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From the Service de Cardiologie B, Hôpital Cardiologique, Lille,
France.
Correspondence to Michel E. Bertrand, MD, Service de Cardiologie B, Hôpital Cardiologique, Boulevard du Professeur J. Leclercq, 59037 Lille Cedex, France. E-mail bertrandme{at}aol.com
Background—In-stent
restenosis is an increasing clinical problem. Discordant
results have been published regarding the risk of recurrent
restenosis after repeat angioplasty for the treatment of
in-stent restenosis.
Methods and Results—One hundred three consecutive patients (107
vessels) underwent repeat percutaneous intervention for
the treatment of in-stent restenosis and were entered in a
prospective angiographic follow-up program. Repeat balloon angioplasty
was performed at 93 lesions (87%) and additional stenting at 14
lesions (13%). The primary success rate was 98%. Six-month
angiographic follow-up was performed in 85% of eligible patients.
Restenosis was determined by quantitative angiography.
Restenosis defined as a >50% diameter stenosis at
follow-up was observed at 22% of lesions. The rate of target-lesion
revascularization at 6 months was 17%. Repeat
intervention for diffuse in-stent restenosis and severe
stenosis before repeat intervention were associated with
significantly higher rates of recurrent restenosis.
Conclusions—The overall restenosis rate after repeat
intervention for in-stent restenosis is low. The subgroup of
patients with diffuse and/or severe in-stent restenosis,
however, is at higher risk of recurrent restenosis and may
benefit from alternative therapeutic strategies.
© 1998 American Heart Association, Inc.
Brief Rapid Communications
Six-Month Angiographic Outcome After Successful Repeat Percutaneous Intervention for In-Stent Restenosis
Key Words: angiography • restenosis • stents
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|
|
|
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|
|
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|
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|
|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
 J. Al Suwaidi, P. B. Berger, and D. R. Holmes Jr Coronary Artery Stents JAMA, October 11, 2000; 284(14): 1828 - 1836. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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|
|
|
|
|
|
A. Lafont, J. L. Dubois-Rande, P. G. Steg, P. Dupouy, D. Carrie, P. Coste, A. Furber, F. Beygui, L. J. Feldman, S. Rahal, et al. The French randomized optimal stenting trial: a prospective evaluation of provisional stenting guided by coronary velocity reserve and quantitative coronary angiography J. Am. Coll. Cardiol., August 1, 2000; 36(2): 404 - 409. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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|
|
|
|
|
|
C. Di Mario and E. Karvouni The bigger, the better: true also for in-stent restenosis? Eur. Heart J., May 1, 2000; 21(9): 710 - 711. [PDF]
|
|
|
|
|
|
F Schiele, N Meneveau, M.-F Seronde, M.-F Deforet, S Gupta, and J.-P Bassand Predictors of event-free survival after repeat intracoronary procedure for in-stent restenosis. Study with angiographic and intravascular ultrasound imaging Eur. Heart J., May 1, 2000; 21(9): 754 - 762. [Abstract] [PDF]
|
|
|
|
|
|
I. Bossi, C. Klersy, A. J. Black, R. Cortina, R. Choussat, B. Cassagneau, C. Jordan, J.-C. Laborde, J.-P. Laurent, M. Bernies, et al. In-stent restenosis: long-term outcome and predictors of subsequent target lesion revascularization after repeat balloon angioplasty J. Am. Coll. Cardiol., May 1, 2000; 35(6): 1569 - 1576. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. P. Carrozza Jr. In-stent restenosis: should an old device treat a new problem? J. Am. Coll. Cardiol., May 1, 2000; 35(6): 1577 - 1579. [Full Text] [PDF]
|
|
|
|
|
|
R. Koster, C. W. Hamm, R. Seabra-Gomes, G. Herrmann, H. Sievert, C. Macaya, E. Fleck, K. Fischer, J. J. R. M. Bonnier, J. Fajadet, et al. Laser angioplasty of restenosed coronary stents: results of a multicenter surveillance trial J. Am. Coll. Cardiol., July 1, 1999; 34(1): 25 - 32. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W. Radke, H. G. Klues, P. K. Haager, R. Hoffmann, F. Kastrau, T. Reffelmann, U. Janssens, J. vom Dahl, and P. Hanrath Mechanisms of acute lumen gain and recurrent restenosis after rotational atherectomy of diffuse in-stent restenosis: A quantitative angiographic and intravascular ultrasound study J. Am. Coll. Cardiol., July 1, 1999; 34(1): 33 - 39. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. E. Chambers, S. T Riebel, and M. Kozak Interventional Cardiology: Advances in Percutaneous Techniques for the Treatment of Cardiac Disease Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 1999; 3(2): 109 - 125. [Abstract] [PDF]
|
|
|
|
|
|
T. Corcos, X. Favereau, Y. Guerin, C. R. Narins, E. J. Topol, and D. R. Holmes Jr A Call for Professional Stenting: The Balloon Is Dead and Buried! • Response Circulation, December 8, 1998; 98(23): 2644 - 2645. [Full Text] [PDF]
|
|
|
|
|
|
H.e. Eltchaninoff, R. Koning, C. Tron, V. Gupta, and A. Cribier Balloon angioplasty for the treatment of coronary in-stent restenosis: immediate results and 6-month angiographic recurrent restenosis rate J. Am. Coll. Cardiol., October 1, 1998; 32(4): 980 - 984. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Liistro, G. Stankovic, C. Di Mario, T. Takagi, A. Chieffo, S. Moshiri, M. Montorfano, M. Carlino, C. Briguori, P. Pagnotta, et al. First Clinical Experience With a Paclitaxel Derivate-Eluting Polymer Stent System Implantation for In-Stent Restenosis: Immediate and Long-Term Clinical and Angiographic Outcome Circulation, April 23, 2002; 105(16): 1883 - 1886. [Abstract] [Full Text] [PDF]
|
|