Abstract:
BACKGROUND:Direct stent implantation in patients, who undergo elective percutaneous coronary intervention (PCI) can be performed with a high success rate and clinical results that are comparable to those after predilatation. It was the aim of this prospective study to compare clinical, angiographic and procedural parameter of direct stent implantation (DS) and conventional stent implantation (CS) in patients with acute coronary syndrome (ACS). PATIENTS AND METHODS:We analysed 194 patients with ACS (ST-elevation myocardial infarction 66%, non-ST-elevation myocardial infarction 18%, unstable angina 16%), in whom primary PCI was performed between January and December 2002. In 156 (80%) patients glycoprotein IIb/IIIa inhibitors were administered during the procedure. In 73 patients (38%) direct stent implantation could be performed successfully. In 12 patients (6%) direct stent implantation failed due to the inability to pass the stenosis. In 121 patients (62%) the stent was implanted after predilatation. RESULTS:The clinical parameters were comparable in both groups. Reference luminal diameter before stent implantation did not differ in both groups (DS 3.01+/-0.54 vs. CS 2.84+/-0.43 mm). The final minimal luminal diameter was significantly higher in the DS group (DS 2.95+/-0.45 vs. CS 2.77+/-0.47 mm, p=0.01). The procedural time (DS 41.0+/-14.1 vs. CS 46.8+/-16.9 min, p=0.02), radiation exposure time (DS 7.3+/-4.6 vs. CS 8.9+/-4.6 min, p=0.002) and the amount of contrast agent (DS 216+/-90 vs. CS 235+/-79 ml, p=0.03) could be decreased by the technique of direct stent implantation. The incidence of major adverse cardiac events (death, myocardial infarction, CABG) during hospitalization was 4.1% in the DS group and 11.5% in the CS group (p=0.11). CONCLUSIONS:Direct stent implantation is safe and feasible in patients with acute coronary syndromes. The procedural time, radiation exposure time and the amount of contrast agent can be significantly decreased using the technique of direct stent implantation. The incidence of major adverse cardiac events was not significantly different in this subset of patients.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Süselbeck T,Türkoglu A,Lang S,Krause B,Kralev S,Haghi D,Poerner T,Kaden J,Borggrefe M,Haase KKdoi
10.1016/j.ijcard.2005.01.007subject
Has Abstractpub_date
2005-10-20 00:00:00pages
85-9issue
1eissn
0167-5273issn
1874-1754pii
S0167-5273(05)00206-8journal_volume
105pub_type
杂志文章abstract::Giant right atrial aneurysm is a very rare congenital heart defect. We report a case which was diagnosed during fetal life and operated on at 4 months of age with excision of the aneurysmal part and pericardial patch closure. Early repair is recommended to prevent late complications such as arrhythmias and thromboembo...
journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2007.06.081
更新日期:2008-09-16 00:00:00
abstract:BACKGROUND:The R820W mutation in the MYBPC3 gene has been associated with the development of hypertrophic cardiomyopathy (HCM) in rag-doll cats, but had not been described in humans. AIMS:To describe the phenotype associated with the R820W mutation identified in a human family. METHODS:The R820W was identified by dir...
journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
pub_type: 杂志文章,随机对照试验
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更新日期:2014-10-20 00:00:00
abstract:BACKGROUND:Elevation of cardiac biochemical markers and ST segment depression in the electrocardiogram have important roles in the risk stratification of unstable coronary syndromes. We assessed graded duration of acute coronary ischaemia with ST depression versus release of cardiac troponin I (cTnI) and conventional c...
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pub_type: 杂志文章
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更新日期:2002-10-01 00:00:00
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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更新日期:1991-01-01 00:00:00
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journal_title:International journal of cardiology
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doi:10.1016/j.ijcard.2004.02.016
更新日期:2004-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:1999-07-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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更新日期:2016-12-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2009-02-20 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
doi:10.1016/j.ijcard.2003.07.024
更新日期:2004-11-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2010-05-14 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2012.10.046
更新日期:2013-09-30 00:00:00
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journal_title:International journal of cardiology
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更新日期:2015-12-15 00:00:00
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journal_title:International journal of cardiology
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更新日期:2016-11-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2008-03-28 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2013-09-30 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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更新日期:2015-10-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 传,历史文章,杂志文章
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更新日期:2001-12-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2013-07-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2008-03-14 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:1993-11-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2008-02-20 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2019-07-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2015.05.080
更新日期:2015-09-15 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijcard.2016.08.237
更新日期:2016-11-15 00:00:00