Summary
In order to determine the changes in stenotic lesions following coronary angioplasty, detailed quantitative angiographie measurements were performed in 254 patients (292 lesions) immediately post-angioplasty and then at one of three predetermined follow-up times, at 30, 60 or 90 days. The absolute changes in mm of the minimal lumen diameter were compared for the three groups, and a relatively high follow-up rate of 88% was achieved. In the groups of patients followed-up at 30 and 60 days, the response was variable with 6% of the lesions showing a significant improvement in both groups and 1% and 12% respectively, showing a deterioration. At 90 days no lesions were seen to improve with 23% deteriorating.
Early following angioplasty lesions exhibit a variable response with more improving than deteriorating. At 60 days the restenosis process is evident, with the number of lesions deteriorating almost doubling between 60 days and 90 days.
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References
DeRouen TA, Murray JA, Owen W: Variability in the analysis of coronary arteriograms. Circulation 55: 324–328, 1977.
Detre KM, Wright E, Murphy ML, Takaro T: Observer agreement in evaluating coronary angiograms. Circulation 52: 979–986, 1975.
Zir LM, Miller SW, Dinsmore RE, Gilbert JP, Harthorne JW: Interobserver variability in coronary angiography. Circulation 53: 627–632, 1976.
Scoblionko DP, Brown BG, Mitten S, Caldwell JH, Kennedy JW, Bolton EL, Dodge HT: A new digital electronic caliper for measurement of coronary arterial stenosis: comparison with visual estimates and computer-assisted measureTnents. Am J Cardiol 53: 689–693, 1984.
Sanz ML, Mancini GBJ, LeFree MT, Mickelson JK, Starling MR, Vogel RA, Topol EJ: Variability of quantitative digital subtraction coronary angiography before and after percutaneous transluminal coronary angioplasty. Am J Cardiol 60: 55–60, 1987.
Feyter PJ de, Serruys PW, Brand M van den, Balakumaran K, Mochtar B, Soward AL, Arnold AER, Hugenholtz PG: Emergency coronary angioplasty in refractory unstable angina. N Engl J Med 313: 342–346, 1985.
Blackburn H: Electrocardiographic classification for population comparisons. The Minnesota code. J Electrocardiol 2: 5–10, 1969.
Reiber JHC, Serruys PW, Kooijman CJ, Wijns W, Slager CJ, Gerbrands JJ, Schuurbiers JCH, Boer A den, Hugenholtz PG: Assessment of short-, medium-, and long-term variations in arterial dimensions from computer-assisted quantitation of coronary cineangiograms. Circulation 71: 280–288, 1985.
Reiber JHC, Serruys PW, Kooijman CJ, Slager CJ, Schuurbiers JCH, Boer A den: Approaches toward standardization in acquisition and quantitation of arterial dimensions from cineangiograms. In: Reiber JHC, Serruys PW, (eds.). State of the art in quantitative coronary arteriography. Martinus Nijhoff Publishers, Dordrecht/Boston/Lancaster, 1986: 145–172.
Wijns W, Serruys PW, Reiber JHC, Brand M van den, Simoons ML, Kooijman CJ, Balakumaran K, Hugenholtz PG: Quantitative angiography of the left anterior descending coronary artery: correlations with pressure gradient and results of exercise thallium scintigraphy. Circulation 71: 273–279, 1985.
Kooijman CJ, Reiber JHC, Gerbrands JJ, Schuurbiers JCH, Slager CJ, Boer A den, Serruys PW: Computer-aided quantitation of the severity of coronary obstructions from single view cineangiograms. First IEEE Comp Soc Int Symp on Medical Imaging and Image Interpretation, IEEE Cat No. 82 CH 1804–4, 1982, pp 59–64.
Reiber JHC, Serruys PW, Slager CJ: Quantitative coronary and left ventricular cineangiography; methodology and clinical applications. Martinus Nijhoff Publishers, Boston/ Dordrecht/Lancaster, 1986.
Kaltenbach M, Kober G, Scherer D, Vallbracht C: Recurrence rate after successful coronary angioplasty. Eur Heart J 6: 276–281, 1985.
Leimgruber PP, Roubin GS, Hollman J, Cotsonis GA, Meier B, Douglas JS, King III SB, Gruentzig AR: Restenosis after successful coronary angioplasty in patients with single-vessel disease. Circulation 73: 710–717, 1986.
