In-stent restenosis: Long-term outcome and predictors of subsequent target lesion revascularization after repeat balloon angioplasty

Irene Bossi, Catherine Klersy, Alexander J. Black, Rosario Cortina, Remi Choussat, Bernard Cassagneau, Christian Jordan, Jean Claude Laborde, Jean Pierre Laurent, Monique Bernies, Jean Fajadet, Jean Marco

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives. We sought to evaluate the long-term clinical outcome of patients undergoing successful balloon angioplasty for in-stent restenosis, and to determine correlates of the need for subsequent target lesion revascularization (TLR). Background. In-stent restenosis can be safely treated by repeat percutaneous intervention. Reported subsequent TLR rates have varied from 20% to 80% and seem related to the type of restenotic lesion. Methods. The study population comprised 234 patients with follow-up data who were successfully treated with repeat balloon angioplasty for in-stent restenosis in 257 lesions between May 1995 and January 1998 at our institution. Results. Clinical follow-up was available at 459 (286 to 693) days after the repeat procedure. Event-free survival was 78.5% and 74.6% at 12 and 24 months, respectively. Recurrent events occurred in 58 patients (24.8%), including 6 deaths (2.6%), 4 myocardial infarction (1.7%) and repeat target vessel revascularization in 50 patients (21.4%). Independent predictors of repeat TLR were time to in-stent restenosis

Original languageEnglish
Pages (from-to)1569-1576
Number of pages8
JournalJournal of the American College of Cardiology
Volume35
Issue number6
DOIs
Publication statusPublished - May 2000

ASJC Scopus subject areas

  • Nursing(all)

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