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ȣ - 480604 88 |
Metal Jacket with Silorimus-Eluting Stents for the Long Lesion Coverage
; Its clinical and angiographic outcome
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¹ Yeung-Nam University,² Keimyung University, ³ Inje University |
¹ Jong-Seon Park, ¹Young-Jo Kim, ¹Dong-Gu Shin, ¹Bong-Sup Shim, ²Chang-Wook Nam, ²Kee-Sik Kim, ²Yoon-Nyun Kim, ²Kwon-Bae Kim, ³Doo-Il Kim, ³Seong-Man Kim, ³Yong-Suk Jeong, ³Dong-Soo Kim |
Background: Silorimus-eluting stent (SES) lower the amount of intimal hyperplasia and significantly improved clinical outcome in short lesions. Target lesion length is an independent predictor of in-stent restenosis in bare metal stent era. We evaluated the clinical outcomes of the long lesion coverage with SES. Method and results: We implanted long SES stents (>40 mm in length) in 72 type C lesions in 72 patients. The average length of the implanted stents were 58±14mm (41-112 mm) in length and 2.2 stents were implanted in each patient. No adverse events were observed during procedure and hospital stay. One patient had a subacute thrombosis 50 days after discharge. At 6 months follow up, 3 patients (9.4%) had target lesion revascularization and angiographic binary restenosis was 6.7%. QCA findings were as below. Conclusions: Long lesion coverage with SES stent is feasible with a favorable clinical outcome in clinical practice.
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Pre-stent |
Post-stent |
Follow
up |
RD,
mm |
3.08±0.32 |
3.08±0.32 |
3.13±0.37 |
MLD,
mm |
0.33±0.26 |
2.75±0.32 |
2.45±0.69 |
%
DS |
88.30±8.95 |
8.88±4.92 |
20.80±17.84 |
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