Predictive factors of complications after coronary stent implantation

作者: Alexandre Schaan de Quadros , Carlos A. M. Gottschall , Rogério Sarmento-Leite , Miguel Gus , Rodrigo Wainstein

DOI: 10.1590/S0066-782X2003000500006

关键词:

摘要: OBJECTIVE: To analyze the predictive factors of complications after implantation coronary stents in a consecutive cohort study. METHODS: Clinical and angiographic characteristics related to procedure were analyzed, incidence major cardiovascular (myocardial infarction, urgent surgery, new angioplasty, death) in-hospital phase recorded. Data stored an Access database analyzed by using SPSS 6.0 statistical program stepwise backwards multiple logistic regression model. RESULTS: One thousand eighteen (mean age 61±11 years, 29% females) patients underwent 1,070 stent implantations. The rate success was 96.8%, clinical 91%, 7.9%. variables independently associated with complications, their respective odds ratio (OR) were: rescue stent, OR = 5.1 (2.7-9.6); filamentary 4.5 (2.2-9.1); first-generation tubular 2.4 (1.2-4.6); stents, 3 (1.6-5.6); complexity lesion, (1.1-5.1); thrombus, 2 (1.1-3.5). CONCLUSION: results stress importance techniques risk draw attention influence stent's design on result procedure.

参考文章(27)
Stephen E Kimmel, A.Russell Localio, Ronald J Krone, Warren K Laskey, The effects of contemporary use of coronary stents on in-hospital mortality Journal of the American College of Cardiology. ,vol. 37, pp. 499- 504 ,(2001) , 10.1016/S0735-1097(00)01115-3
Luiz Alberto Mattos, Ibraim Pinto, Alexandre Abizaid, Andrea Abizaid, Aurea Chaves, Fausto Feres, Galo Maldonado, Luiz Tanajura, Marinella Centemero, Amanda GMR Sousa, J Eduardo Sousa, None, Safety and efficacy of coronary stent implantation. Acute and six month outcomes of 1,126 consecutive patients treated in 1996 and 1997 Arquivos Brasileiros De Cardiologia. ,vol. 73, pp. 23- 36 ,(1999) , 10.1590/S0066-782X1999000700003
Eric C Peterson, Ronald Krone, Karen Kesler, Edward Hannan, Gerald T O’Connor, Katherine Detre, Peter C Block, Identification of variables needed to risk adjust outcomes of coronary interventions: evidence-based guidelines for efficient data collection. Journal of the American College of Cardiology. ,vol. 32, pp. 275- 282 ,(1998) , 10.1016/S0735-1097(98)00208-3
Helmut Schühlen, Adnan Kastrati, Josef Dirschinger, Jörg Hausleiter, Shpend Elezi, Anne Wehinger, Jürgen Pache, Martin Hadamitzky, Albert Schömig, Intracoronary Stenting and Risk for Major Adverse Cardiac Events During the First Month Circulation. ,vol. 98, pp. 104- 111 ,(1998) , 10.1161/01.CIR.98.2.104
Adnan Kastrati, Josef Dirschinger, Peter Boekstegers, Shpend Elezi, Helmut Sch�hlen, J�rgen Pache, Gerhard Steinbeck, Claus Schmitt, Kurt Ulm, Franz-Josef Neumann, Albert Sch�mig, Influence of stent design on 1-year outcome after coronary stent placement: a randomized comparison of five stent types in 1,147 unselected patients. Catheterization and Cardiovascular Interventions. ,vol. 50, pp. 290- 297 ,(2000) , 10.1002/1522-726X(200007)50:3<290::AID-CCD5>3.0.CO;2-W
Adnan Kastrati, Albert Schömig, Josef Dirschinger, Julinda Mehilli, Nicola von Welser, Jürgen Pache, Helmut Schühlen, Tassilo Schilling, Claus Schmitt, Franz-Josef Neumann, Increased Risk of Restenosis After Placement of Gold-Coated Stents Results of a Randomized Trial Comparing Gold-Coated With Uncoated Steel Stents in Patients With Coronary Artery Disease Circulation. ,vol. 101, pp. 2478- 2483 ,(2000) , 10.1161/01.CIR.101.21.2478
Willibald Maier, Oliver Mini, Joerg Antoni, Manfred B. Wischnewsky, Bernhard Meier, ABC Stenosis Morphology Classification and Outcome of Coronary Angioplasty Reassessment With Computing Techniques Circulation. ,vol. 103, pp. 1225- 1231 ,(2001) , 10.1161/01.CIR.103.9.1225
David R. Holmes, Peter B. Berger, Kirk N. Garratt, Verghese Mathew, Malcolm R. Bell, Gregory W. Barsness, Stuart T. Higano, Diane E. Grill, LaVon N. Hammes, Charanjit S. Rihal, Application of the New York State PTCA Mortality Model in Patients Undergoing Stent Implantation Circulation. ,vol. 102, pp. 517- 522 ,(2000) , 10.1161/01.CIR.102.5.517
Mauro Moscucci, Eva Kline-Rogers, David Share, Michael O’Donnell, Ann Maxwell-Eward, William L. Meengs, Phillip Kraft, Anthony C. DeFranco, James L. Chambers, Kirit Patel, John G. McGinnity, Kim A. Eagle, , Simple Bedside Additive Tool for Prediction of In-Hospital Mortality After Percutaneous Coronary Interventions Circulation. ,vol. 104, pp. 263- 268 ,(2001) , 10.1161/01.CIR.104.3.263