Holmes Jr DR, Vlietstra RE, Smith HC, Vetrovec GW, Kent KM, Cowley MJ, Faxon DP, Gruentzig AR, Kelsey SF; Detre KM, Raden MJ van, Mock MB: Restenosis after percutaneous transluminal coronary angioplasty (PTCA): A report from the PTCA Registry of the National Heart, Lung, and Blood Institute. Am J Cardiol 53: 77C - 81C, 1984.
Johnson MR, Brayden GP, Ericksen EE, Collins SM, Skorton DJ, Harrison DG, Marcus ML, White CW Changes in cross-sectional area of the coronary lumen in the six months after angioplasty: a quantitative analysis of the variable response to percutaneous transluminal`angioplasty. Circulation 73: 467–475, 1986.
Levine S, Ewels CJ, Rosing DR, Kent KM: Coronary angioplasty: clinical and angiographic follow-up. Am J Cardiol 55: 673–676, 1985.
Legrand V, Aueron FM, Bates ER, O’Neill WW, Hodgson JMcB, Mancini GBJ, Vogel RA: Value of exercise radionuclide ventriculography and thallium-201 scintigraphy in evaluating successful coronary angioplasty: comparison with coronary flow reserve, translesional gradient and percent diameter stenosis. Eur Heart J 8: 329–339, 1987.
Kramer JR, Kitazuma H, Proudfit WL, Matsucha Y, Williams GW, Sones FM: Progession and regression of coronary atherosclerosis: Relation to risk factors. Am Heart J 105: 134–144, 1983.
Bruschke AVG, Wijers TS, Kolsters W, Landmann J: The anatomic evolution of coronary artery disease demonstrated by coronary arteriography in 256 nonoperated patients. Circulation 63: 527–536, 1981.
Kramer JR, Matsuda Y, Mulligan JC, Aronow M, Proudfit WL: Progression of coronary atherosclerosis. Circulation 63: 519–526, 1981.
Shub C, Vlietstra RE, Smith HC, Fulton RE, Elveback LR. The unpredictable progression of symptomatic coronary artery disease. A serial clinical-angiographic analysis. Mayo Clin Proc 56: 155–160, 1981.
Steele PM, Chesebro JH, Stanson AW, Holmes Jr DR, Dewanjee MK, Badimon L, Fuster V: Balloon angioplasty. Natural history of the pathophysiological response to injury in a pig model. Circ Res 57: 105–112, 1985.
Essed CE, Brand M van den, Becker AE: Transluminal coronary angioplast and early restenosis: fibrocellular occlusion after wall laceration. Br Heart J 49: 393–396, 1983.
Waller BF, McManus BM, Gorfinkel HJ, Kishel JC, Schmidt ECH, Kent KM, Roberts WC: Status of the major epicardial coronary arteries 80 to 150 days after percutaneous transluminal coronary angioplasty. Analysis of 3 necropsy patients. Am J Cardiol 51: 8184, 1983.
Austin GE, Ratliff NB, Hollman J, Tabei S, Philips DF: Intimal proliferation of smooth muscle cells as an explanation for recurrent coronary artery stenosis after percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 6: 369–375, 1985.
Hollman J, Austin GE, Gruentzig AR, Douglas Jr JS, King III SB: Coronary artery spasm at the site of angioplasty in the first 2 months after successful percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 2: 1039–1045, 1983.
Waller BF, Rothbaum DA, Gorfinkel HJ, Ulbright TM, Linnemeier TJ, Berger SM: Morphologic observations after percutaneous transluminal balloon angioplasty of early and late aortocoronary saphenous vein bypass grafts. J Am Coll Cardiol 4: 784–792, 1984.
Waller BF, Pinkerton CA, Foster LN: Morphologic evidence of accelerated left main coronary artery stenosis: a late complication of percutaneous transluminal balloon angioplasty of the proximal left anterior descending coronary artery. J Am Coll Cardiol 9: 1019–1023, 1987.
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Beatt, K.J., Luijten, H.E., Reiber, J.H.C., Serruys, P.W. (1988). Early regression and late progression in coronary artery lesions in the first 3 months following coronary angioplasty. In: Reiber, J.H.C., Serruys, P.W. (eds) New Developments in Quantitative Coronary Arteriography. Developments in Cardiovascular Medicine, vol 87. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1309-7_11
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DOI: https://doi.org/10.1007/978-94-009-1309-7_11
Publisher Name: Springer, Dordrecht
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