Long-term results of phosphorylcholine-coated triplex stent implantation in porcine coronary arteries

Procedures used in treatment of carotid stenosis are endarterectomy, PTA with stent implantation, resection with graft interposition and by-pass procedure. Segmental lesions are found more often and treated by the first two mentioned procedures. In case of longer lesions and extension to the greater part of the common carotid artery, the other two procedures are performed. For the past few years, the main dilemma has been whether to perform carotid endarterectomy or PTA with stent implantation. Both early and long-term results speak in favour of carotid endarterectomy, regardless of an increased number of PTA and carotid stenting. At the same time, PTA and carotid stenting are more expensive procedures. Both methods have their defined and important roles in treatment of segmental occlusive carotid lesions. Severe cardiac, pulmonary and renal conditions, which increase the risk of general anaesthesia, are not an absolute indication for PTA and stenting, since endarterectomy can be done in regional anaesthesia. Main indications for PTA with stent implantation are: surgically inaccessible lesions (at or above C2; or subclavian); radiation- induced carotid stenosis; prior ipsilateral radical neck dissection; prior carotid endarterectomy (restenosis).

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TCT-149: Does Operator Experience Have An Impact On Long-term Results After Ivus - Guided Bare-metal Stent Implantation?

The American Journal of Cardiology ◽

10.1016/j.amjcard.2009.08.169 ◽

2009 ◽

Vol 104 (6) ◽

pp. 59D

Keyword(s):

Stent Implantation ◽

Bare Metal Stent ◽

Long Term Results ◽

Bare Metal ◽

Metal Stent ◽

Operator Experience

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Stent implantation for May–Thurner syndrome with acute deep venous thrombosis: acute and long-term results from the ATOMIC (AcTive stenting for May–Thurner Iliac Compression syndrome) registry

Cardiovascular Intervention and Therapeutics ◽

10.1007/s12928-018-0532-y ◽

2018 ◽

Vol 34 (2) ◽

pp. 131-138 ◽

Cited By ~ 2

Author(s):

Atsushi Funatsu ◽

Hitoshi Anzai ◽

Kota Komiyama ◽

Kuniomi Oi ◽

Hiroshi Araki ◽

...

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Stent Implantation ◽

Long Term Results ◽

Compression Syndrome

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Insights into stent implantation for coronary artery lesions caused by Kawasaki disease

Cardiology in the Young ◽

10.1017/s104795112000133x ◽

2020 ◽

Vol 30 (7) ◽

pp. 911-918

Author(s):

Etsuko Tsuda

Keyword(s):

Acute Coronary Syndrome ◽

Coronary Artery ◽

Kawasaki Disease ◽

Adverse Effects ◽

Stent Implantation ◽

Long Term Results ◽

Coronary Artery Lesions ◽

Coronary Syndrome ◽

Coronary Stent Implantation

AbstractFifty years have passed since the first report of Kawasaki disease in 1967, and the prevalence of acute coronary syndrome in Kawasaki disease patients with coronary artery lesions exceeding 40 years old has increased. Primary coronary stent implantation is currently an acceptable method in ischaemic coronary heart disease in adults. However, it is unknown whether the stent implantation is effective or not in this population. As the clue to answer this question, I reviewed the references on Kawasaki disease patients who underwent the stent implantations between 1997 and 2019. Thirty-three patients underwent stent implantations for 34 coronary arteries. Adverse effects in the late period were found in 19 (68%) of 28 vessels with follow-up angiograms. There were complete occlusion 9, restenosis 8, and migration 2. A new aneurysm formation was found in 7 (37%) among the 19 vessels, and 6 (86%) of the 7 vessels were drug-eluting stent and 5 were found after the procedure for chronic total occlusion. The adverse effects free-rate at 1 year and 3 years were 57 and 25%, respectively. At present, the usefulness of stent implantation in the long-term results was scarce. Even if primary percutaneous coronary intervention without a stent implantation is performed for acute coronary syndrome, it can be expected to maintain the patency of the culprit lesion for several years. It is better to avoid a stent implantation as long as possible in this population. Knowing the long-term efficacy and complications of stent implantations is important for deciding the procedure.

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