Coronary stenting without predilatation (SWOP): Applicable technique in everyday practice

Itzhak Herz, Abid Assali, Alejandro Solodky, Nurit Shor, Simcha Brandes, Nader Buto, Igal Teplizky, Hanoch Menkes, Eldad Rechavia, David Hasdai, Tuvia Ben-Gal, Yehuda Adler

Research output: Contribution to journalArticlepeer-review

Abstract

To evaluate the feasibility of stenting without predilatation, we registered all interventional procedures over a 6-month period. Six hundred patients were registered, and 684 lesions were treated. Interventions were divided into four groups: stenting without predilatation (SWOP), 221 lesions (32.4%); primary stenting with predilatation (PDS), 161 lesions (23.5%); provisional stenting (PRS), 131 lesions (19.2%); and plain-old balloon angioplasty (POBA), 171 lesions (25%). Interventional strategy was at the discretion of the operator based on few simple angiographic criteria and his clinical judgment. Procedural success was similar in all stent groups. We conclude that when primary stenting is planned, about 60% of lesions can be treated by SWOP effectively with excellent procedural results and considerable cost saving. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish
Pages (from-to)384-388
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume49
Issue number4
DOIs
StatePublished - 2000

Keywords

  • Coronary stenting
  • Direct stenting
  • Predilatation

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