Intracoronary Stent Implantation Without Ultrasound Guidance and With Replacement of Conventional Anticoagulation by Antiplatelet Therapy 30-Day Clinical Outcome of the French Multicenter Registry

作者: Gae¨tan J. Karrillon , Marie Claude Morice , Edgar Benveniste , Pierre Bunouf , Pierre Aubry

DOI: 10.1161/01.CIR.94.7.1519

关键词: AspirinBalloonSurgeryAngioplastyTiclopidineThrombosisProspective cohort studyRestenosisMedicineMyocardial infarction

摘要: Background Stenting reduces both acute complications of coronary angioplasty and restenosis rates but increases subacute thrombosis hemorrhagic when used with coumadin anticoagulation. Methods Results To simplify postcoronary stenting treatment to reduce these drawbacks, we evaluated the 1-month outcome a prospective registry 2900 patients in whom successful artery was performed without Patients received 100 mg/d aspirin 250 ticlopidine for 1 month. Low-molecular-weight heparin (LMWH) progressively reduced four consecutive stages, from none. Event-free at month achieved 2816 (97.1%). Major stent-related cardiac events were closure 51 (1.8%), including death 12 (0.5%), myocardial infarction 17 (0.6%), bypass graft surgery 9 (0.3%). Stent more frequent balloon size <3.0 mm (≤2....

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