Premium
Direct stent implantation without predilatation through 5 French guiding catheter following transfemoral coronary angiogram: A feasibility study
Author(s) -
Brasselet Camille,
Metz Damien,
Pérotin Sophie,
Mangina Sophie Tassan,
Deschildre Alain,
Maillier Bruno,
Blaise Claude,
Elaerts Jacques
Publication year - 2003
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/ccd.10668
Subject(s) - medicine , coronary angiogram , coronary stenting , catheter , coronary stent , coronary angiography , stent , cardiology , radiology , myocardial infarction , restenosis
Direct stenting (DS) is accepted as reducing procedural cost and duration and 5 Fr guiding catheters as lowering peripheral vascular complications. We aimed to evaluate the feasibility and safety of both strategies. We retrospectively studied 150 consecutive patients treated with DS strategy using a 5 Fr femoral approach. A need for 6 Fr devices or balloon predilatation defined 5 Fr DS failure. Procedural success was defined as good angiographic result (residual stenosis < 30% and TIMI flow 3) without ischemic complications. A total of 161 out of 174 lesions were elected as suitable for DS. The success rate of 5 Fr DS was 87.6% (141/161 lesions). The procedural success rate was 92% (138/150 patients). The angiographic success rate was 96.3% (155/161 lesions). Other complications were six non‐Q‐wave MI and one repeat angioplasty for acute in‐stent thrombosis. Only one major peripheral vascular complication occurred. Direct stenting through 5 Fr guiding catheters in selected lesions is safe and effective with a low incidence of peripheral arterial complications. Catheter Cardiovasc Interv 2003;60:354–359. © 2003 Wiley‐Liss, Inc.