What does this research mean for the field?

The long coronary Wallstent can be deployed in complex lesions with a high primary success rate and an acceptably low restenosis rate, with 73% of patients remaining free of major adverse clinical events during follow-up. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

November 1, 1999Catheterization and Cardiovascular Interventions

Angiographic and clinical restenosis following the use of long coronary wallstents

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Why the study?

Does the deployment of long coronary Wallstents result in acceptable clinical and angiographic restenosis rates in patients with complex coronary lesions?

Population

Patients with coronary lesions, 48% with unstable coronary syndrome and 94% with AHA grade B or C lesions.

Design

Cohort

Authors

IWIan WilliamsNorfolk and Norwich University Hospital MTMartyn R. ThomasWilkes University NRNicholas RobinsonCarleton University

Discussion

Member takes

Implication

Supports feasibility of long Wallstents in complex lesions; leaves open impact of modern regimens on restenosis in randomized trials.

Structured PICO

Does the deployment of long coronary Wallstents result in acceptable clinical and angiographic restenosis rates in patients with complex coronary lesions?

Population

Patients with coronary lesions (162 vessels treated with 182 Wallstents), 48% with unstable coronary syndrome and 94% with AHA grade B or C lesions.

Intervention

Deployment of long coronary Wallstent (mean stent length 48 +/- 20 mm)

Outcome

Clinical and angiographic restenosissurrogate

Long coronary Wallstents can be successfully deployed in complex lesions with high procedural success, but are associated with a 41% rate of angiographic restenosis.

Cite This Study

Williams et al. (1999) studied this question.

synapsesocial.com/papers/6a1c5126d54006be995fdc2e https://doi.org/10.1002/(sici)1522-726x(199911)48:3<287::aid-ccd11>3.0.co;2-z

View Full Paper

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Angiographic and clinical restenosis following the use of long coronary wallstents

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Angiographic and clinical restenosis following the use of long coronary wallstents

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider