Increased frequency of restenosis in patients continuing to smoke cigarettes after percutaneous transluminal coronary angioplasty

Galan, Kathy; Deligönül, Ubeydullah; Kern, Morton J.; Chaitman, Bernard R.; Vandormael, Michel

doi:10.1016/0002-9149(88)90927-7

Cited by 106 publications

(36 citation statements)

References 10 publications

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“…16 We collected information on the history of tobacco use, including the amount and number of years smoked, number of quit attempts, tobacco addictions (5-item modified Fagerstrom Tolerance Questionnaire 17 ), and previous use of pharmacotherapy, as well as in-hospital withdrawal and difficulty quitting while in hospital. Psychosocial information included single-item screens of the patient's confidence to quit (0%-100% confidence), intention to quit (1)(2)(3)(4)(5)(6)(7) ).…”

Section: Methodsmentioning

confidence: 99%

“…Patients in this group received the minimal intervention plus 45-60 minutes of bedside education and counselling, takehome materials (video, workbook, audiotape) and 7 telephone counselling sessions initiated by the research nurse (2,7,14,21,30,45 and 60 days after discharge). Education covered the patient's personalized risks associated with smoking and the benefits of quitting, as well as withdrawal, weight gain and the benefits of making the home smoke-free.…”

Section: Intensive Interventionmentioning

confidence: 99%

“…8 Our results suggest that intensive counselling provided during the hospital stay is more effective than a stepped-care approach that provides intensive counselling only after a patient has relapsed. 30 By significantly increasing abstinence among cardiac patients, inpatient programs for smoking cessation have the potential to produce sizeable reductions in cardiac events 1,3,4,6,7 and hospital costs. [31][32][33][34] In our study, slightly less than half of the identified smokers did not want to quit smoking or refused to participate.…”

Section: Intensive Intervention Minimal Interventionmentioning

confidence: 99%

See 2 more Smart Citations

Smoking cessation initiated during hospital stay for patients with coronary artery disease: a randomized controlled trial

Smith¹,

Burgess²

2009

Canadian Medical Association Journal

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Section: Methodsmentioning

confidence: 99%

Section: Intensive Interventionmentioning

confidence: 99%

Section: Intensive Intervention Minimal Interventionmentioning

confidence: 99%

See 1 more Smart Citation

Smoking cessation initiated during hospital stay for patients with coronary artery disease: a randomized controlled trial

Smith¹,

Burgess²

2009

Canadian Medical Association Journal

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“…2 Other studies have reported either no significant relationship between smoking and restenosis 3,4 or even increased rates of repeated revascularization among smokers. 5 Most of these studies have involved routine angiographic follow-up, however, which may have impaired the ability to reliably assess the need for clinically indicated repeated revascularization. 6 Moreover, all of these studies were performed in the balloon angioplasty era and therefore provide little insight into the impact of smoking on restenosis among patients undergoing contemporary PCI.…”

mentioning

confidence: 99%

Impact of Smoking on Clinical and Angiographic Restenosis After Percutaneous Coronary Intervention

et al. 2001

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Background-Recent studies have suggested that smokers may require less frequent repeated revascularization after percutaneous coronary intervention (PCI) compared with nonsmokers. However, the mechanism of this phenomenon is unknown. Methods and Results-We examined the association between smoking and restenosis using pooled data from 8671 patients treated with PCI in 9 multicenter clinical trials. Clinical restenosis was examined in the cohort of 5682 patients who were assigned to clinical follow-up only. Angiographic restenosis was evaluated in the subset of 2989 patients who were assigned to mandatory angiographic restudy. Among those patients assigned to clinical follow-up only, target lesion revascularization (TLR) occurred in 6.6% of smokers and 10.1% of nonsmokers (PϽ0.001). After adjustment for baseline clinical and angiographic differences, the rate of TLR remained significantly lower in smokers with an adjusted relative risk of 0.69 (95% CI, 0.54 to 0.88). Among the angiographic cohort, there were no differences in the rates of angiographic restenosis or follow-up diameter stenosis in either univariate or multivariate analyses. This dissociation between clinical and angiographic restenosis was explained in part by reduced sensitivity to restenosis on the part of smokers and by the greater reluctance of smokers to seek medical attention despite recurrent angina. Conclusions-In patients undergoing contemporary PCI, cigarette smoking is associated with a lower rate of subsequent TLR without affecting angiographic restenosis. These findings have important implications for the follow-up of smokers after PCI and suggest that cross-study comparisons of rates of clinical restenosis must account for the potential confounding effect of smoking.

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“…The common clinical variables are male sex [35], cigarette smoking [36], diabetes mellitus [37], hypertension [38], hypercholestromia [39], renal disease, vasospatic angina and unstable angina [40,41]. Among the clinical variables, diabetes mellitus and unstable angina are reported most frequently.…”

Section: Risk Factors For Restenosismentioning

confidence: 99%

Short Term and Long Term Complications after Percutaneous Transluminal Coronary Angioplasty (PTCA)

Sharma¹

2017

IJCH

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Background: The nonsurgical treatment of arteries narrowed by atherosclerosis was introduced in 1964, when Dotter and Judkin performed transluminal angioplasty of femoral artery stenoses [1]. In 1970, Gruntzig modified the dilation catheter to allow its use in coronary arteries dilation [2]. Subsequently, In 1977 he performed the first Percutaneous Transluminal Coronary Angioplasty (PTCA) in a patient. Since onward, PTCA has been used in many patients with stable angina, unstable angina or acute myocardial infarction. Its use was initially limited to the treatment of discrete stenoses in proximal segment of a coronary artery, but improvements in equipments and techniques have lead its use in patients with stenoses, that are more complex or located in distal arterial segments and in patients relatively at high risk for complications [3]. Despite the wider application of PTCA, the success rate remained high. Over the past decade, the number of procedure performed has steadily increased, with over 300,000 performed in united state in 1990 [4].

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Increased frequency of restenosis in patients continuing to smoke cigarettes after percutaneous transluminal coronary angioplasty

Cited by 106 publications

References 10 publications

Smoking cessation initiated during hospital stay for patients with coronary artery disease: a randomized controlled trial

Smoking cessation initiated during hospital stay for patients with coronary artery disease: a randomized controlled trial

Impact of Smoking on Clinical and Angiographic Restenosis After Percutaneous Coronary Intervention

Short Term and Long Term Complications after Percutaneous Transluminal Coronary Angioplasty (PTCA)

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