Efficacy and safety of the TAIS coronary stent implantation: nine monthmuticenter study


Cite item

Full Text

Abstract

Aim. Assessment of clinical and angiographic results of a balloon-expandable steel matrix stent TAIS
in patients with atherosclerosis of the coronary arteries with no history of previous interventions in the
course of an open non-randomized multicenter trial.
Material and methods. The TAIS stent was implanted in 187patients into 199 stenoses. 47% patients
had clinical manifestations of unstable angina pectoris. 29% cases were complicated. The length of the
stenoses reached 11.3 ± 5.4 mm, 22% stenoses were prolonged.
Results. This coronary stenting was effective in 100% cases, neither acute nor subacute thromboses
were seen. Myocardial infarction without occlusion of the stent developed in 3 patients. The incidence
of cardial complications (death, angina, restenosis, repeated revascularization) in 6 month follow-up
was 11.8%. An angiographic control in 6 months was made in 184 patients (194 stenoses). The vascular
diameter loss index was 0.40 ± 0.21, a restenosis level - 10.7%. A logistic regression analysis has
revealed significant correlations between the length of the stent and a target vascular diameter with
subsequent restenosis. Repeated revascularization was performed in all the patients with stent restenosis.
After control angiography cardiac complications developed in 13.9% patients. Nine month follow-up
registered cardiac complications in 17.6% cases.
Conclusion. The TAIS stent was found effective in prevention of thrombosis and restenosis in patients
with a relatively high risk of intervention

