Zusammenfassung

Die Einführung der perkutanen transluminalen Koronarangioplastie (PTCA) durch Grüntzig im Jahre 1977 eröffnete eine neue therapeutische Strategic zur minimalinvasiven Behandlung koronarkranker Patienten [14] und markierte den Beginn der interventionellen Kardiologie. Eine dauerhafte Wiederherstellung des koronaren Blutflusses nach konventioneller Ballonangioplastie war jedoch eingeschränkt durch elastische Rückstellkrafte am gedehnten Koronararteriensegment, durch akute Gefäßverschliisse aufgrund okklusiver Intimadissektionen und Thrombosen sowie durch spätere Wiederverengungen des dilatierten Gefäßsegments infolge einer reaktiven Intimahyperplasie [5, 7, 25, 36, 44, 53]. Die Entwicklung alternativer interventioneller Techniken, bei der ablative und dilatierende Verfahren zur Beseitigung stenosierender Atherome kombiniert wurden [27, 43, 48, 61], ergab gegenüber der konventionellen Ballonangioplastie bislang allenfalls partielle Verbesserungen, die sich in erster Linie auf eine Steigerung des interventionellen Primärerfolges beschränkten.

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Literatur

  1. 1.
    The Bypass Angioplasty Revascularization Investigation (BARI) Investigators (1996) Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. N Engl J Med 335: 217–225Google Scholar
  2. 2.
    Colombo A, Haal P, Nakamura S et al. (1995) Intracoronary stenting without anticoagulation accomplished with intravascular ultrasound guidance. Circulation 91: 1676–1688PubMedGoogle Scholar
  3. 3.
    Detre KM, Holmes DR, Holubkov R et al. (1990) Incidence and consequences of periprocedural occlusion: the 1985–1986 National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry. Circulation 82: 739–750Google Scholar
  4. 4.
    Dotter CT, Buschmann RW, McKinney MK, Rosch J (1983) Transluminal expandable nitinol coil stent grafting: Preliminary report. Radiology 147: 261–263Google Scholar
  5. 5.
    Ellis SG, Roubin GS, King SB III, Douglas JS Jr, Weintraub WS, Thomas RG, Cox WR (1988) Angiographic and clinical predictors of acute closure after native vessel coronary angioplasty. Circulation 77: 372–379PubMedCrossRefGoogle Scholar
  6. 6.
    Ellis SG, Savage M, Fischman D et al. (1992) Restenosis after placement of Palmaz-Schatz stents in native coronary arteries. Initial results of a multicenter experience. Circulation 86 (6): 1836–1844PubMedGoogle Scholar
  7. 7.
    Feyter PJ de,. Brand M van den, Jaarman G, Domburg R van, Serruys PW, Suryapranata H (1991) Acute coronary artery occlusion during and after percutaneous transluminal coronary angioplasty: Frequency, prediction, clinical course, management, and follow-up. Circulation 83: 927–936Google Scholar
  8. 8.
    Fischman DL, Leon MB, Baim DS et al. (1994) A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease. N Engl J Med 331: 496–501PubMedCrossRefGoogle Scholar
  9. 9.
    Fishell TA, Khanna BK, Fischell DR, Loges PG, Coffey CW, Duggan DM, Naftilan AJ (1994) Low-dose, P-particle emission from “stent” wire results in complete, localized inhibition of smooth muscle cell proliferation. Circulation 90: 2956–2963Google Scholar
  10. 10.
    George BS, Voorhees WD, Roubin GS et al. (1993) Multicenter investigation of coronary sten-ting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty: clinical and angiographic outcomes. J Am Coll Cardiol 22: 135–143PubMedCrossRefGoogle Scholar
  11. 11.
    Giesen WJ van der, Serruys PW, Visser WJ, Verdouw PD, Van Schalwijk WP, Jongkind JF (1988) Endothelialization of intravascular stents. J Interven Cardiol 1: 109–120CrossRefGoogle Scholar
  12. 12.
    Giessen WJ van der, Beusekom HMM van, Houten CD van, Woerkens LJ van, Verdouw PD, Serruys PW (1992) Coronary stenting with polymer-coated and uncoated self-expanding endoprosthesis in pigs. Coron Artery Dis 3: 631–640CrossRefGoogle Scholar
  13. 13.
