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July 14, 1998CirculationOpen Access

Intracoronary Stenting and Risk for Major Adverse Cardiac Events During the First Month

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Why the study?

What are the risk factors for procedural failure and major adverse cardiac events during the first month after attempted intracoronary stenting?

Population

2894 procedures (3815 lesions) with attempted intracoronary stenting over a 5-year period

Design

Cohort

Follow-up

1 month

Authors

HSHelmut SchühlenInterventional / Structural Cardiology
Adnan Kastrati
Adnan KastratiInterventional / Structural Cardiology
JDJosef DirschingerInterventional Cardiology

Discussion

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Implication

May inform risk stratification after successful stenting; leaves open need for randomized confirmation of procedural and antiplatelet optimization.

Structured PICO

What are the risk factors for procedural failure and major adverse cardiac events during the first month after attempted intracoronary stenting?

P
Population
2894 procedures (3815 lesions) with attempted intracoronary stenting over a 5-year period
I
Intervention
Intracoronary stenting
O
Outcome
Procedural failure and major adverse cardiac events (MACE) during the first monthcomposite

Procedural factors and lack of ticlopidine are strong predictors of MACE within the first month after successful intracoronary stenting, highlighting the need for optimal angiographic results and immediate-onset antiplatelet therapy.

Cite This Study

Schühlen et al. (1998) studied this question.

synapsesocial.com/papers/6a1037492badbc352aff8cd0https://doi.org/10.1161/01.cir.98.2.104
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary disease. Implications for patient selection. Multivessel Angioplasty Prognosis Study Group.1990 · 1,354 citations
  2. 2The Thrombolysis in Myocardial Infarction (TIMI) Trial1985 · 3,192 citations
  3. 3Subacute Stent Thrombosis in the Era of Intravascular Ultrasound-Guided Coronary Stenting Without Anticoagulation: Frequency, Predictors and Clinical Outcome1997 · 294 citations
  4. 4Results of a Consecutive Series of Patients Receiving Only Antiplatelet Therapy After Optimized Stent Implantation1997 · 88 citations
  5. 5A Comparison of Balloon-Expandable-Stent Implantation with Balloon Angioplasty in Patients with Coronary Artery Disease1994 · 4,562 citations