Source:http://linkedlifedata.com/resource/pubmed/id/11423051
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
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| pubmed:dateCreated |
2001-6-25
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| pubmed:abstractText |
The purpose of this single-center study was to evaluate the long-term (> or =8 years) outcome of Palmaz-Schatz intracoronary stenting and to identify independent predictors of outcome. Although short-term results of Palmaz-Schatz intracoronary stenting have been promising, with a reduction in both angiographic restenosis and clinical cardiac events up to 3 years, longer-term follow-up has not been established. We analyzed clinical outcome in 426 consecutive patients at least 8 years after coronary stenting. Demographic, clinical, and procedural predictors of restenosis, survival, and event-free survival, defined as freedom from death, myocardial infarction (MI), and coronary revascularization (target stented site, target vessel, and any revascularization) were analyzed. Before discharge, 28 patients (6.6%) sustained at least 1 major cardiovascular event: 3 deaths (0.7%), 18 MIs (4.2%), and 17 repeat revascularizations. Surviving patients were followed for 8.9 years (interquartile range 8.4 to 9.4). After discharge, 59 patients (13.9%) died, 47 (11.1%) sustained an MI, and 188 (44.4%) underwent coronary revascularization. The 8-year event-free survival (freedom from death, freedom from death/MI/target-stented site revascularization, and freedom from death/MI/any coronary revascularization) was (mean +/- SE) 0.86 +/- 0.01, 0.62 +/- 0.03, and 0.47 +/- 0.02, respectively. Unstable angina, lower left ventricular ejection fraction, and saphenous vein graft stenting were found to be independent predictors of death during follow-up. Hypertension, unstable angina, multivessel disease, and multiple stent implantation were found to be independent predictors of the composite of death/MI/any coronary revascularization during follow-up. This study provided a useful assessment of very long-term outcome in survival, event-free survival, and predictors of major cardiac events 8 to 10 years after Palmaz-Schatz stent implantation.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
AIM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Jul
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| pubmed:issn |
0002-9149
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:day |
1
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| pubmed:volume |
88
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
10-6
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| pubmed:dateRevised |
2004-11-17
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| pubmed:meshHeading |
pubmed-meshheading:11423051-Coronary Angiography,
pubmed-meshheading:11423051-Coronary Disease,
pubmed-meshheading:11423051-Disease Progression,
pubmed-meshheading:11423051-Female,
pubmed-meshheading:11423051-Follow-Up Studies,
pubmed-meshheading:11423051-Humans,
pubmed-meshheading:11423051-Longitudinal Studies,
pubmed-meshheading:11423051-Male,
pubmed-meshheading:11423051-Middle Aged,
pubmed-meshheading:11423051-Proportional Hazards Models,
pubmed-meshheading:11423051-Recurrence,
pubmed-meshheading:11423051-Risk Factors,
pubmed-meshheading:11423051-Stents,
pubmed-meshheading:11423051-Survival Analysis,
pubmed-meshheading:11423051-Treatment Outcome
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| pubmed:year |
2001
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| pubmed:articleTitle |
Long-term (> or =8 years) outcome after Palmaz-Schatz stent implantation.
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| pubmed:affiliation |
Unité de Cardiologie Interventionelle, Clinique Pasteur, Toulouse, France.
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| pubmed:publicationType |
Journal Article
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