November 4, 1997Circulation

Effects of Coronary Stenting on Restenosis and Occlusion After Angioplasty of the Culprit Vessel in Patients With Recent Myocardial Infarction

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Why the study?

Does coronary stenting reduce restenosis and vessel occlusion compared to balloon angioplasty alone in patients with recent myocardial infarction?

Population

200 patients with recent myocardial infarction undergoing PTCA of an infarct-related lesion.

Comparison

Coronary stenting. vs Conventional balloon angioplasty alone.

Design

Cohort

Follow-up

6 months

Authors

CBChristophe BautersInterventional Cardiology JLJean‐Marc LablancheUniversité de Lille ÉBÉric Van BelleInterventional Cardiology

Discussion

Member takes

Implication

Stenting was associated with lower restenosis and occlusion after recent MI; supports hypothesis but leaves open randomized confirmation.

Structured PICO

Does coronary stenting reduce restenosis and vessel occlusion compared to balloon angioplasty alone in patients with recent myocardial infarction?

Population

200 patients with recent myocardial infarction undergoing PTCA of an infarct-related lesion (100 consecutive patients undergoing stent implantation matched with 100 patients undergoing conventional balloon angioplasty).

Intervention

Coronary stenting (performed as a bailout procedure in 20%, for suboptimal result after balloon angioplasty in 71%, and electively in 9%).

Comparator

Conventional balloon angioplasty alone.

Outcome

6-month angiographic outcomes including minimal lumen diameter, restenosis (>50% diameter stenosis), and total occlusion at the dilated site.surrogate

Coronary stenting of infarct-related lesions significantly reduces 6-month angiographic restenosis and vessel occlusion compared with conventional balloon angioplasty alone.

Limitations

Does not establish whether the beneficial angiographic effect translates to improvement in left ventricular function or clinical outcome

Cite This Study

Bauters et al. (1997) studied this question.

synapsesocial.com/papers/6a71fe31ac440176ef2a74ef https://doi.org/10.1161/01.cir.96.9.2854

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Effects of Coronary Stenting on Restenosis and Occlusion After Angioplasty of the Culprit Vessel in Patients With Recent Myocardial Infarction

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Effects of Coronary Stenting on Restenosis and Occlusion After Angioplasty of the Culprit Vessel in Patients With Recent Myocardial Infarction

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider