| Effect of percutaneous coronary interventions for in-stent restenosis in degenerated saphenous vein grafts without distal embolic protection. | |
| | |
MedLine Citation:
|
PMID: 12628717 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: This study was designed to investigate the impact of percutaneous coronary interventions (PCIs) in degenerated saphenous vein grafts (SVGs) without distal embolic protection. BACKGROUND: Distal embolic protection devices have been shown to reduce the incidence of no reflow/slow flow during PCI of de novo lesions in degenerated SVGs. It is unclear whether PCI of in-stent restenosis (ISR) lesions in degenerated SVGs is associated with no reflow/slow flow and whether distal embolic protection is beneficial in these cases as well. METHODS: We studied 54 consecutive patients with treated ISR lesions in degenerated SVGs who underwent PCI without distal embolic protection in a single center. Procedural and in-hospital outcomes were examined. The average age was 71 +/- 8 years; 32% of the patients had diabetes. The mean lesion length was 13 +/- 6 mm and the procedural success rate was 98% (53/54). Cutting balloon angioplasty was used in 46% (25/54) of cases, and a new stent was inserted in 46% (25/54) of patients. Gamma brachytherapy was performed in 19% (10/54) of patients. During the procedure there were no episodes of no reflow/slow flow, and there were no patients with in-hospital Q-wave or non-Q-wave myocardial infarction. There was one in-hospital noncardiac death. CONCLUSIONS: In this consecutive series of patients with ISR of degenerated SVGs undergoing PCI without distal protection, there were no episodes of slow flow/no reflow and no procedure-related myocardial infarctions. It appears that distal embolic protection may not be necessary during PCI of ISR lesions in degenerated SVGs. |
| | |
Authors:
|
Dale T Ashby; George Dangas; Eve A Aymong; Ioannis Iakovou; Frank Kuepper; Roxana Mehran; Gregg W Stone; Martin B Leon; Jeffery W Moses |
Related Documents
:
|
19506117 - Comparison of primary percutaneous coronary intervention and fibrinolytic therapy in st... 23234817 - Commotio cordis without arrhythmic event and resuscitation: ecg, echocardiographic, ang... 23276817 - Apical ventricular tachycardia morphology in left ventricular non-ischemic cardiomyopat... 15513657 - Swedish council on technology assessment in health care (sbu). chapter 8. sick leave du... 8951557 - Molecular basis of the regression of cardiac hypertrophy. 8462137 - Effects of captopril on ischemia and dysfunction of the left ventricle after myocardial... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of the American College of Cardiology Volume: 41 ISSN: 0735-1097 ISO Abbreviation: J. Am. Coll. Cardiol. Publication Date: 2003 Mar |
Date Detail:
|
Created Date: 2003-03-11 Completed Date: 2003-03-27 Revised Date: 2009-11-03 |
Medline Journal Info:
|
Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 749-52 Citation Subset: AIM; IM |
Affiliation:
|
Lenox Hill Heart and Vascular Institute, New York, New York, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / methods* Cohort Studies Coronary Angiography Coronary Artery Bypass / adverse effects*, methods, mortality Coronary Circulation Coronary Restenosis / radiography, therapy* Coronary Stenosis / diagnosis, mortality, surgery* Embolism / prevention & control Female Follow-Up Studies Graft Occlusion, Vascular / radiography, therapy* Humans Length of Stay Male Prospective Studies Risk Assessment Saphenous Vein / transplantation* Severity of Illness Index Stents Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Myocardial perfusion and fatty acid metabolism in patients with tako-tsubo-like left ventricular dys...
Next Document: Increased myocardial apoptosis in patients with unfavorable left ventricular remodeling and early sy...