Coronary Stenting Decreases Restenosis in Lesions With Early Loss in Luminal Diameter 24 Hours After Successful PTCA
| Autor: | Ricardo Sarmiento, Alfredo E. Rodriguez, Igor F. Palacios, Gary S. Roubin, Néstor Perez Baliño, Omar Santaera, Miguel Larribau, John B. Newell, Mario Fernandez |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Coronary Disease Coronary Angiography Double-Blind Method Restenosis Recurrence Physiology (medical) Internal medicine Angioplasty medicine Humans Myocardial infarction Angioplasty Balloon Coronary medicine.diagnostic_test business.industry Incidence (epidemiology) Anticoagulants Stent Middle Aged medicine.disease Coronary Vessels Surgery Stenosis Treatment Outcome Angiography Cardiology Female Stents Cardiology and Cardiovascular Medicine Complication business Follow-Up Studies |
| Zdroj: | Circulation. 91:1397-1402 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Background Early loss of minimal luminal diameter (MLD) after successful percutaneous transluminal coronary angioplasty (PTCA) is associated with a higher incidence of late restenosis. Methods and Results Sixty-six patients (66 lesions) with >0.3 mm MLD loss at 24-hour on-line quantitative coronary angiography were randomized into two groups: 1, Gianturco-Roubin stent (n=33) and 2, Control, who received medical therapy only (n=33). All lesions were suitable for stenting. Baseline demographic, clinical, and angiographic characteristics were similar in the two groups. Restenosis (≥50% stenosis) for the overall group occurred in 32 of 66 patients (48.4%) at 3.6±1-month follow-up angiography. Restenosis was significantly greater in group 2 than in group 1 (75.7% versus 21.2%, P P P Conclusions In patients with successful PTCA but reduced luminal diameter demonstrated by repeat angiography at 24 hours, the Gianturco-Roubin stent appears to reduce angiographic restenosis at follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|