Late restenosis of the balloon-dilated site: serial angiographic observations beyond 7 years.
BACKGROUND
The present retrospective study was performed to assess the long-term (>7 years) fate of stabilized balloon-dilated sites.


RESULTS
Between February and April 1986, 171 patients underwent successful percutaneous balloon angioplasty. Early restenosis (<1 year) occurred in 53%, but repeat balloon angioplasty stabilized the balloon-dilated site. The early period was defined as 6 months, late years as 3-5 years and long-term years as 7-12 years. Angiographic evaluation at both early year or late year periods (mean = 4.7 years) and long-term (mean = 10.4 years) periods following stabilization was available in 71 patients (94 lesions) with mean age of 61.7+/-8.5 years. Of the 71 patients 69.6% were male. Restenosis occurring after 1 year was defined as late restenosis. The mean diameter stenosis changed from 6 months (50.3+/-12.4%) to late-period (44.2 +/-13.2%; p < 0.05) and long-term period (50.3+/-16.1%; p < 0.001); but the reference vessel diameter did not change significantly. Late restenosis occurred in 28% (3-5 years) and 33% (7-12 years) of 94 lesions, and 13.8% of lesion required repeat target lesion revascularization. During this period, 5.3% of patients (5 lesions) underwent revascularization for new proximal or distal lesions.


CONCLUSIONS
Decrease of luminal diameter during the early 6 months, was followed by regression after stabilization of the balloon-dilated site up to 5 years, but luminal re-narrowing occurs again over 7 years after balloon angioplasty.
Yamada
Takashi
T
Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
Inoue
Katsumi
K
Hamasaki
Naoya
N
Nakagawa
Yoshihisa
Y
Iwabuchi
Masashi
M
Yokoi
Hiroyoshi
H
Kimura
Takeshi
T
Nosaka
Hideyuki
H
Nobuyoshi
Masakiyo
M
D000368:Aged; D000800:Angioplasty, Balloon; D023903:Coronary Restenosis; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D013997:Time Factors