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January 1, 2013Revista Brasileira de Cardiologia InvasivaOpen Access

Stent Implantation With or Without Pre-Dilation in Non-ST-Segment-Elevation Acute Coronary Syndrome Patients

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Why the study?

Does direct stenting reduce major adverse cardiac events in patients with non-ST-segment-elevation acute coronary syndromes compared to stenting with pre-dilation?

Population

182 patients with non-ST-segment-elevation acute coronary syndromes treated from 2009 to 2010, mean age 61.1…

Comparison

Direct stenting of the target lesion vs Stenting with pre-dilation of the target lesion

Design

Cohort

Follow-up

1 year

Authors

JOJavier Obregón OblitasJCJ. Ribamar CostaDSDimytri Siqueira

Discussion

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Overview

Similar MACE with direct stenting in NSTE-ACS should not yet change practice; leaves open whether RCTs can demonstrate benefit.

Structured PICO

Does direct stenting reduce major adverse cardiac events in patients with non-ST-segment-elevation acute coronary syndromes compared to stenting with pre-dilation?

P
Population
182 patients with non-ST-segment-elevation acute coronary syndromes (NSTE ACS) treated from 2009 to 2010, mean age 61.1 ± 11.0 years, 67% male. Excluded: stenting for bifurcations, saphenous vein grafts, and in-stent restenosis.
I
Intervention
Direct stenting (stenting without pre-dilation) of the target lesion
C
Comparator
Stenting with pre-dilation of the target lesion
O
Outcome
In-hospital and late major adverse cardiac events (MACE) at 1 yearcomposite

In NSTE ACS patients, direct stenting did not significantly improve angiographic or clinical outcomes compared to stenting with pre-dilation.

Cite This Study

Oblitas et al. (2013) studied this question.

synapsesocial.com/papers/6a6f84b7ac440176ef2831a7https://doi.org/10.1016/s0104-1843(13)50063-4
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