Influence of frequency of stenting on acute and one-year follow-up results.

Full Abstract

BACKGROUND: There has been a continuous increase in the frequency of stenting, with recent reports suggesting performing stenting in all coronary angioplasty interventions. The aim of this retrospective investigation was to study the in-hospital and 1-year event rates of the most and the least avid stent user (both highly experienced) at our institution. METHODS: A total of 322 consecutive patients undergoing coronary angioplasty at our institution were retrospectively studied. Post-intervention CK, CK-MB and troponin T values and information of major in-hospital cardiac events were obtained from the charts. Events during a 1-year follow-up were collected. Comparisons were made between patients treated by the most generous (operator 1: 71% stenting) and the most frugal (operator 2: 49% stenting) stent user. RESULTS: The 2 groups were comparable. Post-intervention CK max (418+/- 744 versus 427+/- 1250; p = 0.33), CK-MB (105+/- 159 versus 239+/-263; p = 0.07) and troponin T (149+/-326 versus 282+/- 380; p = 0.3) values were similar in both groups. In-hospital (2% versus 1.8%; p = 1) and 1-year follow-up cardiac events (21% versus 18%; p = 0.58) between both groups were also comparable. CONCLUSIONS: Stenting is a useful tool for selected patients. However, a higher frequency of stenting does not beneficially influence in-hospital or 1-year cardiac events. These findings recommend provisional stenting rather then elective stenting.

Author information

Author/s: Mehta, Haresh (H); Hotz, Renate (R); Windecker, Stephen (S); Eberli, Franz R (FR); Meier, Bernhard (B);

Affiliation: Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland.

Journal and publication information

Publication Type: Journal Article

Journal: The Journal of invasive cardiology (J Invasive Cardiol), published in United States. (Language: eng)

Reference: 2003-Nov; vol 15 (issue 11) : pp 630-3

Dates: Created 2003/11/10; Completed 2004/03/12; Revised 2007/11/15;

PMID: 14608133, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: J Invasive Cardiol. 2003 Nov;15(11):634-5. (PMID: 14608134)

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