ACC expert consensus document on coronary artery stents

Holmes, D. R.; Hirshfeld, John W.; Faxon, David P.; Vlietstra, R. E.; Jacobs, Alice K.; King, SpencerB; Bashore, T.M.; Bridges, NancyD; Higgins, Charlesb .; Hiratzka, L. E.; Little, WilliamC; Magorien, Raymondd .; Nocero, MichaelA; Oesterle, Stephen N.; Vogel, RobertA; Forrester, JamesS .; Douglas, P.; Faxon, D. P.; Fisher, J; Gibbons, RaymondJ .; Halperin, JonathanL; Hutter, A; Hochman, JudithS; Kaul, Sanjiv; Weintraub, W.S.; Winters, WilliamL; Wolk, M.

doi:10.1016/s0735-1097(98)00427-6

Cited by 100 publications

(18 citation statements)

References 70 publications

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“…Frequently, evidence from trials with highly selective enrollment criteria has been extrapolated to include patients in common clinical practice for whom no objective data exist. At present, the objectives of stenting are to improve on the angiographic results of conventional balloon angioplasty, reduce the occurrence of restenosis, and treat acute or threatened closure [10]. In most instances, however, it is likely that stent selection for individual patients is determined by a variety of factors, including operator familiarity with the stent and lesion morphology (e.g., side-branch access, tortuosity of the vessel, presence of calcification, vessel size, and lesion length).…”

Section: Stent Characteristics and Indications For Usementioning

confidence: 99%

Coronary artery stents: Evaluating new designs for contemporary percutaneous intervention

Kandzari

Tcheng

Zidar

2002

Cathet Cardio Intervent

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Intracoronary stents have markedly improved the short- and long-term safety and efficacy of percutaneous coronary intervention by improving acute gains in luminal dimensions, decreasing abrupt vessel occlusion, and reducing restenosis. At present, nearly 90% of all coronary interventions involve stenting. A variety of advances in stent technology and design have expanded the clinical application of stenting to include complex coronary lesions, multivessel disease, and small-diameter vessels. In addition, the development of stents as drug delivery systems for antithrombotic or antiproliferative agents has the potential to expand the role of coronary stenting, and early clinical experience appears promising. The purpose of this review is to describe recent developments in stent design, examine the results of clinical trials of contemporary stents, and present future directions for investigation of new stent technologies.

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Section: Stent Characteristics and Indications For Usementioning

confidence: 99%

Coronary artery stents: Evaluating new designs for contemporary percutaneous intervention

Kandzari

Tcheng

Zidar

2002

Cathet Cardio Intervent

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“…The ST-segment remained elevated and pain became aggravated during the following hour, suggesting that thrombolysis had failed. Mechanical reperfusion was then ordered [2]. Left ventriculography demonstrated akinesia of inferior wall segments with wellpreserved function of all other parts of the left ventricle.…”

Section: Case Reportmentioning

confidence: 99%

“…Treatment of this life-threatening condition has improved dramatically in recent years and early revascularization, in particular, has significantly reduced morbidity and mortality. If intravenous thrombolysis fails to reopen the infarcted artery, percutaneous transluminal coronary angioplasty should be performed immediately [1,2]. The presence of major congenital abnormalities of the coronary tree, such as a single coronary artery, can nonetheless present a challenge.…”

Section: Introductionmentioning

confidence: 99%

Rescue percutaneous transluminal coronary angioplasty in a patient with a single coronary artery arising from the right Sinus Valsalvae: previously unreported scenario and review of literature

Zweiker

Luha

Klein

2002

Journal of Internal Medicine

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This is the first description of treatment with coronary stenting of a patient with a single coronary artery originating from the right Sinus Valsalvae and suffering from acute inferior myocardial infarction. Angiography showed the following: the right coronary artery (RCA) had a normal course, whilst the left anterior descending (LAD) as well as the left circumflex (LCX) branches both originated separately from the proximal RCA, which served as a common mixed trunk. The LAD crossed to the left in front of the right ventricular outflow tract, whilst the LCX, taking a retroaortic course to the atrioventricular groove, had a distal occlusion. According to an anatomically based classification considering all imaginable variations, this configuration corresponds to a II-D-1 pattern, which previously has been described only in a single postmortem case. After the LCX was reopened with a guide wire, a coronary stent was successfully inserted, resulting in TIMI-3 flow. Recovery was uneventful.

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“…By the time the ACC document was published, stents were being used in more than 50% of all percutaneous coronary artery procedures. 4 Subsequently, stent technology and research continued to advance and by the time the second ACC consensus document was published just 2 years later, 5 neither of the 2 stents on which the first document was based were used, having been replaced by improved stents.…”

mentioning

confidence: 99%