Circulation, Vol 77, 361-371, Copyright © 1988 by American Heart Association
PW Serruys, HE Luijten, KJ Beatt, R Geuskens, PJ de Feyter, M van den Brand, JH Reiber, HJ ten Katen, GA van Es and PG Hugenholtz
Data from experimental, clinical, and pathologic studies have suggested
that the process of restenosis begins very early after coronary
angioplasty. The present study was performed to determine prospectively the
incidence of restenosis with use of the four National Heart, Lung, and
Blood Institute and the 50% or greater diameter stenosis criteria, as well
as a criterion based on a decrease of 0.72 mm or more in minimal luminal
diameter. Patients were recatheterized at 30, 60, 90, or 120 days after
successful percutaneous transluminal coronary angioplasty (PTCA). After
PTCA all patients received 10 mg nifedipine three to six times a day and
aspirin once a day until repeat angiography. Of 400 consecutive patients in
whom PTCA was successful (less than 50% diameter stenosis), 342 underwent
quantitative angiographic follow-up (86%) by use of an automated
edge-detection technique. A wide variation in the incidence of restenosis
was found dependent on the criterion applied. The incidence of restenosis
proved to be progressive to at least the third month for all except NHLBI
criterion II. At 4 months a further increase in the incidence of restenosis
was observed when defined as a decrease of 0.72 mm or more in minimal
luminal diameter, whereas the criteria based on percentage diameter
stenosis showed a variable response. The lack of overlap between the
different restenosis criteria applied affirms the arbitrary nature of
angiographic definitions currently in use. Restenosis should be assessed by
repeat angiography, and preferably ascertained according to the change in
absolute quantitative measurements of the luminal diameter.
ARTICLES
Incidence of restenosis after successful coronary angioplasty: a time- related phenomenon. A quantitative angiographic study in 342 consecutive patients at 1, 2, 3, and 4 months
Thoraxcenter, Erasmus University, Rotterdam, The Netherlands.
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D. A. Halon, M. Y. Flugelman, A. Merdler, H. Rennert, J. Shahla, and B. S. Lewis Long-term (10-year) outcome in patients with unstable angina pectoris treated by coronary balloon angioplasty J. Am. Coll. Cardiol., November 15, 1998; 32(6): 1603 - 1609. [Abstract] [Full Text] [PDF]
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N. Malik, S. E. Francis, C. M. Holt, J. Gunn, G. L. Thomas, L. Shepherd, J. Chamberlain, C. M. H. Newman, D. C. Cumberland, and D. C. Crossman Apoptosis and Cell Proliferation After Porcine Coronary Angioplasty Circulation, October 20, 1998; 98(16): 1657 - 1665. [Abstract] [Full Text] [PDF]
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G. Bauriedel, S. Schluckebier, R. Hutter, U. Welsch, R. Kandolf, B. Luderitz, and M. F. Prescott Apoptosis in Restenosis Versus Stable-Angina Atherosclerosis : Implications for the Pathogenesis of Restenosis Arterioscler Thromb Vasc Biol, July 1, 1998; 18(7): 1132 - 1139. [Abstract] [Full Text] [PDF]
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S. Janssens, D. Flaherty, Z. Nong, O. Varenne, N. van Pelt, C. Haustermans, P. Zoldhelyi, R. Gerard, and D. Collen Human Endothelial Nitric Oxide Synthase Gene Transfer Inhibits Vascular Smooth Muscle Cell Proliferation and Neointima Formation After Balloon Injury in Rats Circulation, April 7, 1998; 97(13): 1274 - 1281. [Abstract] [Full Text] [PDF]
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G. M. Jenkins, M. T. Crow, C. Bilato, Y. Gluzband, W.-S. Ryu, Z. Li, W. Stetler-Stevenson, C. Nater, J. P. Froehlich, E. G. Lakatta, et al. Increased Expression of Membrane-Type Matrix Metalloproteinase and Preferential Localization of Matrix Metalloproteinase-2 to the Neointima of Balloon-Injured Rat Carotid Arteries Circulation, January 13, 1998; 97(1): 82 - 90. [Abstract] [Full Text] [PDF]
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S. Achenbach, W. Moshage, and K. Bachmann Detection of High-Grade Restenosis After PTCA Using Contrast-Enhanced Electron Beam CT Circulation, November 4, 1997; 96(9): 2785 - 2788. [Abstract] [Full Text]
