary stenting without predilatation

Kuan Rau Chiou, Guang Yuan Mar, Hsin Li Liang, Chi Jen Tseng, Cheng Ju Wu, Pu Lin Hsieh, Hung Ting Chiang, Chun Peng Liu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. Direct stent implantation without predilatation is considered a promising new technique that may reduce procedural time, radiation exposure, ischemic time and cost, but little information is available concerning the long-term outcome. The aim of this study was to investigate the long-term clinical outcome of successful direct stenting without predilatation. Methods. We prospectively undertook a clinical follow-up program (minimum 8 months) in a consecutive series of 101 patients (113 lesions) Results. Clinical follow-up was obtained in all 101 patients at a mean period of 12.8 months (range 8 to 18.9). Stress test results were available in 94 patients (94%). During the follow-up period, 23 patients (23%) had one or more events, which included death in 2 patients (2%), target vessel revascularization in 14 (14%), myocardial infarction in 1 (1%) and positive stress test results or recurrence of symptoms (Canadian Cardiovascular Society I to II) treated medically in 6 (6%). Cumulative event-free survival at 8 and 18 months were 80% and 72%, respectively. Long-term clinical event rate was not significantly different among the clinical presentations, lesion types, or stent types. Angiographic follow-up was performed in 43 (43%) patients with 45 lesions. Restenosis (defined as 50% diameter stenosis) was observed in 14 of the lesions (31%). Conclusions. Direct stenting without predilatation is an effective method of coronary intervention in terms of low long-term clinical event rate.

Original languageEnglish
Pages (from-to)517-522
Number of pages6
JournalChinese Medical Journal (Taipei)
Volume65
Issue number11
Publication statusPublished - Nov 1 2002
Externally publishedYes

    Fingerprint

Keywords

  • Angioplasty
  • Coronary interventions
  • Direct Stenting
  • Stents

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chiou, K. R., Mar, G. Y., Liang, H. L., Tseng, C. J., Wu, C. J., Hsieh, P. L., Chiang, H. T., & Liu, C. P. (2002). Long-term clinical follow-up after successful direct coronary stenting without predilatation. Chinese Medical Journal (Taipei), 65(11), 517-522.