Interv Akut Kardiol. 2004;3(3):125-127
Postavení direktního stentingu v léčbě akutního koronárního syndromu
- I. Interní klinika, kardiologické oddělení, FN Plzeň
Keywords: percutaneous coronary intervention, acute coronary syndrome, direct stenting, primary stenting, drug eluting stents.
Published: December 31, 2004 Show citation
Implantace stentu se stala běžnou součástí perkutánních koronárních intervencí (PCI), která se stále častěji provádí u pacientů s akutním koronárním syndromem (AKS). Konvenční stenting (CS) je postupně nahrazován přímou implantací stentu bez nutnosti předchozí predilatace - direktním stentingem (DS). Ten má četné výhody i některé limitace. Přibývá literárních údajů o přednostech této metody nejen u pacientů s chronickou ICHS, ale i s AKS včetně infarktu myokardu. Článek pojednává také o prvních zkušenostech s DS při implantaci drug eluting stentů (DES).
POSITION OF DIRECT STENTING IN THE TREATMENT OF ACUTE CORONARY SYNDROMES
Stent implantation became a routine part of percutaneous coronary intervention (PCI) which is performed more often in patients with acute coronary syndrome (ACS). Conventional stenting (CS) is partially replaced by direct stenting without predilatation (DS) which has many advantages and some limitations. There is an increasing number of literature about advantages of this method not only in stable patients but also in ACS including acute myocardial infarction. This article also describes first experience with DS using drug eluting stents (DES).
Download citation
References
- Barbato E, Marco J, Wijns W. Direct stenting. Eur Heart J 2003; 24: 394-403.
Go to original source... 
Go to PubMed... - Rogers C, Parikh S, Seifert P, et al. Endogenous cell seeding. Remnant endothelium after stenting enhances vascular repair. Circulation 1996; 94: 2909-2914. Go to original source... Go to PubMed...
- Burzotta F, Trani C, Prati F, et al. Comparison of Outcomes (Early and Six Month) of Direct Stenting With Conventional Stenting (a Meta-Analysis of Ten Randomized Trials). Am J Cardiol 2003; 91: 790-796. Go to original source... Go to PubMed...
- Serruys P, Leon M, Colombo A, Kutryk M. Coronary lessions: a pragmatic approach, ISBN 1-85317-936-1, 2002: 107.
- Ijsselmuinden A, Serruys P, Scholte A, et al. Direct coronary stent implantation does not reduce the incidence of in-stent restenosis or major adverse cardiac events (six month results of a randomized trial). Eur Heart J 2003; 24: 421-429. Go to original source... Go to PubMed...
- Mehilli J, Kastrati A, Dirschinger J, et al. Intracoronary stenting and angiographic results: Restenosis after direct stenting versus stenting with predilation in patients with symptomatic coronary artery disease (ISAR-DIRECT trial). Catheter Cardiovasc Interv 2004; 61: 190-195. Go to original source... Go to PubMed...
- Weber F, Schneider H, Warzok F, et al. Randomized comparison of direct and provisional stenting in de novo coronary artery lesions: the RADICAL study. Z Kardiol 2003; 92: 173-181. Go to original source... Go to PubMed...
- Nageh T, Thomas M, Sherwood R, et al. Direct Stenting May Limit Myocardial Injury During Percutaneous Coronary Intervention. J Invasive Cardiol 2003; 15(3): 115-119. Go to PubMed...
- Atmaca Y, Altin T, Ozdol C, et al. Direct Stent Implantation in Acute Coronary Syndrome. J Invasive Cardiol 2002; 14(6): 308-312. Go to PubMed...
- Hamon M, Richardeau Y, Lécluse E, et al. Direct coronary stenting without balloon predilation in acute coronary syndromes. Am Heart J 1999;138: 55-59. Go to original source... Go to PubMed...
- Sabatier R, Hamon M, Zhao Q, et al. Could direct stenting reduce no-reflow in acute coronary symdromes? A randomized pilot study. Am Heart J 2002; 143: 1027-1032. Go to original source... Go to PubMed...
- Hamon M, Sabatier R, Zhao Q, et al. Mini-invasive strategy in acute coronary syndromes: direct stenting using 5F guiding catheters and transradial approach. Catheter Cardiovasc Interv. 2002; 55: 340-343. Go to original source... Go to PubMed...
- Herz I, Assali A, Solodky A, et al. Coronary Stent Deployment Without Predilation in Acute Myocardial Infarction: A Feasible, Safe and Effective Technique. Angiology 1999; 50: 901-908. Go to original source... Go to PubMed...
- Antoniucci D, Valenti R, Migliorini A, et al. Direct infart artery stenting without predilatation and no reflow in patients with acute myocardial infarction. Am Heart J 2001; 142: 684-690. Go to original source... Go to PubMed...
- Bernat I, Pešek J, Boček P. Direct Stenting in Acute Myocardial Infartion with ST Segment Elevation. Heart 2004; 90: Supl. III A7.
- Loubeyre Ch, Morice M-C, Lefévre T, et al. A randomized Comparison of Direct Stenting with Conventional Stent Implantation in Selected Patients with Acute Myocardial Infarction. J Am Coll Cardiol 2002; 39: 15-21. Go to original source... Go to PubMed...
- Claeys MJ, Bosmans J, Veenstra L, et al. Determinants and prognostic implications of persistent ST-segment elevation after primary angioplasty for acute myocardial infarction:importance of microvascular reperfusion injury on clinical outcome. Circulation 1999; 99: 1972-1977. Go to original source... Go to PubMed...
- Van't Hof A, Liem A, De Boer, Zijlstra F. Clinical value of 12-lead electrocardiogram after successful reperfusion therapy for acute myocardial infarction. Lancet 1997; 350: 615-619. Go to original source... Go to PubMed...
- Gasior M, Gierlotka A, Lekston A. randomised comparison of direct stenting and stenting after predilatation in acute myocardial infarction. In-hospital results of DIRAMI trial. Eur Heart J 2002; Abstract Suppl.: 390-2060.
- Moses J, Leon M, et al. DIRECT study. ACC'04, March 9, New Orleans. Session 22.
- Lemos P, Saia F, Hofma S, at al. Short- and Long-Term Clinical Benefit of Sirolimus-Eluting Stents Compared to Conventional Bare Stents for Patients With Acute Myocardial Infarction. J. Am Coll Cardiol 2004; 43 (4): 704-708. Go to original source... Go to PubMed...
- Lefévre T, et al. X-AMINE ST: A Prospective Randomized Multicenter Trial of Trombectomy as an Adjunct to Percutaneous Intervention in Acute Myocardial Infarction. 15th TCT, September 16, 2003. Late breaking clinical trials 2.
- Stone G, et al. EMERALD Trial. Primary Angioplasty in Acute Myocardial Infarction With Distal Protection of the Microcirculation (Prospective Randomized Trial). ACC´04, March 7, New Orleans. Late breaking clinical trials.
- Eeckhout E, Berger A, Roguelov Ch, et al. Direct Stenting With a Combined Intravascular Ultrasound-Coronary Stent Delivery Platform: A Feasibility Trial. Catheter Cardiovasc Interv. 2003; 59: 451-454. Go to original source... Go to PubMed...