EurekaMag.com logo
+ Site Statistics
References:
53,623,987
Abstracts:
29,492,080
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Multicenter randomized comparison of direct vs. conventional stenting: the DIRECTO trial



Multicenter randomized comparison of direct vs. conventional stenting: the DIRECTO trial



Catheterization and Cardiovascular Interventions 58(4): 434-440



With conventional stenting, predilatation frequently induces dissections that require deploying stents longer than originally planned. To assess whether direct stenting is safe and may prevent dissections and reduce the length of stents implanted, we conducted a randomized study comparing direct (n = 73) and conventional (n = 78) stenting. Direct stenting was successful in 89% of cases, 11% crossed over to predilation without complications. Dissections occurred more frequently in conventional stenting group (10.3% vs. 1.4%; P = 0.034), but did not translate to a significant stent length difference (16.31 +/- 7.6 vs. 15.31 +/- 5.5; P = NS). Periprocedure creatine kinase elevation and number of balloons utilized were lower with direct stenting.

(PDF same-day service: $19.90)

Accession: 035349895

Download citation: RISBibTeXText

PMID: 12652489

DOI: 10.1002/ccd.10404



Related references

Direct stenting without balloon predilation compared with conventional stenting in patients with acute myocardial infarction A multicenter randomized trial. Circulation 104(17 Supplement): II 622, October 23, 2001

Comparison of the immediate and follow-up results of direct stenting and stenting with predilation in a multicenter, prospective and randomized study The DISCO trial. Circulation 104(17 Supplement): II 621-II 622, October 23, 2001

Comparison of angiographically guided direct stenting technique with direct stenting and optimal balloon angioplasty guided with intravascular ultrasound. The multicenter, randomized trial results. American Heart Journal 154(4): 669-675, 2007

Results of the PIXEL study Randomized multicenter trial comparing direct and conventional predilation stenting in small vessels. Journal of the American College of Cardiology 41(6 Supplement A): 26A, March 19, 2003

Comparison of direct stenting with optimal balloon angioplasty Intermediate results from Polish randomized, multicenter Trial. European Heart Journal 23(Abstract Supplement): 307, August-September, 2002

Direct drug-eluting stenting to reduce stent restenosis: a randomized comparison of direct stent implantation to conventional stenting with pre-dilation or provisional stenting in elective PCI patients. Jacc. Cardiovascular Interventions 7(7): 751-758, 2015

Direct stenting compared to conventional stenting in Diabetic Patients Undergoing Elective Angioplasty for Coronary Artery Disease (DECIDE): a multicenter, open label, randomized, controlled efficacy study. American Heart Journal 148(6): 1007-1011, 2005

Angiographic, intravascular ultrasound, and fractional flow reserve evaluation of direct stenting vs. conventional stenting using BeStent2 in a multicentre randomized trial. European Heart Journal 26(18): 1852-1859, 2005

Comparison of outcomes (early and six- month) of direct stenting with conventional stenting (a meta-analysis of ten randomized trials). American Journal of Cardiology 91(7): 790-796, 2003

The French Randomized Optimal Stenting Trial I Final results of a multicenter, prospective, randomized study comparing systematic stenting to angiography/coronary flow reserve guided stenting. Circulation 98(17 SUPPL ): I228, Oct 27, 1998

Direct coronary stenting without balloon predilation Immediate and 6 month results of a multicenter prospective randomized trial. Journal of the American College of Cardiology 37(2 Supplement A): 9A, February, 2001

Direct coronary stenting versus stenting with balloon pre-dilation: incidence of enzyme release and follow-up results of a multicentre, prospective, randomized study. The CK and Troponin I Estimation in direct STenting (CK TEST) trial. Minerva Cardioangiologica 55(3): 281-289, 2007

The French optimal stenting trial A multicenter, prospective randomized study comparing systematic stenting to angiography/coronary flow reserve guided stenting. Circulation 96(8 SUPPL ): I222, 10/21/97, 1997

Direct coronary stenting versus stenting with balloon pre-dilation: immediate and follow-up results of a multicentre, prospective, randomized study. The DISCO trial. DIrect Stenting of COronary Arteries. European Heart Journal 23(8): 633-640, 2002

Direct stenting versus direct stenting followed by centered beta-radiation with intravascular ultrasound-guided dosimetry and long-term anti-platelet treatment: results of a randomized trial: Beta-Radiation Investigation with Direct Stenting and Galileo in Europe (BRIDGE). Journal of the American College of Cardiology 44(3): 528-537, 2004