Clinical and sequential angiographic follow-up six months and 10 years after successful percutaneous transluminal coronary angioplasty

Guiteras-Val, Pere; Varas‐Lorenzo, Cristina; García-Picart, Joan; Martı́-Claramunt, Vicens; Augé-Sanpera, Josep M

doi:10.1016/s0002-9149(98)01070-4

Cited by 29 publications

(17 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reduced survival for dialysis patients treated with PCI compared with CABG may be related to an increased risk of restenosis. [22][23][24] Despite the reduced survival for dialysis patients treated with PCI compared with CABG, the results of the present study nonetheless suggest a survival advantage for PCI over no revascularization…”

Section: Discussioncontrasting

confidence: 51%

Survival after coronary revascularization among patients with kidney disease

Hemmelgarn¹,

Southern²,

Culleton³

2005

ACC Current Journal Review

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 51%

Survival after coronary revascularization among patients with kidney disease

Hemmelgarn¹,

Southern²,

Culleton³

2005

ACC Current Journal Review

View full text Add to dashboard Cite

“…11 Further angiographic investigations have reported preservation of balloondilated site for a decade if the patient is stable after 6 months after balloon angioplasty. 12 In contrast, our pathological findings suggest that atherosclerosis progresses again after 7 years from balloon angioplasty.…”

contrasting

confidence: 57%

Late Restenosis of the Balloon-Dilated Site

Yamada

Inoue

Hamasaki

et al. 2005

Circ J

View full text Add to dashboard Cite

Background The present retrospective study was performed to assess the long-term (>7 years) fate of stabilized balloon-dilated sites. Methods and Results Between February and April 1986, 171 patients underwent successful percutaneous balloon angioplasty. Early restenosis (<1 year) occurred in 53%, but repeat balloon angioplasty stabilized the balloon-dilated site. The early period was defined as 6 months, late years as 3-5 years and long-term years as 7-12 years. Angiographic evaluation at both early year or late year periods (mean =4.7 years) and long-term (mean =10.4 years) periods following stabilization was available in 71 patients (94 lesions) with mean age of 61.7±8.5 years. Of the 71 patients 69.6% were male. Restenosis occurring after 1 year was defined as late restenosis. The mean diameter stenosis changed from 6 months (50.3±12.4%) to late-period (44.2±13.2%; p<0.05) and long-term period (50.3±16.1%; p<0.001); but the reference vessel diameter did not change significantly. Late restenosis occurred in 28% (3-5 years) and 33% (7-12 years) of 94 lesions, and 13.8% of lesion required repeat target lesion revascularization. During this period, 5.3% of patients (5 lesions) underwent revascularization for new proximal or distal lesions. Conclusions Decrease of luminal diameter during the early 6 months, was followed by regression after stabilization of the balloon-dilated site up to 5 years, but luminal re-narrowing occurs again over 7 years after balloon angioplasty. (Circ J 2005; 69: 380 -385)

show abstract

“…The paucity of clinical events related to the treated sites was similar to the event rates reported after balloon coronary angioplasty. 16 It was also reassuring that long-term angiographic follow-up of a large patient series did not disclose any deleterious vascular effects other than formation of an aneurysm in a patient.…”

Section: Discussionmentioning

confidence: 94%

“…However, complete sequential angiographic follow-up of 48 lesions undergoing balloon coronary angioplasty revealed no change in MLD from 6 months (2.13Ϯ0.6 mm) to 10 years (2.18Ϯ0.61 mm). 16 Pathological analysis of the stented human coronary arteries demonstrated heavy infiltration of lipid-laden macrophages around the struts beyond 5 years after coronary stenting, which indicated chronic inflammatory reactions. In contrast, it was not until Ͼ7 years after balloon coronary angioplasty that a slight infiltration of lipid-laden macrophages was observed in the subendothelial spaces.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Clinical and Angiographic Follow-Up After Coronary Stent Placement in Native Coronary Arteries

et al. 2002

View full text Add to dashboard Cite

Background — Although coronary stents have been proved effective in reducing clinical cardiac events for up to 3 to 5 years, longer term clinical and angiographic outcomes have not yet been fully clarified. Methods and Results — To evaluate longer term (7 to 11 years) outcome, clinical and angiographic follow-up information was analyzed in 405 patients with successful stenting in native coronary arteries. Primary or secondary stabilization, which was defined as freedom from death, coronary artery bypass grafting, and target lesion-percutaneous coronary intervention (TL-PCI) during the 14 months after the initial procedure or after the last TL-PCI, was achieved in 373 patients (92%) overall. Only 7 patients (1.7%) underwent TL-PCI more than twice. After the initial 14-month period, freedom from TL-PCI reached a plateau at 84.9% to 80.7% over 1 to 8 years. However, quantitative angiographic analysis in 179 lesions revealed a triphasic luminal response characterized by an early restenosis phase until 6 months, an intermediate-term regression phase from 6 months to 3 years, and a late renarrowing phase beyond 4 years. Minimal luminal diameter in 131 patients with complete serial data were 2.62±0.4 mm immediately after stenting, 2.0±0.49 mm at 6 months, 2.19±0.49 mm at 3 years, and 1.85±0.56 mm beyond 4 years ( P <0.0001). Conclusions — The efficacy and safety of coronary stenting seemed to be clinically sustained at 7 to 11 years of follow-up. However, late luminal renarrowing beyond 4 years was common, which demonstrates the need for further follow-up.

show abstract

Clinical and sequential angiographic follow-up six months and 10 years after successful percutaneous transluminal coronary angioplasty

Cited by 29 publications

References 20 publications

Survival after coronary revascularization among patients with kidney disease

Survival after coronary revascularization among patients with kidney disease

Late Restenosis of the Balloon-Dilated Site

Long-Term Clinical and Angiographic Follow-Up After Coronary Stent Placement in Native Coronary Arteries

Contact Info

Product

Resources

About