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Long-term outcome following successful reopening of abrupt closure after coronary angioplasty.

Publication ,  Journal Article
Tenaglia, AN; Fortin, DF; Frid, DJ; Gardner, LH; Nelson, CL; Tcheng, JE; Stack, RS; Califf, RM
Published in: Am J Cardiol
July 1, 1993

Abrupt closure after coronary angioplasty is often successfully treated by repeat dilation. Long-term follow-up, including 6-month repeat catheterization and 12-month clinical evaluation, was obtained in 1,056 patients treated with acute (n = 335) or elective (n = 721) coronary angioplasty to evaluate the long-term impact of successful reopening of abrupt closure. Abrupt closure occurred in 13.5% of patients and was successfully reopened in 58%. Adverse outcomes including restenosis, death, bypass surgery, myocardial infarction and repeat angioplasty were compared between patients with successfully treated abrupt closure and those with successful procedures (residual diameter stenosis < or = 50%) without abrupt closure. For patients with acute angioplasty, the restenosis rates (> 50% diameter stenosis at follow-up) were 64% for those with successfully treated abrupt closure versus 36% for those with successful procedures without abrupt closure (p < 0.01). In addition, subsequent myocardial infarction (12 vs 3%; p = 0.01) and repeat angioplasty (21 vs 10%; p = 0.03) were more frequent in the group with abrupt closure. For patients with elective angioplasty, restenosis was 43% in those with successfully treated abrupt closure versus 45% in those without abrupt closure (p = NS). Subsequent death and myocardial infarction were more frequent in patients with abrupt closure (death: 12 vs 3% [p < 0.01]; myocardial infarction: 13 vs 3% [p < 0.01]). Long-term adverse events are increased in patients with successfully treated abrupt closure compared to those with successful procedures without abrupt closure.

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

July 1, 1993

Volume

72

Issue

1

Start / End Page

21 / 25

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Recurrence
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Coronary Disease
  • Cardiovascular System & Hematology
  • Angioplasty, Balloon, Coronary
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tenaglia, A. N., Fortin, D. F., Frid, D. J., Gardner, L. H., Nelson, C. L., Tcheng, J. E., … Califf, R. M. (1993). Long-term outcome following successful reopening of abrupt closure after coronary angioplasty. Am J Cardiol, 72(1), 21–25. https://doi.org/10.1016/0002-9149(93)90212-u
Tenaglia, A. N., D. F. Fortin, D. J. Frid, L. H. Gardner, C. L. Nelson, J. E. Tcheng, R. S. Stack, and R. M. Califf. “Long-term outcome following successful reopening of abrupt closure after coronary angioplasty.Am J Cardiol 72, no. 1 (July 1, 1993): 21–25. https://doi.org/10.1016/0002-9149(93)90212-u.
Tenaglia AN, Fortin DF, Frid DJ, Gardner LH, Nelson CL, Tcheng JE, et al. Long-term outcome following successful reopening of abrupt closure after coronary angioplasty. Am J Cardiol. 1993 Jul 1;72(1):21–5.
Tenaglia, A. N., et al. “Long-term outcome following successful reopening of abrupt closure after coronary angioplasty.Am J Cardiol, vol. 72, no. 1, July 1993, pp. 21–25. Pubmed, doi:10.1016/0002-9149(93)90212-u.
Tenaglia AN, Fortin DF, Frid DJ, Gardner LH, Nelson CL, Tcheng JE, Stack RS, Califf RM. Long-term outcome following successful reopening of abrupt closure after coronary angioplasty. Am J Cardiol. 1993 Jul 1;72(1):21–25.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

July 1, 1993

Volume

72

Issue

1

Start / End Page

21 / 25

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Recurrence
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Coronary Disease
  • Cardiovascular System & Hematology
  • Angioplasty, Balloon, Coronary