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Slow and Steady May Win This Race
Author(s) -
Blankenship James C.
Publication year - 2017
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.27228
Subject(s) - medicine , balloon , inflation (cosmology) , retrospective cohort study , propensity score matching , stent , surgery , theoretical physics , physics
Key Points This retrospective cohort study compares two strategies of stent delivery balloon inflation: inflation for 30 sec and longer as needed to stabilize the balloon pressure for 30 sec at the desired pressure, versus conventional fast inflation/fast deflation of the stent balloon The experimental technique decreased target vessel revascularization by about 50% as assessed by logistic regression and propensity analyses The investigators’ recommendation to routinely use their prolonged inflation protocol is supported by six other studies over the past decade demonstrating that long stent balloon inflation produces better outcomes than does short inflation