کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2954787 1577494 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Long-Term Outcomes After Management of Restenosis or Thrombosis of Drug-Eluting Stents
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Long-Term Outcomes After Management of Restenosis or Thrombosis of Drug-Eluting Stents
چکیده انگلیسی

ObjectivesThe purpose of this study was to examine the outcomes of patients who developed coronary in-stent restenosis (ISR) or stent thrombosis (STH) inside drug-eluting stents (DES).BackgroundDrug-eluting stents have markedly reduced the incidence of restenosis. However, when restenosis occurs within a DES, its optimal management remains unclear.MethodsWe retrospectively analyzed clinical and angiographic data from 92 patients who underwent revascularization for ISR (n = 84) or STH (n = 8) within a DES at our institution. Regular follow-ups were available up to 2 years. We recorded the occurrence of major adverse cardiac events (MACE), defined as deaths from all causes, myocardial infarction (MI), or target lesion revascularization (TLR), among patients treated by the “DES sandwich” technique or by other treatment methods.ResultsIn-hospital MACE included 1 periprocedural MI and 2 deaths. Over a mean follow-up of 15 ± 6 months, the overall rates of death, MI, and TLR were 8.7%, 2.2%, and 30.6%, respectively. By actuarial analysis, the 12-month TLR and MACE rates were 28.2% and 42.9%, respectively.ConclusionsCurrent treatments of ISR or STH in DES are associated with a high long-term rate of MACE.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American College of Cardiology - Volume 49, Issue 2, 16 January 2007, Pages 181–184
نویسندگان
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