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Contributions

Risk factors for recurrent stenosis following successful coronary angioplasty

Jay Hollman, MD, Kavita Badhwar, MA, Gerald J. Beck, PHD, Irving Franco, MD and Conrad Simpfendorfer, MD
Cleveland Clinic Journal of Medicine July 1989, 56 (5) 517-523;
Jay Hollman
Department of Cardiology, The Cleveland Clinic Foundation
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Kavita Badhwar
Department of Bio-statistics and Epidemiology, The Cleveland Clinic Foundation
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Gerald J. Beck
Department of Bio-statistics and Epidemiology, The Cleveland Clinic Foundation
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Irving Franco
Department of Cardiology, The Cleveland Clinic Foundation
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Conrad Simpfendorfer
Department of Cardiology, The Cleveland Clinic Foundation
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ABSTRACT

The major limitation of coronary angioplasty is recurrent stenosis. Patient, clinical, and procedural factors at the time of angioplasty were correlated with the presence or absence of angiographically documented recurrent stenosis or continued patency. Patients with single-vessel, multilesion disease had a lower incidence of recurrence than those with single-vessel, single-lesion disease (22.2% v 37.3%). Patients with multivessel disease had the highest rate of recurrent stenosis (45%). Sex and age did not predict recurrence. Patients with more severe symptoms, patients without prior myocardial infarction (MI), and insulin-dependent diabetic patients were more likely to have recurrent stenosis. Of the lesion variables, a severe stenosis or a low gradient before angioplasty, the absence of an intimal tear after angioplasty, and left anterior descending artery lesions correlated with a higher recurrence rate. Inflation times ≥30 seconds and a greater total number of inflations correlated with a higher recurrence rate. Multivariate analysis showed the following variables to be important predictors of recurrence: Canadian Heart Class, history of myocardial infarction, gradient before angioplasty, artery dilated, number of inflations, severity of stenosis before angioplasty, and insulin-dependent diabetes mellitus.

INDEX TERM
  • Angioplasty
  • Transluminal
  • Received July 1988.
  • Accepted November 1988.
  • Copyright © 1989 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 56 (5)
Cleveland Clinic Journal of Medicine
Vol. 56, Issue 5
1 Jul 1989
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Risk factors for recurrent stenosis following successful coronary angioplasty
Jay Hollman, Kavita Badhwar, Gerald J. Beck, Irving Franco, Conrad Simpfendorfer
Cleveland Clinic Journal of Medicine Jul 1989, 56 (5) 517-523;

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Risk factors for recurrent stenosis following successful coronary angioplasty
Jay Hollman, Kavita Badhwar, Gerald J. Beck, Irving Franco, Conrad Simpfendorfer
Cleveland Clinic Journal of Medicine Jul 1989, 56 (5) 517-523;
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Keywords

  • Angioplasty
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