The degree of revascularization and outcome after multivessel coronary angioplasty

Faxon, David P.; Ghalilli, Kamran; Jacobs, Alice K.; Ruocco, Nicholas A.; Christellis, Elaine M.; Kellett, Merle A.; Varrichione, Thomas R.; Ryan, Thomas J.

doi:10.1016/0002-8703(92)90687-q

Cited by 73 publications

(31 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been suggested that incomplete anatomical but complete functional revascularization may result in outcomes similar to those of complete anatomic revascularization [5,6]. The BARI trial allowed for an unbiased prospective evaluation of the outcome of patients with intended incomplete revascularization randomly assigned to PTCA or CABG, as well as a nonrandomized comparison of outcome between patients with complete and incomplete revascularization [10].…”

Section: Discussionmentioning

confidence: 99%

Complete or incomplete percutaneous coronary revascularization in patients with unstable angina in stent era: Are early and one‐year results different?

Mariani

Servi

Dellavalle

et al. 2001

Cathet Cardio Intervent

View full text Add to dashboard Cite

The aim of our study was to evaluate the impact of a strategy of incomplete revascularization by PTCA, with or without stent implantation, on clinical outcome of 208 consecutive patients (171 men) with unstable angina and multivessel coronary artery disease. Mean age of the group was 63.8 +/- 10.3 years (range, 31-91). Complete and incomplete revascularization was achieved in 49 and 159 patients, respectively. A total of 226 stents were implanted in 172 patients (1.31 +/- 0.65 stent per patient), equally distributed between the two groups. Left ventricular ejection fraction < 40% and total chronic coronary occlusions were significantly more frequent in patients with incomplete revascularization than in those with complete (P = 0.014 and 0.001, respectively). In-hospital MACE occurred in 10% and 7.5% of patients with complete and incomplete revascularization, respectively (P = NS). By multivariate analysis, multiple stent implantation (OR, 5.44; 95% CI, 1.21-24.3), presence of thrombus in the treated lesion (OR, 6.3; 95% CI, 1.53-25.9), Braunwald class III (OR, 4.74; 95% CI, 1.08-20.8), and ad hoc PTCA (OR 4.51; 95% CI, 1.11-18.3) were significantly related to in-hospital outcome. At 1-year follow-up, 11.3% and 11.5% of patients with complete and incomplete revascularization, respectively, had MACE. In all patients, diabetes (OR, 3.40; 95% CI, 1.09-10.58) and presence of thrombus in the treated lesion (OR, 3.48; 95% CI, 1.12-10.84) were significant predictors of 1-year outcome by multivariate analysis. These results indicate that the strategy of incomplete revascularization in unstable angina patients with multivessel coronary disease does not expose them to a higher risk of death or other major ischemic events in comparison to those undergoing complete revascularization.

show abstract

Section: Discussionmentioning

confidence: 99%

Complete or incomplete percutaneous coronary revascularization in patients with unstable angina in stent era: Are early and one‐year results different?

Mariani

Servi

Dellavalle

et al. 2001

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…In most trials, completeness of revascularization has been determined on anatomic basis because of lack of data on myocardial viability and jeopardy. 18 To improve future comparability, Zimarino et al 18 recently proposed a contemporary definition of 3 different types of revascularization as follows: (1) complete anatomic revascularization, defined as treatment of all coronary artery segments >1.5 mm in diameter and ≥50% diameter stenosis; (2) incomplete anatomic but functionally adequate revascularization (ie, reasonable IR or functionally CR), 19 defined as treatment of all coronary segments with ≥50% diameter stenosis supplying viable myocardium; and (3) incomplete functional revascularization consequentially, defined as the inability to treat all coronary segments that supply viable myocardium and have a >50% diameter stenosis.…”

Section: Frequently Encountered Difficulties In Reviewing Data On Cr mentioning

confidence: 99%

Complete Versus Incomplete Revascularization With Coronary Artery Bypass Graft or Percutaneous Intervention in Stable Coronary Artery Disease

Gössl

Faxon

Bell

et al. 2012

Circ: Cardiovascular Interventions

Self Cite

101

View full text Add to dashboard Cite

“…Holmes et al (32) suggested that PTCA achieves fairly good results in these patients. Faxon et al (33) reported that incomplete revascularization was related to a worse prognosis only if segments with some degree of preserved wall motion were left untreated. Thus, considering the higher surgical risk in patients with depressed LV function, incomplete revascularization could be considered a reasonable achievement in many multivessel CAD patients.…”

Section: Discussionmentioning

confidence: 99%

Prognostic implications of Tc-99m sestamibi viability imaging and subsequent therapeutic strategy in patients with chronic coronary artery disease and left ventricular dysfunction

Sciagra¹,

Pellegri²,

Pupi³

et al. 2001

ACC Current Journal Review

View full text Add to dashboard Cite

The degree of revascularization and outcome after multivessel coronary angioplasty

Cited by 73 publications

References 13 publications

Complete or incomplete percutaneous coronary revascularization in patients with unstable angina in stent era: Are early and one‐year results different?

Complete or incomplete percutaneous coronary revascularization in patients with unstable angina in stent era: Are early and one‐year results different?

Complete Versus Incomplete Revascularization With Coronary Artery Bypass Graft or Percutaneous Intervention in Stable Coronary Artery Disease

Prognostic implications of Tc-99m sestamibi viability imaging and subsequent therapeutic strategy in patients with chronic coronary artery disease and left ventricular dysfunction

Contact Info

Product

Resources

About