Five-Year Angiographic Outcome in Patients Without Restenosis Following Coronary Balloon Angioplasty: A Comparison Between Non Diabetic and Diabetic Lesions
スポンサーリンク
概要
- 論文の詳細を見る
Few studies have investigated the long-term angiographic outcome of successful coronary balloon angioplasty (CBA) among diabetic and nondiabetic dilated lesions. The purpose of this study was to evaluate and compare the long-term (>5 years) outcomes of diabetic and nondiabetic CBA lesions which had remained patent 3-12 months after intervention. Twenty-five patients (45 lesions) with diabetes mellitus and 79 patients (138 lesions) without diabetes mellitus were enrolled as subjects. All patients who underwent CBA without restenosis within 3-12 months of the initial CBA based on follow-up angiographic evaluation were included. Quantitative coronary angiograms performed before, immediately after CBA, during the 3-12-month period (mean 4.1±1.0 months), and at or after 5 years (mean 6.4±2.0 years) were compared. There was no significant difference in the reference diameter between nondiabetic and diabetic lesions at any of the four time points studied. The minimum lumen diameter before and immediately after the procedure and at the 3-12-month follow-up did not differ significantly between the two groups. At >5-year follow-up, the minimum lumen diameter was significantly (P=0.005) decreased in diabetic lesions. Total occlusion occurred in 9% (4/45) of the diabetic lesions compared to only 1% (1/138) in the nondiabetic lesions (P=0.007). Diabetic lesions showed significant (P=0.049) narrowing between the 3-12 month period and >5-year follow-up. Fifty-one percent (18/35) of the nondiseased vessels in the diabetic patients at the time of enrollment had new stenosis during the follow-up periods. In conclusion, compared to nondiabetic lesions, patients with diabetic lesions who underwent CBA were more predisposed to have stenotic progression and total occlusion.
著者
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Inoue Katsumi
Department of Cardiology, Kokura Memorial Hospital
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Inoue Katsumi
Department Of Cardiology Kokura Memorial Hospital
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Takenaka Sou
Department Of Cardiology Kurashiki Central Hospital
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Shiode Nobuo
Department Of Cardiology Matsue Red Cross Hospital
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Suyama Hiromi
Department Of Cardiology Matsue Red Cross Hospital
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Shirota Kinya
Department Of Cardiology Matsue Red Cross Hospital
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Hirao Hidekazu
Department Of Cardiology Tsuchiya General Hospital
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Nakazawa Yoshio
Department Of Cardiology Gotsu Saiseikai General Hospital
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Nagamatsu Tsutomu
Department Of Cardiology Matsue Red Cross Hospital
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Takenaka Sou
Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University
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Nakamura Nobuaki
Nakamura Cardiology and Internal Medicine Clinic
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Goto Yasutoshi
Goto Clinic, Matsue
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Nakazawa Yoshio
Department of Cardiology, Gotsu General Hospital
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Hirao Hidekazu
Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University
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