Introduction of the multilink stent into routine angioplasty practice: Early angiographic and clinical outcome
✍ Scribed by Ruygrok, Peter ;Barron, Garry ;Ormiston, John ;Meredith, Ian ;Webster, Mark ;Harper, Richard ;Saltups, Andris ;O'Shaughnessy, Barbara ;Stewart, James
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 73 KB
- Volume
- 43
- Category
- Article
- ISSN
- 0098-6569
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✦ Synopsis
To assess the early outcome of implantation of the Multilink TM stent in everyday angioplasty practice, we prospectively collected procedural and 1-mo follow-up data on the first 126 patients (93 male, mean age 61 ؎ 9 yr) in 3 centers. One hundred and seventy-four stents were implanted for 134 lesions: left anterior descending artery in 46%, circumflex in 20%, right coronary artery in 31%, and protected left main in 3%. The indication was elective in 56%, a suboptimal result in 43%, and bailout in 1%. Stents were deployed at 10.8 ؎ 1.9 atmospheres and postdilated to 15.7 ؎ 2.4 atmospheres. There were 115 patients who received ticlopidine and aspirin, 10 received aspirin alone, and 1 received warfarin and aspirin following the procedure. The reference diameter increased from 3.02 ؎ 0.44 mm pre-to 3.13 ؎ 0.43 mm postprocedure, with the minimal luminal diameter increasing from 0.82 ؎ 0.47 to 2.86 ؎ 0.45 mm (diameter stenosis 73% pre-and 9% postprocedure). The procedural success rate was 93.7%. There were no deaths, 1 (0.8%) Q-and 5 (4.0%) non-Q-wave myocardial infarctions, 3 (2.4%) emergency bypass operations, and 1 (0.8%) repeat angioplasty during the hospital admission (median stay, 1 day). There were 2 (1.6%) cases of subacute stent thrombosis. At 1-mo follow-up there were no additional events, with 88% of patients remaining free of angina. Implantation of the Multilink TM stent is safe and effective in everyday angioplasty practice, with a complication rate comparable to those of published trials of carefully selected patients.