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Titolo:
Comparison of immediate and one-year outcome after coronary angioplasty ofnarrowing < 3 mm with those >= 3 mm (The National Heart, Lung, and Blood Institute Dynamic Registry)
Autore:
Al Suwaidi, J; Yeh, W; Williams, DO; Laskey, WK; Cohen, HA; Detre, KM; Kelsey, SF; Holmes, DR;
Indirizzi:
Mayo Clin & Mayo Fdn, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn Rochester MN USA 55905 Fdn, Rochester, MN 55905 USA Univ Pittsburgh, Pittsburgh, PA USA Univ Pittsburgh Pittsburgh PA USAUniv Pittsburgh, Pittsburgh, PA USA Brown Univ, Rhode Isl Hosp, Providence, RI 02903 USA Brown Univ Providence RI USA 02903 ode Isl Hosp, Providence, RI 02903 USA Univ Maryland, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 iv Maryland, Baltimore, MD 21201 USA
Titolo Testata:
AMERICAN JOURNAL OF CARDIOLOGY
fascicolo: 6, volume: 87, anno: 2001,
pagine: 680 - 686
SICI:
0002-9149(20010315)87:6<680:COIAOO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON ANGIOPLASTY; THREATENED CLOSURE; STENT PLACEMENT; INTERVENTIONAL CARDIOLOGY; ARTERY DISEASE; VESSEL SIZE; DETERMINANTS; PREDICTORS; RESTENOSIS; EFFICACY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Holmes, DR Mayo Clin & Mayo Fdn, 200 1st St SW, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn 200 1st St SW Rochester MN USA 55905 5 USA
Citazione:
J. Al Suwaidi et al., "Comparison of immediate and one-year outcome after coronary angioplasty ofnarrowing < 3 mm with those >= 3 mm (The National Heart, Lung, and Blood Institute Dynamic Registry)", AM J CARD, 87(6), 2001, pp. 680-686

Abstract

Balloon angioplasty of small coronary artery lesions has been associated with lower success and higher complication rates than large coronary artery lesions. This study evaluates the in-hospital and 1-year outcome of the treatment of small coronary artery lesions in the modern era of interventionalcardiology and compares it with the outcome of treating large coronary artery lesions. Of 1,658 patients with a single lesion treated from July 1997 to February 1998 in the National Heart, Lung, and Blood Institute (NHLBI) Dynamic Registry, there were 587 patients with small coronary artery lesions(<3 mm) and 1,071 patients with large coronary artery lesions (<greater than or equal to>3 mm). Success, in-hospital, and 1-year outcomes between both groups were compared. Patients with lesions in small coronary arteries were more often women, insulin-treated diabetics, and had undergone more prior coronary bypass graft surgery. Conventional angioplasty alone was performed more often and angioplasty with stents was performed less often in the small coronary artery than in the large coronary artery group. Angiographic success was slightly lower in the small coronary artery group (94.2% vs 96.9%, p <0.05). Periprocedural and in-hospital complication rates were similar in both groups. likewise, at I-year follow-up, major adverse cardiac events including death, myocardial infarction, and coronary artery bypass graftsurgery were relatively low and comparable between the 2 groups, although patients with small coronary arteries were more likely to undergo repeat revascularization (17.4% vs 13.6%, p <0.05). Treatment of lesions in small coronary arteries in the modern era is associated with high success and low complication rates, comparable to the treatment of large coronary artery lesions, although the incidence of repeat revascularization was significantly greater at follow-up even if stents were used. (C) 2001 by Excerpta Medica,Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 18:46:58