Long-term outcome of patients with proximal left anterior descending coronary artery in-stent restenosis treated with a second percutaneous procedure.
Patients with in-stent restenosis involving the proximal segment of the left anterior descending coronary artery are frequently sent for surgical revascularization. We studied the long-term (3.3 +/- 2.8 years) outcome of 123 patients with in-stent restenosis involving the proximal left anterior descending coronary artery who were treated with a second percutaneous procedure. Cumulative survival rate, probability of being alive and free from surgical revascularization, and probability of being alive and free from new revascularization procedures was 98.3 +/- 1.2%, 92.8 +/- 2.5%, and 82.2 +/- 3.6% at 1 year, and 95.2 +/- 2.5%, 88.5 +/- 3.4%, and 76.9 +/- 4.3% at 3 years, respectively. Thus, in patients with in-stent restenosis involving the proximal left anterior descending artery, a second percutaneous procedure is a feasible and safe long-term strategy, with few patients ultimately requiring surgical revascularization.
Moreno
Raul
R
Department of Interventional Cardiology, Clinico San Carlos, Madrid, Spain, 28040. raulmorenog@terra.es
Perez-Rodriguez
Julio
J
Perez
Maria-José
MJ
Alfonso
Fernando
F
Hernandez
Rosana
R
Angiolillo
Dominick
D
Sabaté
Manel
M
Bañuelos
Camino
C
Escaned
Javier
J
Azcona
Luis
L
Macaya
Carlos
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000473:pathology / Q000628:therapy*; D023903:Coronary Restenosis / Q000401:mortality / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011336:Probability; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D016019:Survival Analysis; D013997:Time Factors