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Intracoronary Palmaz-Schatz stent placement after complicated angioplasty: medium term follow-up

S Foussas1, A Manginas, C Fakiolas

  • 1Department of Cardiology, Tzaneio State Hospital, Piraeus, Greece.

Acta Cardiologica
|January 1, 1994
PubMed

Insights

Emergent Palmaz-Schatz coronary stent implantation effectively manages complications from balloon angioplasty, offering good long-term results and avoiding risky bypass surgery.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Acute coronary artery occlusion is a severe complication during percutaneous coronary balloon angioplasty.
  • Prompt intervention is crucial to prevent life-threatening outcomes.

Purpose of the Study:

  • To evaluate the clinical and angiographic outcomes of emergent Palmaz-Schatz stent implantation in patients with complicated balloon angioplasty.
  • To assess the long-term efficacy and safety of this intervention.

Main Methods:

  • Retrospective analysis of 21 patients undergoing emergent intracoronary Palmaz-Schatz stent implantation.
  • Patients were followed for a mean of 7.9 months, with clinical and angiographic assessments.

Main Results:

  • A 70% event-free survival rate was observed (excluding one lost patient).
  • Six patients (30%) experienced adverse events, including one death and three revascularizations.
  • Angiographic follow-up showed a restenosis rate of 22% (2 out of 9 patients).

Conclusions:

  • Emergent Palmaz-Schatz coronary stenting is a viable option for selected patients with complicated balloon angioplasty.
  • This approach provides satisfactory long-term results and can prevent the need for emergency bypass surgery.

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