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Transluminale koronare Angioplastik: Parameter eines erhöhten Rezidivrisikos

  • Conference paper
Interventional Cardiology Frankfurt 1989

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Summary

Data about the primary success and complication rates following transluminal coronary angioplasty are comparable worldwide. Reports on the frequency of recurrences, however, differ considerably. Data concerning factors enhancing the risk of restenosis are contradictory.

We compared a group of 62 patients with angiographically confirmed restenosis with a group of 62 patients without restenosis. There were no significant differences with regard to age, sex, onset of symptoms and severity of angina pectoris, number of previous infarctions, incidence of multivessel disease, maximum size of the balloon catheters used and primary dilatation results.

The following factors were significantly associated with the occurrence of restenosis: high-grade stenoses prior to dilatation, stenoses involving long segments of coronary arteries, eccentric stenoses, the necessity to apply high balloon pressures, long duration of balloon inflation, and also the patient being overweight, a nonsmoker and having undergone an alteration in continuous treatment.

Zusammenfassung

Während die Akuterfolgs- und Komplikationsraten nach transluminaler koronarer An-gioplastik weltweit vergleichbar sind, differieren die Angaben zur Rezidivhäufigkeit erheblich. Angaben über Faktoren, die ein erhöhtes Rezidivrisiko anzeigen können, sind widersprüchlich.

Einer Gruppe von 62 Patienten mit angiographisch gesichertem Rezidiv wurden 62 Patienten ohne Rezidiv gegenübergestellt. Beide Gruppen zeigten keine signifikanten Unterschiede bezüglich Alter, Geschlecht, Angina-pectoris-Dauer und -Schweregrad, Anzahl der zuvor abgelaufenen Infarkte, Anteil der Mehrgefäßerkrankungen sowie bezüglich der maximalen Größe der verwendeten Ballonkatheter und des akut erreichten Dilatationsergebnisses.

Mit dem Auftreten von Rezidiven waren verbunden hochgradige Stenosen vor Dilatation, langstreckige Stenosen, exzentrische Stenosen, höhere erforderliche Bal-londrücke, längere Baiioninflationszeiten sowie Übergewicht, primäres Nichtrauchen und das Absetzen bzw. eine Änderung der medikamentösen Therapie.

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Authors and Affiliations

  1. Abteilung für Kardiologie, Zentrum der Inneren Medizin, Universitätsklinikum, Theodor-Stern-Kai, 6000, Frankfurt/Main, Germany

    Dr. med. C. Vallbracht

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  1. Dr. med. C. Vallbracht
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  2. H. Klepzig Jr.
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  3. A. Giesecke
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  4. M. Kaltenbach
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  5. G. Kober
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  1. Zentrum der Inneren Medizin, Abteilung für Kardiologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, D-6000, Frankfurt, Germany

    Martin Kaltenbach  & Christian Vallbracht  & 

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© 1989 Springer-Verlag Berlin Heidelberg

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Vallbracht, C., Klepzig, H., Giesecke, A., Kaltenbach, M., Kober, G. (1989). Transluminale koronare Angioplastik: Parameter eines erhöhten Rezidivrisikos. In: Kaltenbach, M., Vallbracht, C. (eds) Interventional Cardiology Frankfurt 1989. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75084-7_9

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  • DOI: https://doi.org/10.1007/978-3-642-75084-7_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51717-7

  • Online ISBN: 978-3-642-75084-7

  • eBook Packages: Springer Book Archive

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