[The clinical, angiographic and procedural predictors of thrombosis and restenosis in Micro stent II (AVE) coronary stents]

G Ital Cardiol. 1998 Nov;28(11):1238-46.
[Article in Italian]

Abstract

The aim of the study was to assess the incidence and the predictors of thrombosis and restenosis in Micro stent II AVE. In a sample of 197 stents successfully implanted in 181 consecutive patients, the incidence of thrombosis was 4.1%. The multivariate analysis showed the minimum lumen diameter post-stenting to be the only independent predictor of overall thrombosis. In fact, we found that the risk of thrombosis increases as the minimal lumen diameter decreases. Angiographic follow-up was available in 74% of the stents at 6.8 +/- 4.1 months and stent restenosis occurred in 26.2% of cases. Independent predictors of restenosis (multivariate linear discriminant analysis) were: 1) nominal stent diameter (the risk of restenosis decreases as the stent diameter increases); 2) the ratio between the diameter of the balloon carrying the stent measured at the maximum pressure/nominal stent diameter (the risk increases as the ratio decreases); 3) stented vessel (the risk increases in the following order: right coronary < circumflex < left anterior descending); 4) the American Heart Association classification of lesion morphology (the risk increases in the order A < B < C); 5) a lower risk was found in the absence of diabetes mellitus.

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / statistics & numerical data
  • Cohort Studies
  • Coronary Angiography* / statistics & numerical data
  • Coronary Disease / diagnostic imaging*
  • Coronary Disease / therapy
  • Coronary Thrombosis / diagnostic imaging*
  • Coronary Thrombosis / therapy
  • Discriminant Analysis
  • Equipment Design
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Prognosis
  • Prospective Studies
  • Recurrence
  • Retrospective Studies
  • Risk Factors
  • Stents / adverse effects*
  • Stents / statistics & numerical data
  • Time Factors