Intracoronary stenting using slotted tubular stents without intravascular ultrasound and anticoagulation

✍ Scribed by Goods, Christopher M. ;Mathur, Atul ;Liu, Ming W. ;Yadav, Jay S. ;Al-Shaibi, Khaled F. ;Dean, Larry S. ;Iyer, Sriram S. ;Parks, J. Michael ;Roubin, Gary S.

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 447 KB
• Volume: 39
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199612)39:4<341::aid-ccd3>3.0.co;2-d

✦ Synopsis

intravascuiar Ultrasound guidance has been suggested as a prerequisite before managing patients receiving slotted tubular stents without anticoagulation. The purpose of this prospective observational study was to determine if patients receiving this stent can be similarly managed foilowing anglographic guided stent deployment without intravascuiar Ultrasound assistance. A total of 137 patients receiving slotted tubular stents were selected to receive a protocol of aspirin 325 mg and ticlopidine 250 mg for 30 days foilowing the satisfaction of certain angiographic criteria. These criteria were: adequate coverage of intimai dissections, absence of residual filling defects, and normal (TiMi 111) flow in the stented vessel at the end of the procedure. The stenting procedure was planned in 68% of patients and unplanned in 32% of patients. During the 30 day clinical follow period there were no stent thrombosis events, no 0-wave myocardial infarctions, and no deaths. Non-Q-wave myocardial infarction occurred in 3 patients (2.2%), hemorrhage requiring blood transfusion in 3 patients (227'4, and 1 patient (0.7%) developed a pseudo-aneurysm of the cannuiated femoral artery. These data indicate that patients receiving slotted tubular stents with optimal angiographic results can be safely managed with the combination of aspirin and ticlopidine without anticoagulation or the need for intravascuiar uitrasound guidance.