Document Detail

Clinical and angiographic outcome in patients with in-stent restenosis and repeat target lesion revascularisation in small coronary arteries.
MedLine Citation:
PMID:  10956297     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the clinical and angiographic outcome in patients with in-stent restenosis in small coronary arteries and repeat target lesion revascularisation. DESIGN: Patients with in-stent restenosis in coronary arteries < or = 2.85 mm were eligible for the study and underwent target lesion revascularisation. Clinical and angiographic variables were assessed during a six month follow up period. RESULTS: 73 patients with 79 lesions were treated by percutaneous transluminal coronary angioplasty (47%), excimer laser angioplasty (25%), or restenting (28%). The mean (SD) reference diameter before target lesion revascularisation was 2.12 (0.5) mm. Procedural success was achieved in all cases, but 57% of the patients had restenosis after six months. The rate of further restenosis was higher with laser angioplasty (78%) than with restenting (47%) or balloon angioplasty alone (49%, p < 0.05). CONCLUSIONS: Treatment for in-stent restenosis in small coronary arteries is feasible and safe, with a second restenosis rate comparable to large coronary artery series. The strategy of target lesion revascularisation influences further in-stent restenosis, with an increased rate with laser angioplasty compared with restenting and repeat dilatation alone.
C M Gross; J Krämer; O Weingärtner; F Uhlich; R Dietz; J Waigand
Related Documents :
14551527 - Coronary artery bypass surgery and percutaneous transluminal coronary angioplasty in pa...
17996557 - Pre-drug-eluting stent debulking of bifurcated coronary lesions.
16764007 - Percutaneous coronary intervention with drug-eluting stents in octogenarians: character...
3195427 - Long-segment coronary ulcerations in survivors of sudden cardiac death.
22503057 - First results of the deb-ami (drug eluting balloon in acute st-segment elevation myocar...
1513227 - Lethal cardiac tamponade due to aortotomy wound dehiscence after cardiac valve replacem...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  84     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-09-19     Completed Date:  2000-09-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  307-13     Citation Subset:  AIM; IM    
Franz Volhard Clinic at the Max Delbrück Centre, Charité, Campus Berlin-Buch, Humboldt University, Berlin, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Analysis of Variance
Angioplasty, Balloon, Laser-Assisted*
Angioplasty, Transluminal, Percutaneous Coronary*
Chi-Square Distribution
Coronary Angiography
Coronary Disease / radiography,  therapy*
Evaluation Studies as Topic
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Influence of a history of smoking on short term (six month) clinical and angiographic outcome after ...
Next Document:  Coronary artery compliance and adaptive vessel remodelling in patients with stable and unstable coro...