title: [Restenosis after transluminal coronary angioplasty. Clinical and therapeutic aspects].
abstract: To assess the incidence and clinical presentation of restenosis after successful coronary angioplasty, and the short- and mid-term results of its treatment, 160 patients, who underwent a first coronary angioplasty between May 1987 and December 1988, were closely monitored. Restenosis is defined as a loss of 50% or more of the initial gain in area and/or 30% or more in diameter, or chronic coronary occlusion. These criteria were met in 43 patients (27%) within 5.1 months (1-6 months), on the average, after angioplasty. Restenosis was expressed as unstable angina in 51% of the patients, stable angina in 30%, and abnormal thallium myocardial scintigraphy under exercise in 14%. Myocardial infarction was never the revealing symptom. In 63% of the cases, the pain caused by restenosis repeated the initial angina. A second angioplasty was performed in 75% of the patients with a success rate of 93%, in the absence of an occlusion, and a 37% rate of further restenosis.
authors.affiliation: Clinique Cardiologique, Hôpital Necker, Paris.
authors.forename: J P
authors.initials: JP
authors.lastname: Metzger
authors.forename: X
authors.initials: X
authors.lastname: Tabone
authors.forename: C
authors.initials: C
authors.lastname: Le Feuvre
authors.forename: J M
authors.initials: JM
authors.lastname: Bénichou
authors.forename: S
authors.initials: S
authors.lastname: Hajri
authors.forename: A
authors.initials: A
authors.lastname: Heulin
authors.forename: A
authors.initials: A
authors.lastname: Vacheron
mesh_terms: D000787:Angina Pectoris / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D000789:Angina, Unstable / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D012008:Recurrence; D013997:Time Factors
vernacular_title: Les resténoses après angioplastie coronaire transluminale. Aspects cliniques et thérapeutiques.