Media type: E-Article Title: Bailout Palmaz‐Schatz coronary stenting in 39 patients with occlusive dissection complicating conventional Angioplasty Contributor: Antoniucci, David; Santoro, Giovanni M.; Bolognese, Leonardo; Leoncini, Mario; Buonamici, Piergiovanni; Fazzini, Pier F. imprint: Wiley, 1995 Published in: Catheterization and Cardiovascular Diagnosis Language: English DOI: 10.1002/ccd.1810350308 ISSN: 0098-6569; 1097-0304 Keywords: Cardiology and Cardiovascular Medicine Origination: Footnote: Description: <jats:title>Abstract</jats:title><jats:p>The purpose of this study was to evaluate feasibility, safety, and efficacy of bailout Palmaz‐Schatz stenting in a series of 39 patients with coronary dissection associated with acute or unequivocal threatened closure complicating conventional angioplasty. No anatomical characteristics other than reference vessel diameter < 3 mm were considered as contraindications for bailout coronary stenting. Stringent criteria were adopted in defining optimal results (<10% residual stenosis, no angiographic evidence of residual dissection), suboptimal results (>10% residual stenosis or angiographic evidence of residual dissection), deployment failure (failure to deploy the stent because of poor trackability or persistent occlusion despite stent deployment). A total of 49 stents and 7 half‐stents were implanted in 36 patients (range 1–5; mean 1.45 ± 0.84). Successful stenting without in‐hospital death, urgent or semielective coronary surgery, stent thrombosis, or Q‐wave myocardial infarction was achieved in 33/39 patients (85%). A suboptimal result was associated with an increased risk of in‐hospital recurrence of ischemia and other related major adverse events (2/5 patients with suboptimal results vs. 1/31 patients with complete deployment success; <jats:italic>P</jats:italic> < 0.05). Multiple stents implantation did not carry a significant risk of major cardiac adverse events. The results of this study suggest that bailout Palmaz‐Schatz stenting may be considered a stand‐alone treatment of coronary dissection if an optimal acute angiographic result is achieved. © 1995 Wiley‐Liss, Inc.</jats:p>