Clinical and angiographic outcomes after intracoronary bare-metal stenting.

<h4>Background</h4>Data from a large patient population regarding very long-term outcomes after BMS implantation are inadequate. This study aimed to evaluate the very long-term (8-17 years) clinical and long-term (3-5 years) angiographic outcomes after intracoronary bare-metal stenting (...

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Autores principales:	I-Chang Hsieh, Ming-Jer Hsieh, Shang-Hung Chang, Chao-Yung Wang, Cheng-Hung Lee, Fen-Chiung Lin, Chun-Chi Chen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5deb652d34434d939a1f738acc07383d
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spelling	oai:doaj.org-article:5deb652d34434d939a1f738acc07383d2021-11-18T08:23:46ZClinical and angiographic outcomes after intracoronary bare-metal stenting.1932-620310.1371/journal.pone.0094319https://doaj.org/article/5deb652d34434d939a1f738acc07383d2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24727795/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Data from a large patient population regarding very long-term outcomes after BMS implantation are inadequate. This study aimed to evaluate the very long-term (8-17 years) clinical and long-term (3-5 years) angiographic outcomes after intracoronary bare-metal stenting (BMS).<h4>Methods and results</h4>From the Cardiovascular Atherosclerosis and Percutaneous TrAnsluminal INterventions (CAPTAIN) registry, a total of 2391 patients with 2966 lesions treated with 3190 BMSs between November 1995 and May 2004 were evaluated. In total, 1898 patients with 2364 lesions, and 699 patients with 861 lesions underwent 6-month and 3- to 5- year angiographic follow-up, respectively. During a mean follow-up period of 149 ± 51 months, 18.6% of the patients died (including 10.8% due to cardiac death), 6.1% developed reinfarction, 16.2% had target lesion revascularization (including 81% of the patients within the first year), 14.5% underwent new lesion stenting (including 72% of the patients after 3 years), 2.4% underwent coronary bypass surgery, and 1.6% had definite stent thrombosis. The overall cardiovascular event-free survival rate was 58.5%. The 6-month angiographic study indicated a 20% restenosis rate. The minimal luminal diameter increased from 0.65 ± 0.44 mm to 3.02 ± 0.46 mm immediately after stenting, decreased to 2.06 ± 0.77 mm at the 6-month follow-up, and increased to 2.27 ± 0.68 mm at the 3- to 5-year follow-up.<h4>Conclusions</h4>This study provides clinical and angiographic results from a large population of patients who underwent BMS implantations after a long-term follow-up period (149 ± 51 months). The progression of coronary atherosclerosis developed over time, and presented with new lesion required stent implantation. The follow-up angiographic findings reconfirmed the late and sustained improvement in luminal diameter between 6 months and 3-5 years.I-Chang HsiehMing-Jer HsiehShang-Hung ChangChao-Yung WangCheng-Hung LeeFen-Chiung LinChun-Chi ChenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e94319 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q I-Chang Hsieh Ming-Jer Hsieh Shang-Hung Chang Chao-Yung Wang Cheng-Hung Lee Fen-Chiung Lin Chun-Chi Chen Clinical and angiographic outcomes after intracoronary bare-metal stenting.
description	<h4>Background</h4>Data from a large patient population regarding very long-term outcomes after BMS implantation are inadequate. This study aimed to evaluate the very long-term (8-17 years) clinical and long-term (3-5 years) angiographic outcomes after intracoronary bare-metal stenting (BMS).<h4>Methods and results</h4>From the Cardiovascular Atherosclerosis and Percutaneous TrAnsluminal INterventions (CAPTAIN) registry, a total of 2391 patients with 2966 lesions treated with 3190 BMSs between November 1995 and May 2004 were evaluated. In total, 1898 patients with 2364 lesions, and 699 patients with 861 lesions underwent 6-month and 3- to 5- year angiographic follow-up, respectively. During a mean follow-up period of 149 ± 51 months, 18.6% of the patients died (including 10.8% due to cardiac death), 6.1% developed reinfarction, 16.2% had target lesion revascularization (including 81% of the patients within the first year), 14.5% underwent new lesion stenting (including 72% of the patients after 3 years), 2.4% underwent coronary bypass surgery, and 1.6% had definite stent thrombosis. The overall cardiovascular event-free survival rate was 58.5%. The 6-month angiographic study indicated a 20% restenosis rate. The minimal luminal diameter increased from 0.65 ± 0.44 mm to 3.02 ± 0.46 mm immediately after stenting, decreased to 2.06 ± 0.77 mm at the 6-month follow-up, and increased to 2.27 ± 0.68 mm at the 3- to 5-year follow-up.<h4>Conclusions</h4>This study provides clinical and angiographic results from a large population of patients who underwent BMS implantations after a long-term follow-up period (149 ± 51 months). The progression of coronary atherosclerosis developed over time, and presented with new lesion required stent implantation. The follow-up angiographic findings reconfirmed the late and sustained improvement in luminal diameter between 6 months and 3-5 years.
format	article
author	I-Chang Hsieh Ming-Jer Hsieh Shang-Hung Chang Chao-Yung Wang Cheng-Hung Lee Fen-Chiung Lin Chun-Chi Chen
author_facet	I-Chang Hsieh Ming-Jer Hsieh Shang-Hung Chang Chao-Yung Wang Cheng-Hung Lee Fen-Chiung Lin Chun-Chi Chen
author_sort	I-Chang Hsieh
title	Clinical and angiographic outcomes after intracoronary bare-metal stenting.
title_short	Clinical and angiographic outcomes after intracoronary bare-metal stenting.
title_full	Clinical and angiographic outcomes after intracoronary bare-metal stenting.
title_fullStr	Clinical and angiographic outcomes after intracoronary bare-metal stenting.
title_full_unstemmed	Clinical and angiographic outcomes after intracoronary bare-metal stenting.
title_sort	clinical and angiographic outcomes after intracoronary bare-metal stenting.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/5deb652d34434d939a1f738acc07383d
work_keys_str_mv	AT ichanghsieh clinicalandangiographicoutcomesafterintracoronarybaremetalstenting AT mingjerhsieh clinicalandangiographicoutcomesafterintracoronarybaremetalstenting AT shanghungchang clinicalandangiographicoutcomesafterintracoronarybaremetalstenting AT chaoyungwang clinicalandangiographicoutcomesafterintracoronarybaremetalstenting AT chenghunglee clinicalandangiographicoutcomesafterintracoronarybaremetalstenting AT fenchiunglin clinicalandangiographicoutcomesafterintracoronarybaremetalstenting AT chunchichen clinicalandangiographicoutcomesafterintracoronarybaremetalstenting
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Clinical and angiographic outcomes after intracoronary bare-metal stenting.

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