Direct Stenting for Stable Angina Pectoris Is Associated With Reduced Periprocedural Microcirculatory Injury Compared With Stenting After Pre-Dilation

التفاصيل البيبلوغرافية
العنوان: Direct Stenting for Stable Angina Pectoris Is Associated With Reduced Periprocedural Microcirculatory Injury Compared With Stenting After Pre-Dilation
المؤلفون: Michalis Hamilos, Thomas Cuisset, Eric Wyffels, Giovanna Sarno, Jozef Bartunek, William Wijns, Narbeh Melikian, Bernard De Bruyne, Emanuele Barbato, Jaydeep Sarma
المساهمون: Cuisset, T, Hamilos, M, Melikian, N, Wyffels, E, Sarma, J, Sarno, G, Barbato, Emanuele, Bartunek, J, Wijns, W, De Bruyne, B.
سنة النشر: 2008
مصطلحات موضوعية: Male, Cardiac Catheterization, loading drug dose, Intraoperative Complication, medicine.medical_treatment, Transluminal, Vasodilator Agents, heparin, law.invention, coronary stent, Randomized controlled trial, law, Stent, Angioplasty, Transluminal, Percutaneous Coronary, Angioplasty, Balloon, Coronary, Intraoperative Complications, Coronary Vessel, clinical article, troponin T, biology, adult, Angina Pectori, article, clinical trial, Canadian Cardiovascular Society, Middle Aged, stable angina pectoris, Coronary Vessels, treatment outcome, Adenosine, surgical procedures, operative, female, priority journal, acetylsalicylic acid, adenosine, clopidogrel, aged, controlled clinical trial, controlled study, electrocardiogram, heart catheterization, human, hyperemia, male, microcirculation, microvasculature, percutaneous coronary intervention, prosthesis, randomized controlled trial, thermodilution, treatment outcome, Adenosine, Aged, Angina Pectoris, Angioplasty, Percutaneous Coronary, Coronary Circulation, Female, Heart Catheterization, Humans, Microcirculation, Stents, Circulatory system, prosthesi, Cardiology, medicine.symptom, Cardiology and Cardiovascular Medicine, medicine.medical_specialty, stable angina pectori, troponin T, adult, Lesion, Internal medicine, medicine, cardiovascular diseases, business.industry, Percutaneous coronary intervention, Troponin, Conventional PCI, biology.protein, business
الوصف: Objectives: We conducted a randomized study to compare the effect of direct stenting (DS) and conventional stenting (CS) on post-procedural index of microcirculatory resistance (IMR) values. Background: Direct stenting has been suggested to reduce periprocedural microcirculatory injury compared with stenting that follows pre-dilation (CS). The index of microcirculatory resistance is a sensitive invasive marker of coronary microvascular resistance. Methods: Fifty patients admitted for elective percutaneous coronary intervention (PCI) were included. All patients had stable angina (Canadian Cardiovascular Society class 0.03 ng/ml). Patients with troponin elevation had significantly greater post-PCI IMR values than patients without troponin elevation: 24.7 ± 13.2 versus 16.9 ± 10.2; p = 0.04. Conclusions: In patients undergoing successful coronary stenting for stable angina, DS is associated with reduced microvascular dysfunction induced by PCI as compared with CS. © 2008 American College of Cardiology Foundation.
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ceda87948780ae4b1a12d591c568000d
http://hdl.handle.net/11588/648903
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....ceda87948780ae4b1a12d591c568000d
قاعدة البيانات: OpenAIRE