Randomization Of The Patients
The Palmaz-Schatz stent is composed of two inflexible 7-mm slotted stainless-steel tubes linked by a 1-mm central bridging strut (Johnson and Johnson Interventional Techniques, Warren, N.J.). The stent, which is 1.6 mm in diameter in the unexpanded state, is mounted on a balloon catheter and protected by an outer sheath throughout passage to the target site. When the sheath is withdrawn, inflation of the balloon catheter expands the stent. Technical details of the design and placement of the Palmaz-Schatz coronary stent have been described elsewhere12,13.
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Many procedures might be carried out on the heart by catheterization.[2] This most commonly includes the insertion of a sheath into the femoral artery (but, in practice, any large peripheral artery or vein) and cannulating the guts under X-ray visualization (most commonly fluoroscopy). The radial artery might even be used for cannulation; this strategy presents a number of advantages, including the accessibility of the artery in most patients, the easy control of bleeding even in anticoagulated patients, the enhancement of comfort because patients are able to sitting up and walking immediately following the procedure, and the near absence of clinically important sequelae in patients with a normal Allen check.[3] Downsides to this approach embody spasm of the artery and ache, inability to use bigger catheters needed in some procedures, and more radiation exposure.
