Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up

T. A N Huay-Cheem, James Crowley, James E. Tcheng, S. N G Li-Wah, Michael H. Sketch, Harry R. Phillips, Robert H. Peter, Victor S. Behar, Richard S. Stack, James P. Zidar

Research output: Contribution to journalArticle

Abstract

To identify predictors of Palmaz-Schatz in-stent restenosis and determine outcomes of treatment, we assessed 6-month outcomes in 402 patients who had coronary intervention with stent placement; 60 (15%) developed angiographic and clinical evidence of restenosis. Predictors of restenosis included family history of cardiovascular disease, prior bypass surgery, nonelective stenting, stenting of a vein graft, and multiple stents. Of 60 patients with stent restenosis, 47 had repeat percutaneous intervention and 10 had bypass surgery; only 1 of these 10 patients developed symptoms requiring repeat revascularization. Of the 47 with repeat percutaneous intervention, 32 (68%) had conventional balloon angioplasty; the others had perfusion balloon catheters, laser ablation, and repeat coronary stenting. During follow-up, 22 (47%) of these 47 patients suffered recurrent angina, myocardial infarction, or death. A third revascularization procedure was performed in 14 (30%), including 5 referred for bypass. This study shows the limitations of percutaneous modalities for patients with Palmaz-Schatz in-stent restenosis. Such patients are likely to have recurrent symptoms and to undergo repeat target-vessel revascularization.

Original languageEnglish
Pages (from-to)315-322
Number of pages8
JournalJournal of Interventional Cardiology
Volume13
Issue number5
StatePublished - Nov 9 2000
Externally publishedYes

Fingerprint

Stents
Therapeutics
Balloon Angioplasty
Catheter Ablation
Laser Therapy
Veins
Cardiovascular Diseases
Perfusion
Myocardial Infarction
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Huay-Cheem, T. A. N., Crowley, J., Tcheng, J. E., Li-Wah, S. N. G., Sketch, M. H., Phillips, H. R., ... Zidar, J. P. (2000). Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up. Journal of Interventional Cardiology, 13(5), 315-322.

Treatment of Palmaz-Schatz in-stent restenosis : 6-Month clinical follow-up. / Huay-Cheem, T. A N; Crowley, James; Tcheng, James E.; Li-Wah, S. N G; Sketch, Michael H.; Phillips, Harry R.; Peter, Robert H.; Behar, Victor S.; Stack, Richard S.; Zidar, James P.

In: Journal of Interventional Cardiology, Vol. 13, No. 5, 09.11.2000, p. 315-322.

Research output: Contribution to journalArticle

Huay-Cheem, TAN, Crowley, J, Tcheng, JE, Li-Wah, SNG, Sketch, MH, Phillips, HR, Peter, RH, Behar, VS, Stack, RS & Zidar, JP 2000, 'Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up', Journal of Interventional Cardiology, vol. 13, no. 5, pp. 315-322.
Huay-Cheem TAN, Crowley J, Tcheng JE, Li-Wah SNG, Sketch MH, Phillips HR et al. Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up. Journal of Interventional Cardiology. 2000 Nov 9;13(5):315-322.
Huay-Cheem, T. A N ; Crowley, James ; Tcheng, James E. ; Li-Wah, S. N G ; Sketch, Michael H. ; Phillips, Harry R. ; Peter, Robert H. ; Behar, Victor S. ; Stack, Richard S. ; Zidar, James P. / Treatment of Palmaz-Schatz in-stent restenosis : 6-Month clinical follow-up. In: Journal of Interventional Cardiology. 2000 ; Vol. 13, No. 5. pp. 315-322.
@article{27734f9f085b4a5bb1052c67670df151,
title = "Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up",
abstract = "To identify predictors of Palmaz-Schatz in-stent restenosis and determine outcomes of treatment, we assessed 6-month outcomes in 402 patients who had coronary intervention with stent placement; 60 (15{\%}) developed angiographic and clinical evidence of restenosis. Predictors of restenosis included family history of cardiovascular disease, prior bypass surgery, nonelective stenting, stenting of a vein graft, and multiple stents. Of 60 patients with stent restenosis, 47 had repeat percutaneous intervention and 10 had bypass surgery; only 1 of these 10 patients developed symptoms requiring repeat revascularization. Of the 47 with repeat percutaneous intervention, 32 (68{\%}) had conventional balloon angioplasty; the others had perfusion balloon catheters, laser ablation, and repeat coronary stenting. During follow-up, 22 (47{\%}) of these 47 patients suffered recurrent angina, myocardial infarction, or death. A third revascularization procedure was performed in 14 (30{\%}), including 5 referred for bypass. This study shows the limitations of percutaneous modalities for patients with Palmaz-Schatz in-stent restenosis. Such patients are likely to have recurrent symptoms and to undergo repeat target-vessel revascularization.",
author = "Huay-Cheem, {T. A N} and James Crowley and Tcheng, {James E.} and Li-Wah, {S. N G} and Sketch, {Michael H.} and Phillips, {Harry R.} and Peter, {Robert H.} and Behar, {Victor S.} and Stack, {Richard S.} and Zidar, {James P.}",
year = "2000",
month = "11",
day = "9",
language = "English",
volume = "13",
pages = "315--322",
journal = "Journal of Interventional Cardiology",
issn = "0896-4327",
publisher = "Wiley-Blackwell",
number = "5",

