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J Am Coll Cardiol, 1999; 34:1498-1506
© 1999 by the American College of Cardiology Foundation
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Randomized comparison of coronary stent implantation and balloon angioplasty in the treatment of de novo coronary artery lesions (START)

A four-year follow-up

Amadeo Betriu, MD*, Monica Masotti, MD*, Antoni Serra, MD*, Joaquin Alonso, MD{dagger}, Francisco Fernández-Avilés, MD{dagger}, Federico Gimeno, MD{dagger}, Thierry Colman, MD{ddagger}, Javier Zueco, MD{ddagger}, Juan L. Delcan, MD§, Eulogio García, MD§ and José Calabuig, MD||

* Hospital Clínic, Barcelona, Spain
{dagger} Hospital Clínico Universitario, Valladolid, Spain
{ddagger} Hospital Universitario Marqués de Valdecilla, Santander, Spain
§ Hospital General Universitario Gregorio Marañón, Madrid, Spain
|| Clínica Universitaria, Pamplona, Spain



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Figure 1 Cumulative frequency distribution curves for stent and angioplasty groups showing minimal luminal diameter at baseline, immediately postprocedure and at six-month follow-up. Preprocedural curves had a similar distribution of minimal luminal diameter among stent and angioplasty groups. At six months, both groups had reduced values, but a significant difference in diameter persisted in favor of the stent group.

 


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Figure 2 Kaplan-Meier survival curves for cardiac events (death, MI, coronary artery bypass surgery and repeat angioplasty) during the four-year follow-up period. The stent group showed significantly fewer events when compared with the angioplasty group.

 





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