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ISSN 0188-2198 (Print)

1999, Number 4

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Rev Mex Cardiol 1999; 10 (4)

Initial results with the stent implantation in young adults and their evolution at middle-term follow-up

Palomo VJA, Farell CJ, Abundes VA, Ledesma VM

Language: Spanish
References: 46
Page: 135-142
PDF size: 190.45 Kb.


ABSTRACT

We reviewed our experience, the initial and late outcomes, and evaluated clinic and angiographic results of treatment with percutaneous transluminal coronary angioplasty and endovascular prosthesis (stents) in young adults ‹ 40 years of age.
In the period between February 1994 and July 1999, we performed 856 procedures in a select group 22 patients (24 PTCA with 1.09 stent per patient); mean age 31.8 ± 6; 21 men and only one female; seven patients with clinical presentation of severe angina accordingly to the Cardiology Canadian Association (ACC). In 68%, previous myocardial infarction were observed; the mean percentage of coronary obstruction was 90.08 ± 5.2 and ejection fraction 46.8 ± 4.3. The immediate angiographic success was 91%. Any patient was going to elective coronary bypass surgery, and any died. The follow-up was made from 2 to 50 months. All patients were evaluated by exercise stress test and/or nuclear medicine with negative results, only in two patients were positives. Arteriography control was obtained in 50%. Conclusions: PTCA with stent implantation is a success angiographic and clinical procedure, this is a very good therapeutic option in this group of patients.


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