2012, Number 2
Incomplete coronary revascularization and cardiac events following percutaneous coronary intervention
Language: Spanish
References: 13
Page: 199-206
PDF size: 173.21 Kb.
ABSTRACT
No conclusive data are available to evaluate the advantages of complete coronary revascularization in percutaneous coronary intervention. General objective: Determine whether incomplete revascularization is associated with the incidence of cardiac events following percutaneous coronary intervention. Methods: A prospective observational study was conducted with 192 patients with multivessel coronary disease and no history of coronary revascularization, treated by percutaneous coronary intervention with stent implantation at the Institute of Cardiology from 1 January 2003 to 31 December 2005. Statistical analysis: Relative risk was estimated to determine the association of incomplete revascularization with cardiac events. Results: On analyzing the association of incomplete revascularization with clinical events and cardiac procedures following percutaneous coronary intervention, no relation was obtained. Conclusions: Incomplete coronary revascularization is not associated with a higher incidence of cardiac events following percutaneous coronary intervention with conventional stent implantation.REFERENCES
Kim YH, Park DW, Lee JY, Kim WJ, Yun SC<, Ahn JM, et al. Impact of angiographic complete revascularization after drug-eluting stent implantation or coronary artery bypass graft surgery for multivessel coronary artery disease. Circulation. 2011;123(21):2373-81. >, Ahn JM, et al. Impact of angiographic complete revascularization after drug-eluting stent implantation or coronary artery bypass graft surgery for multivessel coronary artery disease. Circulation. 2011;123(21):2373-81.
Hannan EL, Samadashvili Z, Walford G, Holmes DR Jr, Jacobs AK Stamato NJ, et al.Culprit vessel percutaneous coronary intervention versus multivessel and staged percutaneous coronary intervention for ST-segment elevation myocardial infarction patients with multivessel disease. JACC Cardiovasc Interv. 2010;3(1):22-31.
Duvernoy CS, Smith DE, Manohar P, Schaefer A, Kline-Rogers E, Share, et al. Gender differences in adverse outcomes after Contemporary percutaneous coronary intervention: Ananalysis from the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) percutaneous Coronary intervention registry. Am Heart J. 2010;159:1359-62.