Direct coronary stenting without predilation

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Direct coronary stenting without predilation.

OBJECTIVES Coronary stenting is the primary therapeutic option for percutaneous treatment of many coronary lesions, after the risk of subacute stent thrombosis and bleeding complications has been reduced by improved antithrombotic regimens and high pressure stent expansion. BACKGROUND Direct stent implantation (without predilation) has been considered a promising new technique that may reduce...

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[Direct Stenting without Predilation: a Single-Center Experience with 1,000 Lesions].

INTRODUCTION Direct stenting has been shown to save costs, procedural time, radiation, and contrast use. We analyze the results of direct stenting in daily practice. MATERIAL AND METHODS We retrospectively analyzed the interventions in the first 1,000 lesions that were treated with direct stenting at our center. Primary success, dissection, need for additional dilation, embolism, stent loss, ...

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Is direct stenting superior to stenting with predilation in patients treated with percutaneous coronary intervention? Results from a meta-analysis of 24 randomised controlled trials.

BACKGROUND In the last decade, direct stenting has been proposed as an alternative strategy to conventional stenting with balloon predilation. The aim of this study was to perform a meta-analysis of randomised trials comparing a direct stenting strategy versus a conventional one. METHODS A literature search was performed using Medline, EMBASE, the Cochrane Central Register of Controlled Trial...

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Immediate and late outcomes after direct stent implantation without balloon predilation.

OBJECTIVES The aim of our study was to compare the in-hospital and long-term clinical outcomes of direct coronary stenting with balloon predilation followed by stent placement. BACKGROUND With improvement in stent designs, the practice of direct stenting without balloon predilation has become more widespread. METHODS We analyzed the Mayo Clinic Coronary Intervention data base between Januar...

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[Nonselected use of direct coronary stenting. The DISCO 2 trial].

INTRODUCTION AND OBJECTIVES Direct coronary stenting yields immediate long-term clinical results similar to those obtained with balloon predilation, with the advantage of lower costs and procedural times. Until now, direct stenting has been attempted only for selected lesions, so that the potential scope of its use in everyday practice remains unknown. The DISCO 2 trial was designed to identify...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1999

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(99)00453-2