The French randomized optimal stenting trial: a prospective evaluation of provisional stenting guided by coronary velocity reserve and quantitative coronary angiography

• Published in: Journal of the American College of Cardiology 2000-08, Vol.36 (2), p.404-409
• Main Authors: Lafont, Antoine, Dubois-Randé, Jean L, Steg, Philippe G, Dupouy, Patrick, Carrié, Didier, Coste, Pierre, Furber, Alain, Beygui, Farzin, Feldman, Laurent J, Rahal, Saliha, Tron, Christophe, Hamon, Martial, Grollier, Gilles, Commeau, Philippe, Richard, Pascal, Colin, Patrice, Bauters, Christophe, Karrillon, Gaetan, Ledru, François, Citron, Bernard, Marié, François Noel, Kern, Morton
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Diseases of the cardiovascular system; Medical sciences; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/S0735-1097(00)00747-6

OBJECTIVES We sought to make a prospective comparison of systematic stenting with provisional stenting guided by Doppler measurements of coronary velocity reserve and quantitative coronary angiography. BACKGROUND Despite the increasing use of stents during percutaneous transluminal coronary angioplasty, it is unclear whether systematic stenting is superior to a strategy of provisional stenting in which stents are placed only in patients with unsatisfactory results or as a bail-out procedure. METHODS Two hundred fifty-one patients undergoing elective coronary angioplasty were randomly assigned either to provisional stenting (group 1, in which stenting was performed if postangioplasty coronary velocity reserve was