1. Repeat coronary angioplasty: Efficacy of a third angioplasty for a second restenosis
- Author
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Warren L. Johnson, Barry D. Rutherford, Paul S. Teirstein, Lee V. Giorgi, Craig A. Hoover, Geoffrey O. Hartzler, David R. McConahay, and Robert W. Ligon
- Subjects
Adult ,Male ,medicine.medical_specialty ,Percutaneous transluminal coronary angioplasty ,medicine.medical_treatment ,Coronary Disease ,Anterior Descending Coronary Artery ,Angina ,Restenosis ,Recurrence ,Internal medicine ,Angioplasty ,medicine ,Humans ,Aged ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Middle Aged ,medicine.disease ,Coronary Vessels ,Surgery ,medicine.anatomical_structure ,Bypass surgery ,Angiography ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Angioplasty, Balloon ,Follow-Up Studies ,Artery - Abstract
To determine the efficacy of repeat percutaneous transluminal coronary angioplasty, 74 patients were studied who underwent a third angioplasty for a second restenosis of one coronary artery segment. The procedure was successful in 93% of patients. Procedural complications included emergency bypass surgery (three patients) and in-hospital death (two patients). At late follow-up (mean 18 months, range 7 to 49), 30 patients (43%) had a third restenosis treated with either a fourth angioplasty (16 patients), coronary bypass surgery (11 patients) or medical management (1 patient). Thirty-nine patients (57%) had no restenosis on the basis of follow-up angiography or absence of symptoms previously attributed to restenosis. Factors associated with a third restenosis included a shorter time interval (
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