Angiographic and volumetric intravascular ultrasound comparison between direct Sirolimus-Eluting stent implantation versus predilation

Muñoz, Juan Simon; Abizaid, Alexandre; Albertal, Mariano; Mintz, Gary S.; Graebin, Roselei; Feres, Fausto; Staico, Rodolfo; Mattos, Luiz Alberto; Tanajura, Luiz Fernando; Abizaid, Andréa S.; Sousa, Amanda G.M.R.; Sousa, J. Eduardo

doi:10.1016/j.amjcard.2004.02.064

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…26) Studies have also failed to demonstrate such a positive effect of direct stenting on restenosis when implanting drug-eluting stents. 11,12,27,28) Our results are also consistent with this finding, demonstrating a similar degree of late loss observed in both groups during the quantitative analysis of coronary angiography records at follow-up. Vascular endothelial trauma with a balloon during predilatation may be a source of restenosis due to "inappropriate balloon trauma" when implanting drug-eluting stents, if the entire traumatized site is not covered with the stent.…”

Section: Discussionsupporting

confidence: 81%

Direct Stenting Versus Predilatation and Stenting Technique When Using Paclitaxel-Eluting Stents

et al. 2008

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SUMMARYDirect stenting without predilatation is a well-defined, feasible method with bare metal stents. Direct stenting has also been shown to be safe and feasible with drug-eluting stents, however, there is much less evidence with this type of device when compared with bare metal stents.Three hundred and sixty-four coronary lesions in 257 consecutive patients (mean age, 57.4 ± 9.8 years; 63 women) who had undergone elective stenting either with or without predilatation via a paclitaxel-eluting stent between March 2003 and March 2006 were retrospectively analyzed. Quantitative coronary angiography analysis was compared between the two groups of procedures; stenting with predilatation and direct stenting.All procedures were uneventful. No deaths occurred during the follow-up period. Direct stenting when compared with the predilatation technique, significantly decreased both procedure time (32.1 ± 17.9 minute versus 41.2 ± 18.6 minute, P < 0.0001) and fluoroscopy time (10.6 ± 7.8 minute versus 15.5 ± 7.6 minute, P < 0.0001). There was no difference in quantitative analysis parameters of coronary angiography during follow-up or the rates of stent thrombosis and restenosis.Direct stenting seems to be as feasible and safe as conventional predilatation and stenting in selected cases. Direct stenting seems to decrease procedural time and radiation exposure without any negative effect on quantitative analysis parameters of coronary angiography with approximately a one-year follow-up period. (Int Heart J 2008; 49: 545-552)

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Section: Discussionsupporting

confidence: 81%

Direct Stenting Versus Predilatation and Stenting Technique When Using Paclitaxel-Eluting Stents

et al. 2008

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“…Interestingly, in all these cases balloon predilatation was performed before stent implantation, and in all but two cases care was taken to employ predilatation balloons with diameter and length not exceeding that of the subsequent stents. Direct stenting seems to be safe and feasible with both SES and PES, [19][20][21] and nonrandomized comparisons have shown a trend toward decreased restenosis and MACE with direct SES stenting. 22 Stent overlapping was also found to be an independent predictor of both MACE and TVR in our study, thus substantiating concerns regarding the delayed arterial healing and enhanced inflammation in this setting.…”

Section: Discussionmentioning

confidence: 95%

Sirolimus‐ versus Paclitaxel‐Eluting Stents: A Comparison of Two Consecutive Series in Routine Clinical Practice

Katritsis¹,

Korovesis²,

Karabinos³

et al. 2006

J Interven Cardiology

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Direct Stenting in Patients Treated with Orbital Atherectomy: An ORBIT II Subanalysis

Shlofmitz

Martinsen

Behrens

et al. 2019

Cardiovascular Revascularization Medicine

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Angiographic and volumetric intravascular ultrasound comparison between direct Sirolimus-Eluting stent implantation versus predilation

Cited by 3 publications

References 11 publications

Direct Stenting Versus Predilatation and Stenting Technique When Using Paclitaxel-Eluting Stents

Direct Stenting Versus Predilatation and Stenting Technique When Using Paclitaxel-Eluting Stents

Sirolimus‐ versus Paclitaxel‐Eluting Stents: A Comparison of Two Consecutive Series in Routine Clinical Practice

Direct Stenting in Patients Treated with Orbital Atherectomy: An ORBIT II Subanalysis

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