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 (US)
Pages (from-to)315-322
Number of pages8
JournalJournal of Interventional Cardiology
Volume13
Issue number5
DOIs
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Huay-Cheem, T. A. N., Crowley, J., Tcheng, J. E., Li-Wah, S. N. G., Sketch, M. H., Phillips, H. R., Peter, R. H., Behar, V. S., Stack, R. S., & Zidar, J. P. (2000). Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up. Journal of Interventional Cardiology, 13(5), 315-322. https://doi.org/10.1111/j.1540-8183.2000.tb00309.x