Preview

General Reanimatology

Advanced search

Coronary Arterial Stenting in Acute Coronary Syndrome

https://doi.org/10.15360/1813-9779-2006-1-32-38

Abstract

To study the long-term results of coronary arterial stenting in relation to the baseline clinical and angiographic findings and the presence of acute coronary syndrome at the moment of a procedure, the authors made a retrospective comparison of groups of patients undergone balloon angioplasty with a stent being inserted. The findings indicate that while choosing the tactics of treatment for patients with coronary heart disease (CHD) and assessing the risk of development of poor outcomes of coronary stenting, it is necessary to take into account a combination of factors significantly affecting the occurrence of coronary events and the development of restenosis after surgery (smoking, acute coronary syndrome at the moment of a procedure, serum triglyceride levels, extent of coronary bed affliction, type of stenosis, diameter of a revas-cularized vessel) and to apply, where possible, the minimal effective exposure principle to achieve the optimal result of a procedure.

About the Authors

S. O. Sokolova
State Research Center of Preventive Medicine, Ministry of Health of the Russian Federation, Moscow


V. P. Mazayev
State Research Center of Preventive Medicine, Ministry of Health of the Russian Federation, Moscow


Yu. M. Popov
State Research Center of Preventive Medicine, Ministry of Health of the Russian Federation, Moscow


S. V. Ryazanova
State Research Center of Preventive Medicine, Ministry of Health of the Russian Federation, Moscow


G. V. Kuznetsova
State Research Center of Preventive Medicine, Ministry of Health of the Russian Federation, Moscow


References

1. Finci L., Kobayashi N., Ferraro M. et al. Results of coronary stenting with different indications. CVI 2000: 8—12.

2. Lakovou I., Schmidt T., Bonizzoni E. et al. Incidens, predictors, and outcome of thrombosis after successful implantation of drug eluting stents. JAMA 2005; 293: 2126—2130.

3. Allen D. M., Candy F. B. Analyzing experimented data by regression. Belmont CA, Lifetime Learning Publication. 1982.

4. Degertekin M., Regar E., Tanabe K. et al. Sirolimus eluting stent in the treatment of atherosclerosis coronary artery disease. Minerva Cardioangiol. 2002; 50 (5): 405—418.

5. Ruygrok P. N., Webster M. W. I., Valk V. et al. Clinical and angiographic factors associated with asymptomatic restenosis after percutaneus coronary intervention. Circulation 2001; 104: 2289.

6. Heper G. The comparison of different clinical, laboratory, and angiographical parameters in diabetic stent restenosis. Heart Dis. 2002; 4 (3): 139—140.

7. Аронов Д. М. Лечение и профилактика атеросклероза. М.; 2000.

8. Бабунашвили А. М., Иванов В. А., Бирюков С. А. Эндопротезирование (стентирование) венечных артерий сердца. М.: АСВ; 2000.

9. Tanguay J. F., Hammoud T., Geoffroy P., Merhi Y. Chronic platelet and neutrophil adhesion: a causal role for neointimal hyperplasia in in-stent restenosis. J. Enndovasc. Ther. 2003; 10 (5): 968—977.

10. Fukuda D., Shimada K., Tanaka A. et al. Circulation monocytes and instent neointima after coronary stent implantation. J. Am. Coll. Cardiol. 2004; 43 (1): 18—23.

11. Kastrati A., Shomig A., Elezi S. et al. Prognostic value of the modified American College of Ccardiology/American Heart Association stenosis morphology classification for long-term angiographic and clinical outcome after coronary stent placement. Circulation 1999; 100: 1285—1290.

12. Briguori C., Nishida T., Adamian M. et al. Coronary stenting versus balloon angioplasty in small coronary artery with complex lesions. Catheter Cardiovasc Interv. 2000; 50 (4): 390—397.

13. Figal D. A., Chavarri M., Candel J. et al. Intracoronary stents in small vessels: short- and long-term clinical results. Rev. Esp. Cardiol. 2000; 53 (88): 1040—1046.

14. Cutlip D. E., Chauhan M. S., Baim D. S. et al. Clinical restenosis after coronary stenting; perspectives from multicenter clinical trials. J. Am. Coll. Cardiol. 2002; 40 (12): 2082—2089.

15. Foley D. P., Pieper M., Wijns W. et al. The influence of stent length on clinical and angiographic outcome in patients undergoing elective stenting for native coronary artery lesions. Eur. Heart J. 2001; 22: 1585—1593.

16. Hoffman R., Haager P., Mintz G. S. et al. The impact of high pressure vs low pressure stent implantation on intimal hyperplasia and follow-up lumen dimensions; results of a randomized trial. Eur. Heart J. 2001; 22 (21): 201115—201124.

17. Manolis A. S. Reduced incidence of clinical restenosis with newer generation stents, stent oversizing, and high pressure deployment: singleoperator experience. Clin. Cardiol. 2001; 24 (2): 119—126.

18. Wen S., Mao J., Guo L. Multivariate analysis of clinical factors in restenosis after coronary interventional treatment. Zhonghua Yi Xue Za Zhi 1999; 79 (3): 197—199.


Review

For citations:


Sokolova S.O., Mazayev V.P., Popov Yu.M., Ryazanova S.V., Kuznetsova G.V. Coronary Arterial Stenting in Acute Coronary Syndrome. General Reanimatology. 2006;2(1):32-38. (In Russ.) https://doi.org/10.15360/1813-9779-2006-1-32-38

Views: 1221


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)