}

TY - JOUR

T1 - Treatment of Palmaz-Schatz in-stent restenosis

T2 - 6-Month clinical follow-up

AU - Huay-Cheem, T. A N

AU - Crowley, James

AU - Tcheng, James E.

AU - Li-Wah, S. N G

AU - Sketch, Michael H.

AU - Phillips, Harry R.

AU - Peter, Robert H.

AU - Behar, Victor S.

AU - Stack, Richard S.

AU - Zidar, James P.

PY - 2000/11/9

Y1 - 2000/11/9

N2 - To identify predictors of Palmaz-Schatz in-stent restenosis and determine outcomes of treatment, we assessed 6-month outcomes in 402 patients who had coronary intervention with stent placement; 60 (15%) developed angiographic and clinical evidence of restenosis. Predictors of restenosis included family history of cardiovascular disease, prior bypass surgery, nonelective stenting, stenting of a vein graft, and multiple stents. Of 60 patients with stent restenosis, 47 had repeat percutaneous intervention and 10 had bypass surgery; only 1 of these 10 patients developed symptoms requiring repeat revascularization. Of the 47 with repeat percutaneous intervention, 32 (68%) had conventional balloon angioplasty; the others had perfusion balloon catheters, laser ablation, and repeat coronary stenting. During follow-up, 22 (47%) of these 47 patients suffered recurrent angina, myocardial infarction, or death. A third revascularization procedure was performed in 14 (30%), including 5 referred for bypass. This study shows the limitations of percutaneous modalities for patients with Palmaz-Schatz in-stent restenosis. Such patients are likely to have recurrent symptoms and to undergo repeat target-vessel revascularization.

AB - To identify predictors of Palmaz-Schatz in-stent restenosis and determine outcomes of treatment, we assessed 6-month outcomes in 402 patients who had coronary intervention with stent placement; 60 (15%) developed angiographic and clinical evidence of restenosis. Predictors of restenosis included family history of cardiovascular disease, prior bypass surgery, nonelective stenting, stenting of a vein graft, and multiple stents. Of 60 patients with stent restenosis, 47 had repeat percutaneous intervention and 10 had bypass surgery; only 1 of these 10 patients developed symptoms requiring repeat revascularization. Of the 47 with repeat percutaneous intervention, 32 (68%) had conventional balloon angioplasty; the others had perfusion balloon catheters, laser ablation, and repeat coronary stenting. During follow-up, 22 (47%) of these 47 patients suffered recurrent angina, myocardial infarction, or death. A third revascularization procedure was performed in 14 (30%), including 5 referred for bypass. This study shows the limitations of percutaneous modalities for patients with Palmaz-Schatz in-stent restenosis. Such patients are likely to have recurrent symptoms and to undergo repeat target-vessel revascularization.

UR - http://www.scopus.com/inward/record.url?scp=0033753583&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033753583&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0033753583

VL - 13

SP - 315

EP - 322

JO - Journal of Interventional Cardiology

JF - Journal of Interventional Cardiology

SN - 0896-4327

IS - 5

ER -