Randomized study to compare balloon angioplasty and elective stent implantation in venous bypass grafts:: The venestent study

被引：35

作者：

Hanekamp, CEE

Koolen, JJ

den Heijer, P

Schalij, MJ

Piek, JJ

Bär, FWHM

De Scheerder, I

Bonnier, HJRM

Pijls, NHJ

机构：

[1] Catharina Hosp Eindhoven, Dept Cardiol, NL-5602 ZA Eindhoven, Netherlands

[2] Thoraxctr, Dept Cardiol, Breda, Netherlands

[3] Leiden Univ, Ctr Med, Dept Cardiol, Leiden, Netherlands

[4] Univ Amsterdam, Acad Med Ctr, Dept Cardiol, NL-1105 AZ Amsterdam, Netherlands

[5] Acad Hosp Maastricht, Dept Cardiol, Maastricht, Netherlands

[6] Katholieke Univ Leuven Hosp, Dept Cardiol, B-3000 Louvain, Belgium

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2003年 / 60卷 / 04期

关键词：

restenosis; stent; angioplasty;

D O I：

10.1002/ccd.10692

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The aim of the study was to compare acute and long-term angiographic and clinical outcome of balloon angioplasty and elective stenting in de novo lesions in the body of a saphenous vein graft (SVG). A total of 150 patients, with de novo lesions in SVG, were randomly assigned to balloon angioplasty or elective Wiktor I stent implantation. The angiographic restenosis rate at 6-month follow-up was 32.8% in the balloon group and 19.1 % in the stent group (P = 0.069). At 1-year follow-up, target vessel revascularization rate was 31.4% vs. 14.5% (P < 0.05), and event-free survival was 60.0% vs. 76.3% (P < 0.05) for the balloon and stent group, respectively. Elective stent implantation in de novo SVG lesions is associated with a significant lower target vessel revascularization rate and a significant higher event-free survival at 1-year follow-up as compared to balloon angioplasty. (C) 2003 Wiley-Liss, Inc.

引用

页码：452 / 457

页数：6

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