Angiographic follow-up after multivessel percutaneous transluminal coronary angioplasty

Finci, Léo; Meier, Bernhard; Bruyne, Bernard De; Steffenino, Giuseppe; Divernois, J.; Rutishauser, W.

doi:10.1016/0002-9149(87)90287-6

Cited by 44 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings support previous reports 1,3,4,6,8 and the contention that IR, whether by intention or suboptimal PTCA result, is associated with higher risk of CABG. These findings persist even among patients initially free of major in-hospital complications and are particularly prominent in the first year after PTCA.…”

Section: Long-term Clinical Outcomesupporting

confidence: 92%

“…These components, coupled with varying definitions and the distinction between anatomic versus functional CR, have led to numerous yet equivocal reports on the influence of CR on clinical outcome. [1][2][3][4]7 Among Ͼ2000 BARI patients treated with first-time PTCA during 1988 through 1991, we evaluated the relative contribution of pre-PTCA strategy (planned CR versus planned IR) and initial lesion outcome on clinical outcome. We considered a functional rather than anatomic definition of planned CR.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] Early reports 1-3 suggest higher rates of CABG and angina in patients incompletely versus completely revascularized with PTCA, whereas others, including those with adjustment for differences in pretreatment clinical profiles, 4,7 report modest or no adverse effect associated with IR. Small patient cohorts and different analytic techniques and definitions of complete revascularization (CR) have contributed to the uncertainty.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Influence of Pre-PTCA Strategy and Initial PTCA Result in Patients With Multivessel Disease

Kip

Bourassa²,

Jacobs³

et al. 1999

Circulation

View full text Add to dashboard Cite

Background-In PTCA patients with multivessel coronary artery disease, incomplete revascularization (IR) is the result of both pre-PTCA strategy and initial lesion outcome. The unique contribution of these components on long-term patient outcome is uncertain. Methods and Results-From the Bypass Angioplasty Revascularization Investigation (BARI), 2047 patients who underwent first-time PTCA were evaluated. Before enrollment, all significant lesions were assessed by the PTCA operator for clinical importance and intention to dilate. Complete revascularization (CR) was defined as successful dilatation of all clinically relevant lesions. Planned CR was indicated in 65% of all patients. More lesions were intended for PTCA in these patients compared with those with planned IR (2.8 versus 2.1). Successful dilatation of all intended lesions occurred in 45% of patients with planned CR versus 56% with planned IR (PϽ0.001). In multivariable analysis, planned IR (versus planned CR), initial lesions attempted (not all versus all intended lesions attempted), and initial lesion outcome (not all versus all attempted lesions successful) were unrelated to 5-year risk of cardiac death or death/myocardial infarction but were all independently related to risk of CABG. Conclusions-Overall, a pre-PTCA strategy of IR in BARI-like patients appears comparable to a strategy of CR except for a higher need for CABG. Whether the use of new devices may attenuate the elevated risk of CABG in patients with multivessel disease and planned IR remains to be determined. (Circulation. 1999;100:910-917.)

show abstract

Section: Long-term Clinical Outcomesupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Influence of Pre-PTCA Strategy and Initial PTCA Result in Patients With Multivessel Disease

Kip

Bourassa²,

Jacobs³

et al. 1999

Circulation

View full text Add to dashboard Cite

show abstract

“…[28][29][30][31] In the present study, complete revascularization was a determining factor for cardiac death with respect to long-term outcome in both the PTCA and CABG groups. Therefore, complete revascularization should be the aim for improvement of the long-term outcome in ESRD as well as non-ESRD patients.…”

Section: Discussionmentioning

confidence: 51%

Long-Term Outcome of Percutaneous Transluminal Coronary Angioplasty and Coronary Artery Bypass Grafting in Patients With End-Stage Renal Disease

et al. 1999

View full text Add to dashboard Cite

“…21,22 Outcome after PCI Uncontrolled studies demonstrated sustained clinical improvement in long-term outcome with multivessel PCI, 23,24 especially when complete revascularization could be achieved. 25,26 Randomized data comparing long-term survival after PCI and medical therapy are sparse. Small sample size in the Veterans Affairs Angioplasty Compared to Medicine (ACME) trial precluded the possibility of a survival comparison.…”

Section: Outcome After Cabgmentioning

confidence: 99%

Long-term survival in 11,661 patients with multivessel coronary artery disease in the era of stenting: A report from the Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease (APPROACH) Investigators

Džavík¹,

Ghali²,

Norris³

et al. 2001

American Heart Journal

117

View full text Add to dashboard Cite

Angiographic follow-up after multivessel percutaneous transluminal coronary angioplasty

Cited by 44 publications

References 10 publications

Influence of Pre-PTCA Strategy and Initial PTCA Result in Patients With Multivessel Disease

Influence of Pre-PTCA Strategy and Initial PTCA Result in Patients With Multivessel Disease

Long-Term Outcome of Percutaneous Transluminal Coronary Angioplasty and Coronary Artery Bypass Grafting in Patients With End-Stage Renal Disease

Long-term survival in 11,661 patients with multivessel coronary artery disease in the era of stenting: A report from the Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease (APPROACH) Investigators

Contact Info

Product

Resources

About