MULTIPLE CORONARY STENTING IN UNSTABLE ANGINA - EARLY AND LATE CLINICAL OUTCOMES

We examined clinical outcomes in 110 consecutive patients with unstabl e angina who underwent multiple coronary stenting over a 32-mo period, The main outcome measures were death, stroke, myocardial infarction, bypass surgery, and repeat angioplasty. The angiographic success rate was 100%, and the procedural success rate was 96%. There were no in-ho spital deaths and five (4.5%) patients had a myocardial infarction pri or to discharge. There were four (3.6%) stent thromboses with one (0.9 %) patient requiring urgent bypass surgery and two (1.8%) requiring re peat angioplasty, At late follow-up (11.9 +/- 7.1 mo), there was (0.9% ) death and three patients (2.8%) suffered myocardial infarction. Thre e (2.8%) patients underwent late bypass surgery and five (4.6%) had a repeat angioplasty. At follow-up, 86% of patients were event free. We conclude that multiple coronary stenting in unstable angina may be per formed with a high procedural success rate and good long-term outcome. (C) 1998 Wiley-Liss, Inc.