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H. Ueno, J.-J. Li, S. Masuda, Z. Qi, H. Yamamoto, and A. Takeshita Adenovirus-Mediated Expression of the Secreted Form of Basic Fibroblast Growth Factor (FGF-2) Induces Cellular Proliferation and Angiogenesis In Vivo Arterioscler Thromb Vasc Biol, November 1, 1997; 17(11): 2453 - 2460. [Abstract] [Full Text]
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R. Pakala, J. T. Willerson, and C. R. Benedict Effect of Serotonin, Thromboxane A2, and Specific Receptor Antagonists on Vascular Smooth Muscle Cell Proliferation Circulation, October 7, 1997; 96(7): 2280 - 2286. [Abstract] [Full Text]
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F.-C. Schoebel, F. Gradaus, K. Ivens, P. Heering, T. W. Jax, B. Grabensee, B.-E. Strauer, and M. Leschke Restenosis after elective coronary balloon angioplasty in patients with end stage renal disease: a case-control study using quantitative coronary angiography Heart, October 1, 1997; 78(4): 337 - 342. [Abstract] [Full Text] [PDF]
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R. von Essen, R. Ostermaier, E. Grube, W. Maurer, U. Tebbe, R. Erbel, M. Roth, W. Oel, J. Brom, G. Weidinger, et al. Effects of Octreotide Treatment on Restenosis After Coronary Angioplasty : Results of the VERAS Study Circulation, September 2, 1997; 96(5): 1482 - 1487. [Abstract] [Full Text]
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J. A. Ormiston, F. M. Stewart, A. H. G. Roche, B. J. Webber, R. M. L. Whitlock, and M. W. I. Webster Late Regression of the Dilated Site After Coronary Angioplasty : A 5-Year Quantitative Angiographic Study Circulation, July 15, 1997; 96(2): 468 - 474. [Abstract] [Full Text]
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T. Kimura, S. Kaburagi, T. Tamura, H. Yokoi, Y. Nakagawa, H. Yokoi, N. Hamasaki, H. Nosaka, M. Nobuyoshi, G. S. Mintz, et al. Remodeling of Human Coronary Arteries Undergoing Coronary Angioplasty or Atherectomy Circulation, July 15, 1997; 96(2): 475 - 483. [Abstract] [Full Text]
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 D. S. Schwartz, G. H. Ribakove, E. A. Grossi, J. D. Schwartz, P. M. Buttenheim, F. G. Baumann, S. B. Colvin, and A. C. Galloway SINGLE AND MULTIVESSEL PORT-ACCESS CORONARY ARTERY BYPASS GRAFTING WITH CARDIOPLEGIC ARREST: TECHNIQUE AND REPRODUCIBILITY J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 46 - 52. [Abstract] [Full Text]
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M. Aikawa, Y. Sakomura, M. Ueda, K. Kimura, I. Manabe, S. Ishiwata, N. Komiyama, H. Yamaguchi, Y. Yazaki, and R. Nagai Redifferentiation of Smooth Muscle Cells After Coronary Angioplasty Determined via Myosin Heavy Chain Expression Circulation, July 1, 1997; 96(1): 82 - 90. [Abstract] [Full Text]
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E. Camenzind, W. H. Bakker, A. Reijs, I. M. van Geijlswijk, E. Boersma, M. J. B. Kutryk, E. P. Krenning, J. R. T. C. Roelandt, P. W. Serruys, and P. W. Serruys Site-Specific Intracoronary Heparin Delivery in Humans After Balloon Angioplasty : A Radioisotopic Assessment of Regional Pharmacokinetics Circulation, July 1, 1997; 96(1): 154 - 165. [Abstract] [Full Text]
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R. J.G. Peters, W. E.M. Kok, C. Di Mario, P. W. Serruys, F. W.H.M. Bar, G. Pasterkamp, C. Borst, O. Kamp, J. G.F. Bronzwaer, C. A. Visser, et al. Prediction of Restenosis After Coronary Balloon Angioplasty: Results of PICTURE (Post–IntraCoronary Treatment Ultrasound Result Evaluation), a Prospective Multicenter Intracoronary Ultrasound Imaging Study Circulation, May 6, 1997; 95(9): 2254 - 2261. [Abstract] [Full Text]
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J. M. Bosmans, M. M. Kockx, C. J. Vrints, H. Bult, G. R. Y. De Meyer, and A. G. Herman Fibrin(ogen) and von Willebrand Factor Deposition Are Associated With Intimal Thickening After Balloon Angioplasty of the Rabbit Carotid Artery Arterioscler Thromb Vasc Biol, April 1, 1997; 17(4): 634 - 645. [Abstract] [Full Text]
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D. I. Simon, H. Xu, S. Ortlepp, C. Rogers, and N. K. Rao 7E3 Monoclonal Antibody Directed Against the Platelet Glycoprotein IIb/IIIa Cross-reacts With the Leukocyte Integrin Mac-1 and Blocks Adhesion to Fibrinogen and ICAM-1 Arterioscler Thromb Vasc Biol, March 1, 1997; 17(3): 528 - 535. [Abstract] [Full Text]