    Giessen WJ van der, Emanuelsson H, Dawkins KD, Rutsch W, Sigwart Heyndrickx GR, Katus HA, Serruys PW (1996) Six months clinical outcome and angiographic follow-up of the WEST study. Eur Heart J 17 [Suppl]: 411Google Scholar
  14. 13a.
    Glogar D, Yang P, Hassan A et al. (1997) Does high-pressure balloon post-dilation improve long-term results of Wiktor coil stent? (Austrian Wiktor Stent Trial). J Am Coll Cardiol 29 [Suppl]: 313AGoogle Scholar
  15. 14.
    Griintzig AR, Senning A, Siegenthaler WE (1979) Nonoperative dilatation of coronary artery stenosis: percutaneous transluminal coronary angioplasty. N Engl J Med 301: 61–68CrossRefGoogle Scholar
  16. 15.
    Haase J, Reifart N, Preusler W, Storger H, Vandormael M, Schwarz F (1996) The Strecker stent. In: Sigwart U, Bertrand M, Serruys PW (eds) Handbook of cardiovascular interventions. Churchill Livingstone, New York, pp 593–601Google Scholar
  17. 16.
    Haase J, Geimer M, Gohring S. (submitted) Results of Micro Stent implantations in coro-nary lesions of various complexity.Google Scholar
  18. 17.
    Haase J, Barton M, Gohring S, Kerkar PG, Preusler W, Storger H, Reifart N (1996) Single ver-sus multiple implantation of Medtronic Wiktor Stents for endoluminal reconstruction of coronary arteries. Eur Heart J 17 [Suppl]: 459Google Scholar
  19. 18.
    Hardhammer PA, Beusekom HMM van, Emanuelsson HV et al. (1996) Reduction of throm-botic events using heparin-coated Palmaz-Schatz stents in normal porcine coronary arteries. Circulation 93: 423–430Google Scholar
  20. 19.
    Haude M, Erbel R, Straub U, Dietz U, Schatz R, Meyer J (1991) Results of intracoronary stents for management of coronary dissection after balloon angioplasty. Am. Cardiol 67: 691–696Google Scholar
  21. 20.
    Haude M, Erbel R, Issa H, Meyer J (1993) Quantitative analysis of elastic recoil after balloon angioplasty and after intracoronary implantation of balloon-expandable Palmaz-Schatz stents. J Am Coll Cardiol 21: 26–34PubMedCrossRefGoogle Scholar
  22. 21.
    Haude M, Erbel R, Issa H, Straub U, Rupprecht HJ, Treese N, Meyer J (1993) Subacute throm-botic complications after intracoronary implantation of Palmaz-Schatz stents. Am Heart J 126: 15–22PubMedCrossRefGoogle Scholar
  23. 22.
    Hehrlein C, Stintz M, Kinscherf R et al. (1996) Pure p-particle-emitting stents inhibit neointima formation in rabbits. Circulation 93: 641–645PubMedGoogle Scholar
  24. 23.
    Hermanns WRM, Rensing BJ, Strauss BH, Serruys PW (1991) Prevention of restenosis after percutaneous transluminal coronary angioplasty (PTCA): The search for a magic bullet. Am Heart J 122: 171–187Google Scholar
  25. 24.
    Hillegass WB, Ohman EM, Califf RM (1994) Restenosis: The clinical issues. In Topol EJ (ed) Textbook of interventional cardiology. Saunders, Philadelphia, pp 415–435Google Scholar
  26. 25.
    Ischinger T, Griintzig AR, Meier B, Galan K (1986) Coronary dissection and total coronary occlusion associated with percutaneous transluminal coronary angioplasty: significance of initial angiographic morphology of coronary stenoses. Circulation 72: 1371–1378CrossRefGoogle Scholar
  27. 26.
    Jaegere PJ de, Serruys PW, Es GA van et al. (1994) Recoil following Wiktor stent implantation for restenotic lesions of coronary arteries. Cathet Cardiovasc Diagn 32: 147–156PubMedCrossRefGoogle Scholar
  28. 27.
    Karsch KR, Haase KK, Volker W, Baumbach A, Mauser M, Seibel L (1990) Percutaneous coronary excimer laser angioplasty in patients with stable and unstable angina pectoris. Acute results and incidence of restenosis during six-months follow-up. Circulation 81: 1849–1859Google Scholar
  29. 28.
    Keane D, Buis B, Reifart N et al. (1994) Clinical and angiographic outcome following im-plantation of the new less shortening Wallstant in aortocoronary vein grafts: introduction of a second generation stent in the clinical arena. J Interven Cardiol 7: 557–564CrossRefGoogle Scholar
  30. 29.
