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Titolo:
PREDICTORS OF OUTCOME OF PERCUTANEOUS EXCIMER-LASER CORONARY ANGIOPLASTY OF SAPHENOUS-VEIN BYPASS GRAFT LESIONS
Autore:
BITTL JA; SANBORN TA; YARDLEY DE; TCHENG JE; ISNER JM; CHOKSHI SK; STRAUSS BH; ABELA GS; WALTER PD; SCHMIDHOFER M; POWER JA; COHEN E; SIEGEL RM; MORRIS DC; PHILLIPS HR; SEGAL J; BIRD J; GREEN R; KUCINSKI C; BLONDER R; OVERLIE P; GINSBURG R; SWAYE PS; VIGNOLA P; KRAMER B; KLEINER J; MOOTHART R; WATSON L; TALBERT CR; CHAPMAN J; ISNER JM; HERSHMAN R; POWER J; SCHNEE M; LEACHMAN R; TOBIS J; WINNIFORD M; ELLIS SG;
Indirizzi:
BRIGHAM & WOMENS HOSP,DEPT MED,DIV CARDIOL BOSTON MA 02115 HARVARD UNIV,SCH MED BOSTON MA 00000 NEW YORK HOSP,CORNELL MED CTR NEW YORK NY 10021 ST ANTHONYS MED CTR ROCKFORD IL 00000 DUKE UNIV,MED CTR DURHAM NC 00000 ST ELIZABETHS HOSP BOSTON BOSTON MA 00000 TUFTS UNIV BOSTON MA 02111 TAMPA GEN HOSP TAMPA FL 33606 UNIV TORONTO,ST MICHAELS HOSP TORONTO M5B 1W8 ON CANADA NEW ENGLAND DEACONESS HOSP BOSTON MA 02215 ST FRANCIS HOSP PITTSBURGH PA 00000 METHODIST HOSP,CARDIOL ASSOCIATES LUBBOCK TX 00000 ARIZONA HEART INST PHOENIX AZ 00000 CRAWFORD W LONG MEM HOSP ATLANTA GA 00000 GEORGE WASHINGTON UNIV,MED CTR WASHINGTON DC 20037 GOOD SAMARITAN HOSP PHOENIX AZ 00000 GUNDERSON CLIN LA CROSSE WI 00000 MEM HOSP COLORADO SPRINGS CO 00000 MILLS PENINSULA HOSP PALO ALTO CA 00000 MT SINAI MED CTR MIAMI BEACH FL 33140 NW MEM HOSP CHICAGO IL 00000 SCOTT & WHITE MEM HOSP & CLIN TEMPLE TX 76508 SE MISSOURI HOSP CAPE GIRARDEAU MO 00000 ST FRANCIS MEM HOSP ROSLYN NY 00000 UNIV CALIF IRVINE,MED CTR IRVINE CA 92717 TEXAS HEART INST HOUSTON TX 00000 UNIV IOWA IOWA CITY IA 00000 UNIV MICHIGAN HOSP ANN ARBOR MI 48109
Titolo Testata:
The American journal of cardiology
fascicolo: 2, volume: 74, anno: 1994,
pagine: 144 - 148
SICI:
0002-9149(1994)74:2<144:POOOPE>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANS-LUMINAL ANGIOPLASTY; FOLLOW-UP; BALLOON ANGIOPLASTY; ATHERECTOMY; RESTENOSIS; ATHEROSCLEROSIS; PATHOGENESIS; MORPHOLOGY; STENOSIS; SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
J.A. Bittl et al., "PREDICTORS OF OUTCOME OF PERCUTANEOUS EXCIMER-LASER CORONARY ANGIOPLASTY OF SAPHENOUS-VEIN BYPASS GRAFT LESIONS", The American journal of cardiology, 74(2), 1994, pp. 144-148

Abstract

A total of 495 patients underwent treatment with excimer laser angioplasty for 545 saphenous vein graft stenoses. Clinical success was achieved in 455 of 495 patients (92%), as indicated by 150% residual stenosis at every target lesion and no complication during hospitalization. At least 1 in- hospital complication occurred in 30 of 495 patients (6.1%): death (1.0%), bypass surgery (0.6%), and Q-wave (2.4%) or non-Q-wave (2.2%) myocardial infarction. Relative risk analysis showed thatostial lesions (n = 65) tended to have higher clinical success (success rate = 95%, adjusted odds ratio [OR] = 2.1 [95% confidence interval(CI) 0.62, 6.88]; p = 0.24) and lower com plications (complication rate = 0%, OR = 0.10 [CI 0.01, 0.79]; p = 0.03) than lesions in the bodyof the vein graft. Lesions > 10 mm (n = 131) had lower success (success rate = 84%, OR = 0.30 [CI 0.16, 0.56]; p = 0.001) and higher complications (complication rate = 12%, OR = 3.3 [CI 1.6, 6.6]; p = 0.004) than discrete lesions. Lesions in small vein grafts < 3.0 mm (n = 76) tended to have in- creased success (success rate = 94%, OR = 1.55 [CI 0.70, 3.44]; p = 0.39) and lower complications (complication rate = 2.2%, OR = 0.31 [CI 0.10, 0.94]; p = 0.03). Thus, excimer laser-facilitated angioplasty has the most favorable outcome for discrete lesions located at the ostium of all grafts and in the body of smaller saphenous vein grafts. Comparison of excimer laces angioplasty with other treatments for these types of saphenous vein graft lesions is required to establish the clinical usefulness of excimer laser treatment.

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Documento generato il 27/11/20 alle ore 16:10:44