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G. Reul, D. Cooley, G. Hallman, J. Duncan, J. Livesay, O. Frazier, D. Ott, P. Angelini, A. Massumi, V. Mathur (1984)
Coronary artery bypass for unsuccessful percutaneous transluminal coronary angioplasty.The Journal of thoracic and cardiovascular surgery, 88 5 Pt 1
Herrmann Herrmann, Hirshfeld Hirshfeld (1991)
Emergent coronary artery stenting for failed PTCA. (abstract)Circulation, 84
Reifart Reifart, Kupka Kupka, Störger Störger (1991)
Akuter Gefäß‐verschluß durch perkutane transluminale Koronarangioplastie: Früh‐ und Spätergebnisse der Re‐PTCAZ Kardiol, 80
Sigwart Sigwart, Urban Urban, Sadeghi Sadeghi (1989)
Implantation of 100 intracoronary stents. Learning curve for the incidence of acute early complications (abstract)J Am Coll Cardiol, 13
Fajadet Fajadet, Maron Maron, Cassagneau Cassagneau (1991)
Clinical and angiographic follow‐up in patients receiving a Palmaz‐Schatz stent for prevention or treatment of abrupt closure after coronary angioplasty. (abstract)Eur Heart J, 12
R. Schatz, D. Baim, M. Leon, S. Ellis, S. Goldberg, J. Hirshfeld, M. Cleman, H. Cabin, C. Walker, Jody Stagg, M. Buchbinder, P. Teirstein, E. Topol, M. Savage, J. Pérez, R. Curry, H. Whitworth, J. Sousa, F. Tio, Y. Almagor, R. Ponder, I. Penn, B. Leonard, S. Levine, R. Fish, J. Palmaz (1991)
Clinical Experience With the Palmaz‐Schatz Coronary Stent: Initial Results of a Multicenter StudyCirculation, 83
U. Page, J. Okies, L. Colburn, J. Bigelow, N. Salomon, A. Krause (1986)
Percutaneous transluminal coronary angioplasty. A growing surgical problem.The Journal of thoracic and cardiovascular surgery, 92 5
R. Schatz, Sheldon Goldberg, M. Leon, M. Leon, D. Baim, D. Baim, J. Hirshfeld, J. Hirshfeld, M. Cleman, M. Cleman, Stephen Ellis, S. Ellis, E. Topol, E. Topol (1991)
Clinical experience with the Palmaz-Schatz coronary stent.Journal of the American College of Cardiology, 17 6 Suppl B
U. Sigwart, P. Urban, S. Golf, U. Kaufmann, Christian Imbert, A. Fischer, L. Kappenberger (1988)
Emergency stenting for acute occlusion after coronary balloon angioplasty.Circulation, 78 5 Pt 1
S. Roubin, S. Douglas, B. King, Sufen Lin, Nancy Hutchison, Ronald Thomas, A. Gruentzig, G. Roubin (1988)
Influence of balloon size on initial success, acute complications, and restenosis after percutaneous transluminal coronary angioplasty. A prospective randomized study.Circulation, 78 3
Roubin Roubin, Douglas Douglas, Lembo Lembo (1988)
Intracoronary stenting for acute closure following percutaneous transluminal coronary angioplasty (PTCA). (abstract)Circulation, 78
P. Satter, E. Krause, M. Skupin (1987)
Mortality Trends in Cases of Elective and Emergency Aorto-Coronary Bypass after Percutaneous Transluminal Coronary AngioplastyThe Thoracic and Cardiovascular Surgeon, 35
Sigwart Sigwart, Urban Urban, Golf Golf (1988)
Emergency stenting for acute occlusion following coronary balloon angioplastyCirculation, 78
N. Reifart, J. Kupka, H. Störger, W. Preusler, F. Schwarz (1991)
[Acute vascular occlusion caused by percutaneous transluminal coronary angioplasty: early and late results of repeat-PTCA].Zeitschrift fur Kardiologie, 80 5
Reifart Reifart, Palausch Palausch, Störger Störger (1989)
Akuter Gefäß‐verschluß durch Koronarangioplastie: Früh‐ und Spätergebnisse der Re‐PTCAZ Kardiol, 78
The Strecker stent is a balloon‐mounted flexible endoprothesis of knitted tantalum wires, successfully used in peripheral arteries. In our practice stents are only implanted as a bailout device after percutaneous transluminal coronary angioplasty (PTCA). In 112/5,000 consecutive patients (2.2%), a dissection could not be sealed with prolonged balloon inflations and resulted in total (28%) or subtotal occlusion. A total of 127 stents (71 Schatz–Palmaz, 56 Strecker) had to be implanted. All patients were pretreated with aspirin p.o. and 20,000 U heparin IV. Before stent implantation, they received 500 mg intracoronary aspirin, 5,000 U heparin, and 500 mL Dextrane; and after implant, between 1,500 and 2,300 U/hour heparin IV overlapping a 3‐month treatment with Coumadin, aspirin p.o., and Pyridamol. Results of Strecker (n = 48) versus Schatz‐Palmaz (n = 64) stent: technical success (97% vs 95%); acute thrombosis (13% vs 16%); subacute thrombosis (8% vs 16%); severe bleeding (15% vs 9%); myocardial infarction (2% vs 3%); emergency CABG (6% vs 5%); in‐hospital death (10% vs 6%); restenosis (42% vs 31%); and late death (6–12 months) (6% vs 3%). Conclusion: (1) The Strecker coronary stent can be easily placed even in acute takeoff and tortuous vessels. (2) In bailout situations a high incidence of early thrombotic occlusions sets limits to both stents. (3) We, therefore, recommend urgent bypass operation after stent placement in these patients when the area at risk is large.
Journal of Interventional Cardiology – Wiley
Published: Jun 1, 1992
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