Short-Term Outcome of Stent Implantation in Saphenous Vein Grafts : Predictors of Distal Embolization and Restenosis
スポンサーリンク
概要
- 論文の詳細を見る
The present study, which aimed to determine the predictors of distal embolization and restenosis after stenting for vein graft disease, retrospectively analyzed 51 consecutive patients who underwent stent implantation for diseased saphenous vein grafts. Follow-up angiography was performed 6 months after the procedure and the clinical and angiographic variables were analyzed by multivariate logistic regression to determine the predictors of distal embolization and restenosis. Initial clinical success was achieved in 49 patients. 44 of whom underwent follow-up angiography and were enrolled in the retrospective analysis. Distal embolization occurred in 6 grafts (13.6%). Multivariate analysis showed that the lesion length and the total cholesterol level were independent predictors of distal embolization. Angiographic restenosis occurred in 13 (26.5%) of 49 lesions. The minimum luminal diameter and the percent diameter stenosis after stenting were associated with the occurrence of restenosis. Multivariate analysis of lesions located in the graft body identified graft age as an independent predictor of restenosis. Distal embolization can occur after vein graft stenting, especially in patients with hypercholesterolemia and diffuse stenosis. The post-stenting minimum luminal diameter and the percent diameter stenosis are predictors of restenosis. In particular, graft age is associated with the restenosis of graft body lesions.
- 社団法人日本循環器学会の論文
- 2001-03-20
著者
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IKARI Yuji
Division of Cardiology, Tokai University School of Medicine
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Hara Kazuhiro
Division Of Cardiology Mitsui Memorial Hospital
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Nakajima Hiroyoshi
Division of Cardiology, Mitsui Memorial Hospital
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Ikari Yuji
Division Of Cardiology Tokai University School Of Medicine
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Ikari Yuji
Division Of Cardiology Mitsui Memorial Hospital
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Hara Kazuhiro
Division Of Cardiology Tokai University School Of Medicine
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Kuroda Yuzo
Divisions of Cardiology Mitsui Memorial Hospital
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Ikari Yuji
Department Of Cardiology Tokai University Hospital
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Hara Kazuhiro
Division Of Cardiology Mitui Memorial Hospital
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Kurihara Hiroki
First Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Kuroda Yuzo
Division Of Cardiology Mitsui Memorial Hospital
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Ikari Yuuji
Department Of Cardiology Tokai University School Of Medicine
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Hara Kazuhiro
Division Of Cardiology Mistui Memorial Hospital
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Ikari Yuji
Departments Of Cardiology
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Hara Kazuhiro
First Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Ikari Yuji
Center For Cardiovascular Disease
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Ikari Yuji
Division Of Cardiology Mitui Memorial Hospital
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Hara Kazuhiro
Division Of Cardiology
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Nakajima Hiroyoshi
Division Of Cardiology Mitsui Memorial Hospital
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Nakajima Hiroyoshi
Division Of Cardiology Department Of Medicine Mitsui Memorial Hospital
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