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European Heart Journal 2003 24(5):394-403; doi:10.1016/S0195-668X(02)00802-3
Copyright © 2003 by the European Society of Cardiology.
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Review article

Direct stenting

Emanuele Barbatoa, Jean Marcob and William Wijnsa,*

a The Cardiovascular Center, Onze-Lieve Vrouw Ziekenhuis, Aalst, Belgium
b The Clinique Pasteur, Toulouse, France

* Corresponding author. Tel.: +32-53-72-44-39; fax: +32-53-72-41-85
E-mail address: william.wijns{at}olvz-aalst.be

Received 21 October 2002; accepted 23 October 2002

Abstract

Stents have ameliorated the outcome of percutaneous coronary interventions. Improved design, profile and flexibility of the currently available stents now permit to deliver the stent without pre-dilatation. In western European countries, stent implantation now occurs in up to 80% of all percutaneous revascularization procedures. In selected cases the safety and feasibility of direct stenting over conventional balloon-predilatation stenting has been demonstrated, in association with slightly superior outcome. This likely results from reduced vessel wall damage—dissections are sealed at the moment they are created—and distal embolization is reduced. In addition, a significant reduction in terms of costs and duration of procedures was demonstrated, while restenosis rate is not reduced with direct stenting.

Key Words: Direct stenting • PTCA • Stent


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