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Coronary stenting without predilatation (SWOP): Applicable technique in everyday practice
Author(s) -
Herz Itzhak,
Assali Abid,
Solodky Alejandro,
Simcha Brandes Nurit Shor,
Buto Nader,
Teplizky Igal,
Menkes Hanoch,
Rechavia Eldad,
Hasdai David,
BenGal Tuvia,
Adler Yehuda
Publication year - 2000
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(200004)49:4<384::aid-ccd7>3.0.co;2-n
Subject(s) - medicine , coronary stenting , balloon , angioplasty , stent , surgery , radiology , restenosis
To evaluate the feasibility of stenting without predilatation, we registered all interventional procedures over a 6‐month period. Six hundred patients were registered, and 684 lesions were treated. Interventions were divided into four groups: stenting without predilatation (SWOP), 221 lesions (32.4%); primary stenting with predilatation (PDS), 161 lesions (23.5%); provisional stenting (PRS), 131 lesions (19.2%); and plain‐old balloon angioplasty (POBA), 171 lesions (25%). Interventional strategy was at the discretion of the operator based on few simple angiographic criteria and his clinical judgment. Procedural success was similar in all stent groups. We conclude that when primary stenting is planned, about 60% of lesions can be treated by SWOP effectively with excellent procedural results and considerable cost saving. Cathet. Cardiovasc. Intervent. 49:384–388, 2000. © 2000 Wiley‐Liss, Inc.