Full Metal Jackets (> or =60 mm) of Drug-Eluting Stents: Short- and Long-term Clinical and Angiographic Outcomes
Korean Circulation Journal
; : 87-94, 2008.
Article
en Ko
| WPRIM
| ID: wpr-57480
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES: Drug-eluting stents (DES) are effective for the maintenance of patency in patients with various complex coronary artery diseases. We investigated the efficacy of full metal jackets (FMJs,> or =60 mm) using overlapping DES for very long coronary lesions. SUBJECTS AND METHODS: The medical records and angiographic data of ninety-nine patients, and 100 FMJs that were implanted at Chonbuk National University Hospital since March 2003, were analyzed. RESULTS: The mean age was 63+/-10 years and median follow-up period was 17.0 months. The mean lesion length was 57.7+/-10.8 mm, the mean number of implanted DES for FMJ was 2.2+/-0.5, and the mean length of the FMJ was 68.5+/-11.4 mm. Thirty percent of the lesions were the culprits of acute myocardial infarction and 22% were chronic total occlusive lesions. The procedural success rate was 98%. Triple antiplatelet agents were prescribed for 37.4% of the patients and the mean duration of clopidogrel use was 11.9+/-5.7 months. Overall major adverse cardiac events developed in 10% of patients. One patient died of probable stent thrombosis by the Academic Research Consortium definition. Follow-up coronary angiography was performed in 69% of cases. Binary restenosis was documented in 9 lesions (13.0%) and five FMJs (7.2%) were revascularized. Stent fractures were detected in four FMJs (5.8%). CONCLUSION: Although FMJs using DES may be regarded as a relatively safe and effective therapeutic approach for diffuse long coronary lesions, longer-term follow-up data with a larger population is needed to establish safety including special consideration for strategy of antiplatelet therapy.
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Índice:
WPRIM
Asunto principal:
Trombosis
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Enfermedad de la Arteria Coronaria
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Ticlopidina
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Inhibidores de Agregación Plaquetaria
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Angioplastia Coronaria con Balón
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Stents
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Registros Médicos
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Estudios de Seguimiento
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Angiografía Coronaria
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Stents Liberadores de Fármacos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Korean Circulation Journal
Año:
2008
Tipo del documento:
Article