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  • 1
    Electronic Resource
    Electronic Resource
    Restenosis after Successful Ostial Stent Implantation: (2004)
    350 Main Street , Malden , MA 02148 , USA . : Blackwell Science Inc
    Journal of interventional cardiology 17 (2004), S. 0 
    Details
    ISSN: 1540-8183
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Despite the introduction of coronary stents and effective anticoagulation regimens, the treatment of ostial lesions is limited by high restenosis rates. Initial results have been published asserting that statin therapy is associated with a significant reduction in restenosis after stent deployment. However, no information is available about the effect of statins after ostial stenting. Between 1993 and 2000, 122 patients required ostial placement of coronary stents at the Royal Brompton Hospital in London, United Kingdom. Statin treatment was continued or begun in 52 patients with a documentated hypercholesterolemia. Follow-up was feasible in 97 patients undergoing successful stent implantation. Restenosis rate was lower in patients receiving statins, but did not differ significantly from the nonstatin group (34.6% as against 42.2%, P = 0.531).
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8183.2004.00326.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Stenting for Unprotected and Protected Left Main Stem Disease: A Comparison of Short- and Long-term Outcome (1997)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of interventional cardiology 10 (1997), S. 0 
    Details
    ISSN: 1540-8183
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Left main coronary artery (LMCA) stenosis is usually treated with coronary artery bypass surgery. However, in high risk surgical patients, coronary stenting may be advantageous. We reviewed the records of all 16 patients who had undergone this procedure in our institution. Group I (nine patients, eight males, mean age 64.6 years) had protected LMCA disease. Group II (seven patients, six males, mean age 69.5 years) had unprotected LMCA disease. Procedural success was achieved in 15 patients. Outcome was divided into short-term (in hospital), and long-term events. The mean follow-up for both groups was 16.9 months and 9 months respectively. Three patients died (two in group II). Three patients had repeat revascularization procedure (group I). Six patients were asymptomatic (two in group I), and four had a significant improvement in angina symptoms. LMCA stenting is a relatively safe and effective revascularization procedure for patients with either protected or unprotected LMCA disease at high risk for surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8183.1997.tb00064.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The New ACS Multilink Coronary Stent: Single Center Experience in 103 Consecutive Patients With and Without Oral Anticoagulation (1997)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of interventional cardiology 10 (1997), S. 0 
    Details
    ISSN: 1540-8183
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Since the introduction of this stent, anticoagulant regimens have changed from an aggressive protocol (aspirin, heparin, and warfarin) to a simplifed regimen (aspirin and ticlopidine). In this study our experience with this stent is reviewed, and acute and chronic outcomes with the two anticoagulant protocols are compared. All patients undergoing ACS Multilink stent implantation between July 1993 and June 1996 were included. The clinical and angiographic characteristics were documented and outcomes recorded. The two anticoagulant groups were compared: 103 patients (94 males, age range 41–80 years, mean 59) received 124 stents: 68% had Canadian Cardiac Society (CCS) grade III or IV angina prior to the procedure; and 73% underwent bail-out stenting. High pressure inflations (〉 14 a) were used in 40% of cases. Eighty-four (85%) received aspirin and ticlopidine only. The initial success rate was 99%. Two patients underwent emergency surgery. There were no deaths and no cases of subacute stent thrombosis. Clinical follow-up is available on 66 patients (mean 190 days). Of these, 56 patients (54%) are in CCS grade 0 or 1. One patient has required surgical revascularization. There is one case of documented restenosis within the stented segment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8183.1997.tb00029.x
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Coronary Stenting of Aorto-Ostial Saphenous Vein Graft Lesions (2000)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of interventional cardiology 13 (2000), S. 0 
    Details
    ISSN: 1540-8183
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Treatment of aorta-ostial saphenous vein graft lesions by conventional balloon angioplasty or other techniques (laser angioplasty, atherectomy) is limited by high restenosis rates. This study is designed to evaluate acute results and long-term follow-up of high risk patients undergoing stent implantation at aorto-ostial locations of vein graft orifices. Between July 1993 and July 1999 coronary stents were placed in 30 ostial lesions in 30 patients. Procedural success was achieved in the absence of any major complications in 27 patients (90%). Clinical follow-up was obtained in all 27 patients after 17.7 months. Clinical restenosis occurred in 10 patients (38.5%). A total of 18 patients (69.2%) underwent repeat angiography. Angiographic restenosis was present in 10 patients. Treatment of saphenous vein graft lesions can be accomplished safely and effectively using intracoronary stent implantation. Results are superior to those described for conventional balloon angioplasty or other adjunctive techniques.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8183.2000.tb00307.x
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    Paper (German National Licenses)
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