    Kimura T, Yokoi H, Nakagawa Y et al. (1996) Three-year follow-up after implantation of metallic coronary artery stents. N Engl J Med 334: 561–566PubMedCrossRefGoogle Scholar
  31. 30.
    Levine MJ, Leonard BM, Burke JA, Nash ID, Safian RD, Diver DJ, Baim DS (1990) Clinical and angiographic results of balloon-expandable intracoronary stents in right coronary arteries. J Am Coll Cardiol 16: 332–339PubMedCrossRefGoogle Scholar
  32. 31.
    Maas D, Zollikofer CL, Largiader F, Senning A (1984) Radiological follow-up of translumi- nally inserted vascular endoprostheses: An experimental study using expanding spirals. Radiology 157: 695–663Google Scholar
  33. 32.
    Macander PJ, Agrawal SK, Roubin GS (1991) The Gianturco-Roubin balloon-expandable in-tracoronary flexible coil stent. J Invasive Cardiol 3: 85–94PubMedGoogle Scholar
  34. 33.
    MERCATOR Study Group (1992) Does the new angiotensin converting enzyme inhibitor cilazapril prevent restenosis after percutaneous transluminal coronary angioplasty? Circulation 86: 100–110Google Scholar
  35. 34.
    Morice MC, Zemour G, Benveniste E et al. (1995) Intracoronary stenting without Coumadin: one month results of a French multicenter study. Cathet Cardiovasc Diagn 35: 1–7PubMedCrossRefGoogle Scholar
  36. 35.
    Neumann FJ, Gawaz M, Ott I, Mossmer G, Schomig A (1966) Prospective evaluation of hemostatic predictors of subacute stent thrombosis after coronary Palmaz-Schatz stenting. J Am Coll Cardiol 27: 15–21CrossRefGoogle Scholar
  37. 36.
    Nobuyoshi M, Kimura T, Nosaka H et al. (1988) Restenosis after successful percutaneous coronary angioplasty: serial angiographic follow-up of 229 patients. J Am Coll Cardiol 12: 616–623PubMedGoogle Scholar
  38. 37.
    Ozaki Y, Keane D, Ruygrok P, De Feyter PJ, Sterzer S, Serruys PW (1995) Acute and angio-graphic results with the new AVE Micro coronary stent in bailout management. Am J Cardiol 76: 112–116PubMedCrossRefGoogle Scholar
  39. 38.
    Ozaki Y, Keane D, Ruygrok P, Giessen WJ van der, Feyter PJ de, Serruys PW (1996) Six-month clinical and angiographic outcome of the new, less shortening Wallstent in native coronary arteries. Circulation 93: 2114–2120PubMedGoogle Scholar
  40. 39.
    Palmaz JC, Sibbit RR, Tio FO, Reuter SR, Peters JE, Garcia F (1986) Expandable intraluminal vascular graft: A feasibility study. Surgery 99: 199–205Google Scholar
  41. 40.
    Palmaz JC, Kopp DT, Mayashi H et al. (1987) Normal and stenotic renal arteries: experiman- tal balloon-expandable intraluminal stenting. Radiology 164: 705–708PubMedGoogle Scholar
  42. 41.
    Reifart N, Langer A, Storger H, Schwarz F, Preusler W, Hofmann M (1992) Strecker stent as a bailout device following percutaneous transluminal coronary angioplasty. J Interven Cardiol 5: 79–83CrossRefGoogle Scholar
  43. 42.
    Reifart N, Haase J, Massa T et al. (1994) Randomized trial comparing two devices: the Pal- maz-Schatz and the Strecker stent in bailout situations. J Interven Cardiol 6: 539–547CrossRefGoogle Scholar
  44. 43.
    Reifart N,Vandormael M, Krajcar M, Gohring S, Preusler W, Schwarz F, Storger H, Hofmann M, Klopper J, Miiller S, Haase J (1997) Randomized comparison of angioplasty of complex coronary lesions at a single center: excimer laser, rotational atherectomy, and balloon an-gioplasty comparison ( ERBAC) study. Circulation 96: 91–98Google Scholar
  45. 44.
    Rensing BJ, Hermanns WRM, Beatt KJ et al. (1990) Quantitative angiographic assessment of elastic recoil after percutaneous transluminal coronary angioplasty. Am J Cardiol 66: 1039–1044PubMedCrossRefGoogle Scholar
  46. 45.
