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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2005-11-8
pubmed:abstractText
Because late vessel failure has been speculated as a possible limitation of vascular brachytherapy, we conducted a prospective clinical evaluation at 6, 12, 24, and 36 months of follow-up after irradiation with strontium-90/yttrium-90 for in-stent restenosis, regardless of the patient's symptomatic status. We report complete 3-year follow-up data for 106 consecutive patients. The cumulative rate of death at 6, 12, 24, and 36 months was 0.9%, 0.9%, 0.9%, and 1.9% respectively. The corresponding rates for acute ST-elevation myocardial infarction were 2.8%, 4.7%, 4.7%, and 4.7%, respectively. The cumulative rate of late thrombotic occlusion at 6, 12, 24, and 36 months was 3.8%, 4.7%, 4.7%, and 4.7%, respectively. The corresponding rates of target lesion revascularization and target vessel revascularization were 8.5% and 12.3% (p = 0.046), 14.2% (p = 0.157) and 18.0% (p = 0.046), 12.3% and 18.9% (p = 0.008), and 21.7% (p = 0.083) and 29.2% (p = 0.005), respectively. The cumulative rate of all major adverse cardiovascular events at 6, 12, 24, and 36 months was 16.1%, 24.5% (p = 0.003), 27.4% (p = 0.083), and 35.8% (p = 0.003), respectively. In conclusion, these results indicate a delayed and, even in the third year after the index procedure, continued restenotic process after beta irradiation of in-stent restenotic lesions.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
96
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1399-403
pubmed:meshHeading
pubmed-meshheading:16275186-Aged, pubmed-meshheading:16275186-Blood Vessel Prosthesis Implantation, pubmed-meshheading:16275186-Brachytherapy, pubmed-meshheading:16275186-Coronary Angiography, pubmed-meshheading:16275186-Coronary Restenosis, pubmed-meshheading:16275186-Disease-Free Survival, pubmed-meshheading:16275186-Female, pubmed-meshheading:16275186-Follow-Up Studies, pubmed-meshheading:16275186-Humans, pubmed-meshheading:16275186-Male, pubmed-meshheading:16275186-Middle Aged, pubmed-meshheading:16275186-Postoperative Complications, pubmed-meshheading:16275186-Prospective Studies, pubmed-meshheading:16275186-Radiopharmaceuticals, pubmed-meshheading:16275186-Stents, pubmed-meshheading:16275186-Strontium Radioisotopes, pubmed-meshheading:16275186-Treatment Outcome, pubmed-meshheading:16275186-Yttrium Radioisotopes
pubmed:year
2005
pubmed:articleTitle
Three-year clinical follow-up after strontium-90/yttrium-90 beta-irradiation for the treatment of in-stent coronary restenosis.
pubmed:affiliation
Division of Cardiology, Department of Medicine, Medizinische Klinik und Poliklinik, University Hospital Campus Innenstadt, Munich, Germany.
pubmed:publicationType
Journal Article