References

  1. Батыралиев Т. А., Беленков Ю. Н. Инвазивная кардиология: возможности и перспективы. Кардиология 2001; 9: 4-11.
  2. Mehta S. R., Yusuf S., Peters R. J. et al. Effects of pretreatment with clopidogrel and aspirin followed by long-term therapy in patients undergoing percutaneous coronary intervention: the PCI-CURE study. Lancet 2001: 358: 527-533.
  3. Беленков Ю. Н., Батыралиев Т. А., Першуков И. В. Инвазивная кардиология - фокус на рестеноз. Часть I. Кардиология 2002; 8: 50-56.
  4. Беленков Ю. Н., Батыралиев Т. А., Першуков И. В., Самко А. Н. Инвазивная кардиология - фокус на рестеноз. Часть II. Там же И; 68-72.
  5. Kastrati A., Mehilli J., Dirschinger J. et al. Restenosis after coronary placement of various stent types. Am. J. Cardiol. 2001: 87: 34-39.
  6. Boland J. L., Corbeij H. A. M., Van Der Giesen W. et al. Multicenter evaluation of the phosphorylcholinecoated Biodivysio stent in short de novo coronary lesions: The SOPHOS study.Int. J. Cardiovasc. Intervent. 2000; 3: 215-225.
  7. Hoffman R., Haager P., Mintz G. S. et al. The impact of high pressure vs low pressure stent implantation on intimal hyper- plasia and follow-up lumen dimensions. Results of a randomized trial. Eur. Heart J. 2001: 22: 2015-2024.
  8. Rogers C., Edelman E. R. Endovascular stent design dictates experimental restenosis and thrombosis. Circulation 1995; 91: 2995-3001.
  9. Батыралиев Т. А., Першуков И. В., Ниязова-Карбен З. А. и др. Эффективность использования коронарного стента "Seaquence": 8-месячное проспективное наблюдение. Грудная и серд.-сосуд, хир. 2002; 2: 21-24.
  10. Serruys P. W., van Hout В., Bonnier H. et al. Randomized comparison of implantation of heparin-coated stents with ballon angioplasty in selected patients with coronary artery disease (Benestent II). Lancet 1998; 352: 673-681.
  11. ZidarJ. P., Fry E., Lambert С. et al. The VENUS trial: a multicenter registry of the Cordis Bx VELOCITY stent. Am. J. Cardiol. 2000; 86(suppl. 1): 8A.
  12. Батыралиев Т. А., Самко А. Н., Першуков И. В. и др. Ближайшие и отдаленные результаты имплантации коронарного стента "BioDiamond". Тер. арх. 2002; 2: 57-60.
  13. Jang G. D., Ribeiro P. A. The ideal characteristics of a coronary stent. Rev. Port. Cardiol. 1999; 18(suppl. I): 87-95.
  14. Antoniucci D., Bartorelli A., Volenti R. et al. Clinical and angiographic outcome after coronary arterial stenting with the carbostent. Am. J. Cardiol. 2000; 85: 821-825.
  15. Батыралиев Т. А., Першуко И. В. Обзор клинических исследований по ишемической болезни сердца и ее инвазивному лечению (по материалам XXIII конгресса Европейского общества кардиологов). Кардиология 2002; 5: 68-70.
  16. Rensing В. J., Vos J., Smits P. C. et al. Coronary restenosis elimination with a sirolimus eluting stent. First European human experience with 6-month angiographic and intravascular ultrasonic follow-up. Eur. Heart. J. 2001; 22: 2125-2130.
  17. Kuntz R. Е., Bairn D. S. Prevention of coronary restenosis. The evolving evidence base for radiation therapy. Circulation 2000; 101:2130-2133.
  18. Sianos G., Kay P., Costa M. A. et al. Geographical miss during catheter-based intracoronary Beta-radiation: Incidence and implications in the BRIE stydy. J. Am. Coll. Cardiol. 2001; 38: 415-420.
  19. Williams E. S., Miller J. M. Results from late-breaking clinical trial sessions at the American College of Cardiology 51s1 Annual scientific session. Ibid. 2002; 40: 1-18.
  20. Mercado N., Boersma E., Wijns W. et al. Clinical and quantitative coronary angiographic predictors of coronary restenosis. A comparative analysis from the ballon-to-stent era. Ibid. 2001; 38: 645-652.
  21. Pershukov I. V., Batyraliev T. A., Samko A. N. et al. Evaluation of the TAIS stent in short de novo coronary lesions. Eur. Radiol. 2002; 12(suppl. 1): 296.
  22. Pershukov I. V., Batyraliev T. A., Samko A. N. et al. Clinical and angiographic outcome after coronary arterial stenting with the TAIS-stent in patients at high risk for restenosis (the second TAIS registry). In: Proceeding of the 49"' Annual World assembly of the American College of Angiology. Atlanta, 2002.
  23. Батыралиев Т. А., Самко А. Н., Першуков И. В. и др. Клинические и ангиографические результаты применения стента "Ephesos" у больных с атеросклерозом коронарных артерий. Кардиология 2002; 2: 4-7.
  24. Pershukov [. V., Batyraliev T. A., Samko A. N. et al. Clinical and angiographic outcome after coronary arterial stenting with the Ephesos-stent. Int. J. Cardiovasc. Intervent. 2001; 4 (suppl. 1): 7.
  25. Carter A. J., Laird J. R., Farb A. et al. Morphological characterictics of lesion formation and time course of smooth muscle proliferation in a porcine proliferative restenosis model. J.Am. Coll. Cardiol. 1994; 24: 1398-1405.
  26. Kornowski R., Hong M. K., Tio F. O. et a!. In-stent restenosis: contribution of inflammatory response and arterial injury to neointimal hyperplasia. Ibid. 1998; 31: 224-320.
  27. Hardhammar P. A., van Beusekom H. M. M., Emauelsson H. U. et al. Reduction in thrombotic events with heparin-coated Palmaz-Schatz stents in normal porcine coronary arteries. Circulation 1996; 93: 423-430.
  28. Schomig A., Kastrati A., Elezi S. et al. Bimodal distribution of angiographic measures of restenosis six months after coronary stent placement. Ibid. 1997; 96: 3880-3887.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2003 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

 © 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies