Long-term Clinical and Angiographic Results of Coronary Stenting in Diabetic Patients.
10.4070/kcj.2001.31.1.24
- Author:
Weon KIM
;
Myung Ho JEONG
;
Kye Hun KIM
;
Jong Cheol PARK
;
Sang Hyun LEE
;
Jae Young RUE
;
Kyung Tae KANG
;
Young Keun AHN
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chae KANG
- Publication Type:Original Article
- MeSH:
Follow-Up Studies;
Humans;
Jeollanam-do;
Mortality;
Percutaneous Coronary Intervention;
Phenobarbital;
Risk Factors;
Stents*
- From:Korean Circulation Journal
2001;31(1):24-30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Diabetes is a major risk factor for restenosis and high mortality after percutaneous coronary intervention. The impact of coronary stenting on the clinical outcome of diabetic patients remains controversial. METHOD: The in-hospital and long-term clinical outcomes of 104 consecutive diabetic (60+/-8 year-old, 74 male) and age-matched 193 control (57+/-10 year-old, 162 male) patents underwent coronary stenting between January 1998 and March 1999 at Chonnam National University Hospital were compared. RESULTS: 1) Coronary stenting was successful in 98% of diabetic patients and 97% of non-diabetic patients. Post-procedural minimal luminal diameter (MLD) was not different between two groups(2.89+/-0.42 vs. 2.95+/-0.62 mm), but follow-up MLD was lower in diabetics than that in non-diabetics (1.70+/-0.96 vs. 2.05+/-0.72 mm, P < 0.05). 2) Restenosis rate on follow-up coronary angiograpy was not different between two groups (40.7% in diabetics and 32.0% in non-diabetics. 3) In-hospital outcome was not different between two groups. Long-term clinical follow-up (16+/-11 months) revealed higher overall major adverse cardiac events in diabetics than in non-diabetics (38.7 vs. 30.7 %, P < 0.05). CONCLUSION: Coronary stenting in diabetics can be performed with acceptable short-term results. However, long-term clinical outcome in diabetic patients was worse than in non-diabetics.
