Analysis of nonintervention strategy for in-stent restenosis in Pauci- or asymptomatic patients.
Between January 1996 and May 2000, we retrospectively identified 66 patients (61 +/- 11 years) with in-stent restenosis who did not undergo percutaneous coronary intervention and/or bypass surgery and were maintained on medical treatment alone. In-stent restenosis was diffuse or proliferative in 86% of these patients. At 33 +/- 11 months, 2 patients died, none developed myocardial infarction, and 6 (9%) had target lesion revascularization only (repeat percutaneous transluminal coronary angioplasty). Medical treatment alone was associated with a good long-term clinical follow-up in selected patients with significant documented in-stent restenosis.
Eltchaninoff
Hélène
H
Charles Nicolle Hospital, University of Rouen, Rouen, France. helene.eltchaninoff@chu-rouen.fr
Carlot
Raphaëlle
R
Tron
Christophe
C
Sanchez-Giron
Carlos
C
Sebagh
Laurent
L
Agatiello
Carla
C
Cribier
Alain
A
D000800:Angioplasty, Balloon; D023903:Coronary Restenosis / Q000401:mortality / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents