Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

30 April 1999

Outcome of urgent coronary stent implantatino in the treatment of acute complications of percutaneous coronary angioplasty

Maciej Kośmider

Med Sci Monit 1999; 5(3): CR474-478 :: ID: 504884


The aim of the study was to evaluate the results of stent implantation in the cases of acute occlusion and dissection of dilated coronary artery, with disturbed blood flow as well as clinical and electrocardiographic symptoms of myocardial ischaemia. The study group consisted of 69 patients aged 50±8 years, including 60% men.Although 55% subjects had the history of myocardial infarction, left ejection fraction was 58±12%. Critical stenosis affected one coronary artery in 60% patients, two coronary arteries - in 30% patients, and three coronary arteries - in 10% patients. Diameter of dilated arteries was 3.02±0.14 mm and the length of stenosis -12±7 mm. The stents were urgently implanted to the following coronary arteries: anterior descending branch (adb) in 29 patients (42%), circumflex branch (cx) in 27 patients (39%) and right coronary artery (rca) in 13 patients (19%). In total, 45 stents PS153, 10 'WIKTORs' and 16 GRII were used. In order to stabilise long dissection, the insertion of two overlapping stents was necessary in 2 subjects. All the stents were effectively implanted, which resulted in the return of normal flow in the artery (TIMI3) and the withdrawal of symptoms of myocardial ischaemia. None of the patients displayed either the symptoms of subacute thrombosis in the stent or general and topical haemorrhagic complications. During the procedure, all the patients received i.v. bolus of 10000 IU heparin, 250 mg/day oral aspirin as well as 250 mg ticlopidine b.i.d. for 30 days following stent implantation. Symptoms of restenosis occurred in 12 patients (18%) during mean period of 8-month clinical follow-up. Stent implantation in the cases of sudden or threatening occlusion of dilated coronary artery allows for an effective control of blood flow disorders and the withdrawal of ailments related to ischaemia. The use of combined antiplatelet therapy prevents the occurrence of thrombotic complications associated with stent implantation in patients with high risk of death.

Keywords: complications after coronary angioplasty, coronary stents

Add Comment 0 Comments


01 May 2024 : Editorial  

Editorial: First Regulatory Approval for Adoptive Cell Therapy with Autologous Tumor-Infiltrating Lymphocytes (TILs) – Lifileucel (Amtagvi)

Dinah V. Parums

DOI: 10.12659/MSM.944927

Med Sci Monit 2024; 30:e944927

In Press

17 Mar 2024 : Clinical Research  

Protective Role of TRPC3 Gene Polymorphism (rs10518289) in Obstructive Sleep Apnea Hypopnea Syndrome Among ...

Med Sci Monit In Press; DOI: 10.12659/MSM.942667  

27 Mar 2024 : Clinical Research  

Impact of Patient Education Formats on Treatment Adherence and Denture Hygiene in Edentulous Patients: A Co...

Med Sci Monit In Press; DOI: 10.12659/MSM.944175  

27 Mar 2024 : Clinical Research  

Incidence, Risk Factors, and Outcomes of Left Atrial Enlargement in Patients Requiring Right Ventricular Pa...

Med Sci Monit In Press; DOI: 10.12659/MSM.944114  

15 May 2024 : Database Analysis  

MRTO4 Enhances Glycolysis to Facilitate HCC Progression by Inhibiting ALDOB

Med Sci Monit In Press; DOI: 10.12659/MSM.944685  

Most Viewed Current Articles

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799


14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990


16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387


01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952


Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750