    Rollins N, Wright KC, Charnsangavej C, Wallace S, Gianturco C (1987) Self-expanding metallic stents: preliminary evaluation in an atherosclerotic model. Radiology 163: 739–742PubMedGoogle Scholar
  47. 46.
    Roubin GS, Robinson KA, King SB et al. (1987) Early and late results of intracoronary arterial stenting after coronary angioplasty in dogs. Circulation 76: 891–897PubMedCrossRefGoogle Scholar
  48. 47.
    Rousseau H, Puel J, Joffre F et al. (1987) Self-expanding endovascular prosthesis: An experimental study. Radiology 164: 709–714Google Scholar
  49. 48.
    Safian RD, Gelbfish JS, Erny RE, Schnitt SJ, Schmidt DA, Baim DS (1990) Coronary atherec-tomy: Clinical, angiographic, and histologic findings regarding potential mechanisms. Cir-culation 82: 69–79Google Scholar
  50. 49.
    Sahni R, Maniet AR, Voci G, Banka VS (1991) Prevention of restenosis by lovastatin after suc-cessful angioplasty. Am Heart J 121: 1600–1608PubMedCrossRefGoogle Scholar
  51. 50.
    Schatz RA, Palmaz JC, Tio FO, Garcia O, Reuter SR (1987) Balloon-expandable intracoronary stents in the adult dog. Circulation 76: 450–457PubMedCrossRefGoogle Scholar
  52. 51.
    Schatz RA, Baim DS, Leon M et al. (1991) Clinical experience with the Palmaz-Schatz coronary stent: Initial results of a multicenter study. Circulation 83: 148–161Google Scholar
  53. 52.
    Schomig A, Neumann FJ, Kastrati A et al. (1996) A randomized comparison of antiplatelet and anticoagulant therapy after the placement of coronary artery stents. N Engl J Med 334: 1084–1089PubMedCrossRefGoogle Scholar
  54. 53.
    Serruys PW, Luijten HE, Beatt KJ et al. (1988) Incidence of restenosis after successful coronary angioplasty: a time-related phenomenon. A quantitative angiographic study in 343 consecutive patients at 1,2,3, and 4 months. Circulation 77: 361–371PubMedCrossRefGoogle Scholar
  55. 54.
    Serruys PW, Juilliere Y, Bertrand M, Puel J, Rickards AF, Sigwart U (1988) Additional impro-vement of stenosis geometry in human coronary arteries by stenting after balloon dilatation. Am J Cardiol 61: 71G–76GPubMedCrossRefGoogle Scholar
  56. 55.
    Serruys PW, Jaegere P De, Bertrand M et al. (1991) Morphologic change in coronary artery stenosis with the Medtronic Wiktor stent: Initial results from the Core Laboratory for Quantitative Angiography. Cathet Cardiovasc Diagn 24: 237–245Google Scholar
  57. 56.
    Serruys PW, Rutsch W, Heyndrickx GR et al. (1991) Prevention of restenosis after percutaneous transluminal coronary angioplasty with thromboxane A2 receptor blockade: a randomized, double blind, placebo-controlled trial. Circulation 84: 1568–1580PubMedGoogle Scholar
  58. 57.
    Serruys PW, De Jaegere P, Kiemeneij F et al. (1994) A comparison of balloon-expandable stent implantation with balloon angioplasty in patients with coronary artery disease. N Engl J Med 331: 489–495PubMedCrossRefGoogle Scholar
  59. 58.
    Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L (1987) Intravascular stents to pre-vent occlusion and restenosis after transluminal angioplasty. N Engl J Med 701–706Google Scholar
  60. 59.
    Sigwart U, Urban P, Golf S et al. (1988) Emergency stenting for acute occlusion after coronary balloon angioplasty. Circulation 78: 1121–1127PubMedCrossRefGoogle Scholar
  61. 60.
    Strecker EP, Liermann D, Barth KH et al. (1990) Expandable tubular stents for treatment of arterial occlusive disease - experimental and clinical results. Radiology H175: 97–102PubMedGoogle Scholar
  62. 61.
    Teirstein PS, Warth DC, Haq N et al. (1991) High speed rotational atherectomy for patients with diffuse coronary artery disease. J Am Coll Cardiol 18: 1694–1701PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • J. Haase
  • N. Reifart

There are no affiliations available

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