BACKGROUND: The feasibility of using a single short bare metal stent (BMS) (less than 9 mm) in a high proportion of coronary artery lesions was shown in a previous study, which reported a low rate of restenosis. The present study aimed to investigate immediate and long-term results of a procedure that uses a single short BMS for all lesions that can be successfully treated with this method, and an implantation of a drug-eluting stent (DES) for all other lesions. METHODS: In a series of 200 consecutive patients, 236 coronary artery lesions were treated with either a short BMS (168 of 236 [71.2%]) or with a DES (68 of 236 [28.8%]). RESULTS: Angiographic success was achieved in 230 of 236 lesions (97.5%) and procedural success was achieved in 194 of 200 patients (97.0%). Restenosis occurred in 15 of 153 lesions (9.8%) after using a short BMS, in three of 62 lesions (4.8%) after using a DES and in 18 of 215 of all lesions (8.4%) at angiographic follow-up after six to eight months. Target vessel revascularization was performed in 16 of 218 lesions (7.4%). CONCLUSIONS: Most of the coronary artery lesions in this small group of consecutive patients could be treated sufficiently with a single short BMS. The differential approach of treating lesions in medium- to large-sized vessels with a single short BMS if suitable, or with a DES in all other instances resulted in a low incidence of restenosis.
BACKGROUND: The feasibility of using a single short bare metal stent (BMS) (less than 9 mm) in a high proportion of coronary artery lesions was shown in a previous study, which reported a low rate of restenosis. The present study aimed to investigate immediate and long-term results of a procedure that uses a single short BMS for all lesions that can be successfully treated with this method, and an implantation of a drug-eluting stent (DES) for all other lesions. METHODS: In a series of 200 consecutive patients, 236 coronary artery lesions were treated with either a short BMS (168 of 236 [71.2%]) or with a DES (68 of 236 [28.8%]). RESULTS: Angiographic success was achieved in 230 of 236 lesions (97.5%) and procedural success was achieved in 194 of 200 patients (97.0%). Restenosis occurred in 15 of 153 lesions (9.8%) after using a short BMS, in three of 62 lesions (4.8%) after using a DES and in 18 of 215 of all lesions (8.4%) at angiographic follow-up after six to eight months. Target vessel revascularization was performed in 16 of 218 lesions (7.4%). CONCLUSIONS: Most of the coronary artery lesions in this small group of consecutive patients could be treated sufficiently with a single short BMS. The differential approach of treating lesions in medium- to large-sized vessels with a single short BMS if suitable, or with a DES in all other instances resulted in a low incidence of restenosis.
Authors: Y Kobayashi; J De Gregorio; N Kobayashi; T Akiyama; B Reimers; L Finci; C Di Mario; A Colombo Journal: J Am Coll Cardiol Date: 1999-09 Impact factor: 24.094
Authors: J Hausleiter; S Jost; C W Nolte; J Dirschinger; A Kastrati; G M Stiel; W Wunderlich; F Fischer; T Linderer; D Hausmann; A Schömig Journal: Coron Artery Dis Date: 1997-02 Impact factor: 1.439
Authors: D Antoniucci; R Valenti; G M Santoro; L Bolognese; M Trapani; G Cerisano; V Boddi; P F Fazzini Journal: Am Heart J Date: 1998-03 Impact factor: 4.749
Authors: Laura Mauri; A James O'Malley; Donald E Cutlip; Kalon K L Ho; Jeffrey J Popma; Manish S Chauhan; Donald S Baim; David J Cohen; Richard E Kuntz Journal: Am J Cardiol Date: 2004-06-01 Impact factor: 2.778