Comparison of directional coronary atherectomy and stenting versus stenting alone for the treatment of de novo and restenotic coronary artery narrowing

Goran Stankovic, Antonio Colombo, Robert Bersin, Jeffrey Popma, Samin Sharma, Louis A. Cannon, Paul Gordon, Dean Nukta, Gregory Braden, Michael Collins

Research output: Contribution to journalArticle

Abstract

Late lumen loss after directional coronary atherectomy (DCA) is mainly determined by arterial remodeling. We hypothesized that stent implantation after optimal lesion debulking could be an effective approach to reduce restenosis. A total of 753 patients with de novo or restenotic coronary lesions were prospectively randomized to DCA plus stenting (n = 381) or stenting alone (n = 372). The patients were followed for 12 months. Procedural success was achieved in 91.5% versus 97.3% (p = 0.0007) of patients treated with DCA plus stent versus stent alone. Optimal atherectomy (

Original languageEnglish
Pages (from-to)953-958
Number of pages6
JournalThe American Journal of Cardiology
Volume93
Issue number8
DOIs
Publication statusPublished - Apr 15 2004

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Stankovic, G., Colombo, A., Bersin, R., Popma, J., Sharma, S., Cannon, L. A., Gordon, P., Nukta, D., Braden, G., & Collins, M. (2004). Comparison of directional coronary atherectomy and stenting versus stenting alone for the treatment of de novo and restenotic coronary artery narrowing. The American Journal of Cardiology, 93(8), 953-958. https://doi.org/10.1016/j.amjcard.2003.12.047