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 F. Crawley, A. Clifton, H. Markus, and M. M. Brown Delayed Improvement in Carotid Artery Diameter After Carotid Angioplasty Stroke, March 1, 1997; 28(3): 574 - 579. [Abstract] [Full Text]
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M. J. Vonesh, L. F. Mockros, C. J. Davidson, K. B. Chandran, and D. D. McPherson In Vitro Identification of Angioplasty-Induced Injury by Use of Vascular Acoustic Emissions Circulation, February 18, 1997; 95(4): 1022 - 1029. [Abstract] [Full Text]
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 E. A. Tovar and A. Borsari Effects of Surgical Manipulation on Coronary Stents: Should Surgical Strategy Be Altered? Ann. Thorac. Surg., January 1, 1997; 63(1): 37 - 40. [Abstract] [Full Text]
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Y. F. Zhou, M. B. Leon, M. A. Waclawiw, J. J. Popma, Z. X. Yu, T. Finkel, and S. E. Epstein Association between Prior Cytomegalovirus Infection and the Risk of Restenosis after Coronary Atherectomy N. Engl. J. Med., August 29, 1996; 335(9): 624 - 630. [Abstract] [Full Text] [PDF]
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 J. A. Ambrose and M. Weinrauch Thrombosis in Ischemic Heart Disease Arch Intern Med, July 8, 1996; 156(13): 1382 - 1394. [Abstract] [PDF]
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G. S. Mintz, J. J. Popma, A. D. Pichard, K. M. Kent, L. F. Satler, S. Chiu Wong, M. K. Hong, J. A. Kovach, and M. B. Leon Arterial Remodeling After Coronary Angioplasty : A Serial Intravascular Ultrasound Study Circulation, July 1, 1996; 94(1): 35 - 43. [Abstract] [Full Text]
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S.-i. Ozeki, A. Ohtsuru, S. Seto, S. Takeshita, H. Yano, T. Nakayama, M. Ito, T. Yokota, M. Nobuyoshi, G. V. Segre, et al. Evidence That Implicates the Parathyroid Hormone–Related Peptide in Vascular Stenosis : Increased Gene Expression in the Intima of Injured Rat Carotid Arteries and Human Restenotic Coronary Lesions Arterioscler Thromb Vasc Biol, April 1, 1996; 16(4): 565 - 575. [Abstract] [Full Text]
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K. G. Lehmann, R. Melkert, and P. W. Serruys Contributions of Frequency Distribution Analysis to the Understanding of Coronary Restenosis : A Reappraisal of the Gaussian Curve Circulation, March 15, 1996; 93(6): 1123 - 1132. [Abstract] [Full Text]
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R. Riessen, T. N. Wight, C. Pastore, C. Henley, and J. M. Isner Distribution of Hyaluronan During Extracellular Matrix Remodeling in Human Restenotic Arteries and Balloon-Injured Rat Carotid Arteries Circulation, March 15, 1996; 93(6): 1141 - 1147. [Abstract] [Full Text]
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P. A. Hardhammar, H. M.M. van Beusekom, H. U. Emanuelsson, S. H. Hofma, P. A. Albertsson, P. D. Verdouw, E. Boersma, P. W. Serruys, and W. J. van der Giessen Reduction in Thrombotic Events With Heparin-Coated Palmaz-Schatz Stents in Normal Porcine Coronary Arteries Circulation, February 1, 1996; 93(3): 423 - 430. [Abstract] [Full Text]
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R. L. Wilensky, K. L. March, I. Gradus-Pizlo, G. Sandusky, N. Fineberg, and D. R. Hathaway Vascular Injury, Repair, and Restenosis After Percutaneous Transluminal Angioplasty in the Atherosclerotic Rabbit Circulation, November 15, 1995; 92(10): 2995 - 3005. [Abstract] [Full Text]
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Y. Ozaki, D. Keane, and P. W. Serruys Progression and Regression of Coronary Stenosis in the Long-term Follow-up of Vasospastic Angina Circulation, November 1, 1995; 92(9): 2446 - 2456. [Abstract] [Full Text]
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E. Camenzind, P.-P. Kint, C. Di Mario, J. Ligthart, W. van der Giessen, E. Boersma, and P. W. Serruys Intracoronary Heparin Delivery in Humans : Acute Feasibility and Long-term Results Circulation, November 1, 1995; 92(9): 2463 - 2472. [Abstract] [Full Text]
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D. J. Cohen, H. M. Krumholz, C. A. Sukin, K. K.L. Ho, R. B. Siegrist, M. Cleman, R. R. Heuser, J. A. Brinker, J. W. Moses, M. P. Savage, et al. In-Hospital and One-Year Economic Outcomes After Coronary Stenting or Balloon Angioplasty : Results From a Randomized Clinical Trial Circulation, November 1, 1995; 92(9): 2480 - 2487. [Abstract] [Full Text]
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