EPA IN THE PREVENTION OF RESTENOSIS POST PTCA

被引:9
作者
BOWLES, MH [1 ]
KLONIS, D [1 ]
PLAVAC, TG [1 ]
GONZALES, B [1 ]
FRANCISCO, DA [1 ]
ROBERTS, RW [1 ]
BOXBERGER, GR [1 ]
POLINER, LR [1 ]
GALICHIA, JP [1 ]
机构
[1] WICHITA INST CLIN RES,WICHITA,KS
关键词
D O I
10.1177/000331979104200302
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The effect of fish oil on restenosis was evaluated in patients undergoing coronary balloon angioplasty. In addition to routine pharmacotherapy, subjects were given 2.8 g of eicosapentanoic acid (EPA) daily. Treatment was started within twenty-four hours after successful percutaneous transluminal coronary angioplasty (PTCA). After six months of therapy, participants were subjected to coronary arteriography, exercise scintigraphy, exercise electrocardiography, or clinical evaluation. Follow-up evaluation involved 97 coronary lesions in 85 patients. Partial or significant restenosis occurred in 36.5% of patients and 33% of vessels. The presence of severe stenosis before PTCA, dissection, thrombus, multilesion PTCA, and template bleeding time values were not correlated with restenosis. Dilation of the left anterior descending (LAD) and a residual stenosis greater-than-or-equal-to 35% were associated with restenosis. Approximately 20% of the patients related difficulty in taking the fish oil. Furthermore, these results show no advantage over expected restenosis rates.
引用
收藏
页码:187 / 194
页数:8
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