Document Detail

Re-stenosis after drug-eluting stents in cardiac allograft vasculopathy.
MedLine Citation:
PMID:  18503959     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Cardiac allograft vasculopathy (CAV) constitutes a primary cause of death after heart transplantation. Balloon angioplasty and bare metal stents have been used for revascularization but they are associated with a high risk of re-stenosis. Limited data have shown favorable results with drug-eluting stents (DES). This study examines the rate of re-stenosis for DES in CAV as well as predictors for its occurrence. METHODS: Cardiac transplant patients who received at least one DES for a previously untreated coronary lesion were included. These patients were retrospectively followed until February 2007. Re-stenosis was defined as >or=50% lumen diameter narrowing on coronary angiography at the site of the DES. RESULTS: During the study period, 35 patients underwent percutaneous coronary intervention (PCI) on a total of 84 de novo lesions. The mean follow-up was 22 +/- 14 months. Twenty-six (31%) lesions developed re-stenosis during follow-up. Re-stenosis rates were 18%, 21% and 26% at 6, 9 and 12 months, respectively. Predictors of re-stenosis included non-white race, ischemic etiology, intervention precipitated by symptoms and severe stenosis (>/=90% stenosis) of the target lesion. CONCLUSIONS: Use of DES has a favorable outcome when used in heart transplant patients for the treatment of CAV. An aggressive strategy for the treatment of CAV using DES may provide good long-term outcome compared with other available therapies.
Raed A Aqel; Bryan J Wells; Fadi G Hage; Jose Tallaj; Raymond Benza; Salpy Pamboukian; Barry Rayburn; David McGiffin; James Kirklin; Robert Bourge
Related Documents :
18818239 - Predictors of long-term major adverse cardiac events and clinical restenosis following ...
8565659 - Relationship between coronary angioscopic and intravascular ultrasound imaging and rest...
19185649 - Predictive factors for in-stent late loss and coronary lesion progression in patients w...
16216859 - Does a well developed collateral circulation predispose to restenosis after percutaneou...
12678859 - Sirolimus eluting stent: a new era in interventional cardiology?
20070479 - Intracoronary beta-radiation therapy for in-stent restenosis: long-term success rate an...
20071979 - Impact of multivessel coronary artery disease on early ischemic injury, late clinical o...
1157819 - Metabolic and structural recovery of left ventricular canine myocardium from regional c...
7934109 - Significant tricuspid regurgitation does not resolve after percutaneous balloon mitral ...
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-04-23
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  27     ISSN:  1557-3117     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-27     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  610-5     Citation Subset:  IM    
Division of Cardiovascular Disease, University of Alabama at Birmingham, Alabama 35294, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Restenosis / epidemiology,  etiology,  therapy*
Drug-Eluting Stents*
Graft Occlusion, Vascular / etiology*
Heart Transplantation / adverse effects*
Middle Aged
Transplantation, Homologous
Treatment Outcome

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

Previous Document:  Delayed onset of cardiac allograft vasculopathy by induction therapy using anti-thymocyte globulin.
Next Document:  Role for CD4(+)CD25(+) T cells in inhibition of graft rejection by extracorporeal photopheresis.