Coronary artery stents

Carl J. Pepine, David Holmes, Peter C. Block, Charles E. Mullins, Jeffrey A. Brinker, Steven E. Nissen, Daniel B. Mark, Eric J. Topol, David O. Williams, Sheldon Goldberg, John W. Hirshfeld, Patrick Serruys

Research output: Contribution to journalShort survey

129 Citations (Scopus)

Abstract

In summary, the committee concludes that elective stenting in selected patient subsets enhances the result of percutaneous coronary interventional procedures. In these subsets, the Palmaz-Schatz stent, used electively, reduces the risk for I restenosis and need for repeat interventional procedures compared with PTCA alone. When used for acute or threatened closure, stenting reduces, but does not eliminate, the need for emergency CABG. The committee also strongly recommends caution in generalizing these findings to other situations for which coronary stenting is considered. We are concerned about the rapid proliferation and application of this technique to very large groups of patients without adequate supporting data, particularly those patients with stenoses other than nonrestenotic lesions in large vessels. In addition, we are concerned about the lack of intermediate- to long-term follow-up data, especially with regard to non-Q wave MI and mortality. We strongly urge interventional cardiologists to practice caution when considering application of coronary stents until more controlled trial data are available. Particular caution should be extended in use of stents in scenarios where benefit has not been proved, such as treatment of ostial or left main coronary artery lesions, small vessels, chronic total occlusions, acute MI, restenotic lesions, long lesions or diffuse disease.

Original languageEnglish (US)
Pages (from-to)782-794
Number of pages13
JournalJournal of the American College of Cardiology
Volume28
Issue number3
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

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Stents
Coronary Vessels
Pathologic Constriction
Emergencies
Mortality
Therapeutics
Cardiologists

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Pepine, C. J., Holmes, D., Block, P. C., Mullins, C. E., Brinker, J. A., Nissen, S. E., ... Serruys, P. (1996). Coronary artery stents. Journal of the American College of Cardiology, 28(3), 782-794. https://doi.org/10.1016/S0735-1097(96)00322-1

Coronary artery stents. / Pepine, Carl J.; Holmes, David; Block, Peter C.; Mullins, Charles E.; Brinker, Jeffrey A.; Nissen, Steven E.; Mark, Daniel B.; Topol, Eric J.; Williams, David O.; Goldberg, Sheldon; Hirshfeld, John W.; Serruys, Patrick.

In: Journal of the American College of Cardiology, Vol. 28, No. 3, 01.01.1996, p. 782-794.

Research output: Contribution to journalShort survey

Pepine, CJ, Holmes, D, Block, PC, Mullins, CE, Brinker, JA, Nissen, SE, Mark, DB, Topol, EJ, Williams, DO, Goldberg, S, Hirshfeld, JW & Serruys, P 1996, 'Coronary artery stents', Journal of the American College of Cardiology, vol. 28, no. 3, pp. 782-794. https://doi.org/10.1016/S0735-1097(96)00322-1
Pepine CJ, Holmes D, Block PC, Mullins CE, Brinker JA, Nissen SE et al. Coronary artery stents. Journal of the American College of Cardiology. 1996 Jan 1;28(3):782-794. https://doi.org/10.1016/S0735-1097(96)00322-1
Pepine, Carl J. ; Holmes, David ; Block, Peter C. ; Mullins, Charles E. ; Brinker, Jeffrey A. ; Nissen, Steven E. ; Mark, Daniel B. ; Topol, Eric J. ; Williams, David O. ; Goldberg, Sheldon ; Hirshfeld, John W. ; Serruys, Patrick. / Coronary artery stents. In: Journal of the American College of Cardiology. 1996 ; Vol. 28, No. 3. pp. 782-794.
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