Predictors of Restenosis After Implantation of 2.5 mm Stents in Small Coronary Arteries
スポンサーリンク
概要
- 論文の詳細を見る
Background The results of stent implantation for small coronary disease have been inconclusive. The purpose of the present study was to evaluate the factors in predicting the risk of angiographic restenosis after 2.5-mm stent implantation for small coronary arteries. Methods and Results The study group comprised 134 consecutive patients who had a reference small coronary artery with diameter from 1.8 mm to 2.5 mm on quantitative coronary angiography and who had been successfully treated by stent implantation with a 2.5-mm stent. Of the 134 patients, 55 had angiographic restenosis (41 %). The rate of target lesion revascularization was 32%. Diabetes mellitus, acute coronary syndrome, lesion length, bifurcation lesion, lower left ventricular ejection fraction (LVEF), stent strut, stent/artery ratio, and stent length were identified as predictors of restenosis by univariate analysis. Subsequent multivariate analysis revealed that lower LVEF (odds ratio (OR) 3.37, p=0.01), bifurcation lesion (OR 2.47, p=0.04), thicker stent strut (OR 2.30, p=0.04), and longer stent length (OR 1.05, p=0.02) were significant predictors of restenosis. Conclusions Two pre-interventional factors (reduced left ventricular function and bifurcated lesion) and 2 procedure-related factors (thickness of stent strut and total stent length) were identified as predictors of restenosis. These factors should be taken into account when deciding on the percutaneous coronary intervention strategy for small coronary artery disease.
- 社団法人日本循環器学会の論文
- 2004-02-20
著者
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Ikari Yuuji
Tokai University
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Ikari Yuji
Department Of Cardiology Tokai University School Of Medicine
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Ikari Yuji
Division Of Cardiology Tokai University School Of Medicine
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Ikari Yuji
The Division of Cardiology, Mitsui Memorial Hospital
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Kara Kazuhiro
The Division Of Cardiology Mitsui Memorial Hospital
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Miyazawa Akiyoshi
The Division Of Cardiology Mitsui Memorial Hospital
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Ikari Yuji
Department Of Cardiology Tokai University Hospital
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Iijima Raisuke
Division Of Cardiovascular Medicine Ohashi Medical Center Toho University
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Iijima Raisuke
The Division Of Cardiology Mitsui Memorial Hospital
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Ikari Yuji
Department Of Cardiovascular Medicine Tokai University School Of Medicine
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Ikari Yuji
Department Of Cardiology Tokai University School Of Medicine Nagoya University
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Nakajima Hiroyoshi
The Division of Cardiology, Mitsui Memorial Hospital,
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Ikari Yuji
Departments Of Cardiology
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Ikari Yuji
Division Of Cardiology Mitui Memorial Hospital
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Nakajima Hiroyoshi
Division Of Cardiology Mitsui Memorial Hospital
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