Coronary stenting: a literature review

Australian Health Technology Advisory Committee
Record ID 31998008691
English
Authors' objectives:

The aim of this review was to systematically and critically assess the current scientific evidence on coronary stenting regarding:

its clinical efficacy and effectiveness;

appropriate applications and indications for its use;

its cost and cost effectiveness; and

its impact on health outcomes.

Authors' results and conclusions: The role of coronary stenting has expanded considerably since the technology was first introduced. There are a number of major applications for which there is evidence of short to medium-term improvement in angiographic and clinical outcomes, in selected patients, using the Palmaz-Schatz stent. There is a range of other applications for which there is less evidence of improved outcomes, although for a number of these preliminary results are promising. The techniques of stenting, as well as the stents themselves, are evolving rapidly. There have been marked changes in adjunctive techniques, with antiplatelet therapy now increasingly replacing aggressive anticoagulation therapy in the prevention of stent thrombosis.
Authors' recomendations: This area of cardiology is evolving rapidly, and more data from RCTs are needed to further define the role of stenting in the treatment of coronary heart disease. Some of these data are likely to be supplied by current trials. Evidence of long-term effectiveness and cost effectiveness is particularly needed.
Authors' methods: Review
Details
Project Status: Completed
URL for project: http://www.msac.gov.au/
Year Published: 1997
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Australia
MeSH Terms
  • Anticoagulants
  • Costs and Cost Analysis
  • Coronary Disease
  • Stents
Contact
Organisation Name: Australian Health Technology Advisory Committee
Contact Address: Naarilla Hirsch, Australian Institute of Health and Welfare Health Technology Unit, GPO Box 570, Canberra, ACT, 2601, Australia
Copyright: Australian Health Technology Advisory Committee
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.