Clinical impact of routine follow-up coronary angiography after second- or third-generation drug-eluting stent insertion in clinically stable patients.
10.3904/kjim.2015.30.1.49
- Author:
Seonghoon CHOI
1
;
Hee Sun MUN
;
Min Kyung KANG
;
Jung Rae CHO
;
Seong Woo HAN
;
Namho LEE
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. namholee@hallym.or.kr
- Publication Type:Original Article ; Observational Study
- Keywords:
Follow-up;
Coronary angiography;
Drug-eluting stents
- MeSH:
Aged;
*Coronary Angiography;
Coronary Artery Bypass;
Coronary Artery Disease/radiography/*therapy;
Coronary Restenosis/etiology/radiography/surgery;
Coronary Vessels/*radiography;
Disease Progression;
Disease-Free Survival;
*Drug-Eluting Stents;
Female;
Humans;
Kaplan-Meier Estimate;
Male;
Middle Aged;
Myocardial Infarction/etiology/radiography/surgery;
Patient Selection;
Percutaneous Coronary Intervention/adverse effects/*instrumentation;
Predictive Value of Tests;
Proportional Hazards Models;
Prosthesis Design;
Retrospective Studies;
Risk Factors;
Time Factors;
Treatment Outcome
- From:The Korean Journal of Internal Medicine
2015;30(1):49-55
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: In the bare-metal stent era, routine follow-up coronary angiography (RFU CAG) was used to ensure stent patency. With the advent of drug-eluting stents (DESs) with better safety and efficacy profiles, RFU CAG has been performed less often. There are few data on the clinical impact of RFU CAG after second- or third-generation DES implantation in clinically stable patients with coronary artery disease; the aim of this study was to examine this issue. METHODS: We analyzed clinical outcomes retrospectively of 259 patients who were event-free at 12-month after stent implantation and did not undergo RFU CAG (clinical follow-up group) and 364 patients who were event-free prior to RFU CAG (angiographic follow-up group). Baseline characteristics were compared between the groups. RESULTS: The Kaplan-Meier estimated total survival and major adverse cardiac event (MACE)-free survival did not differ between the groups (p = 0.100 and p = 0.461, respectively). The cumulative MACE rate was also not different between the groups (hazard ratio, 0.85; 95% confidence interval, 0.35 to 2.02). In the angiographic follow-up group, 8.8% revascularization was seen at RFU CAG. CONCLUSIONS: RFU CAG did not affect long-term clinical outcome after second- or third-generation DES implantation in clinically stable patients.
