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2. Predictors of long-term major adverse cardiac events and clinical restenosis following elective percutaneous coronary stenting.

Author

Cai Q, Skelding K, Armstrong A Jr, Desai D, Wood GC, and Blankenship J

Subjects
Angioplasty, Balloon, Coronary methods, Coronary Angiography, Coronary Restenosis diagnostic imaging, Coronary Restenosis etiology, Female, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Postoperative Complications, Prognosis, Retrospective Studies, Risk Factors, Time Factors, United States epidemiology, Angioplasty, Balloon, Coronary adverse effects, Coronary Restenosis epidemiology, Elective Surgical Procedures adverse effects, Stents
Abstract

Limited data exist regarding the predictors of long-term clinical outcomes following elective percutaneous coronary intervention (PCI) in the current era of stenting. The authors investigated the predictors of major adverse cardiac events (MACE) and clinical restenosis in 740 consecutive patients who underwent successful elective PCI with bare metal stents (BMSs) or drug-eluting stents (DESs). At 30-month follow-up, compared with BMS recipients, DES recipients had a significantly lower rate of MACE, which was mainly driven by a decreased repeat target vessel PCI. The rate of 30-month clinical restenosis was significantly lower in DES recipients. The authors conclude that baseline clinical, angiographic, and procedural characteristics determine long-term MACE and clinical restenosis after elective PCI, with DES being the independent predictor for both.

Published
2009
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