Copyright © 1989 by the European Society of Cardiology.
© 1989 The European Society of Cardiology
Results of repeat angiography up to eight years following percutaneous transluminal angioplasty
Department of Cardiology, Center of Internal Medicine, Frankfurt Universily Hospital West Germany
Address for correspondence: Prof. Drmed. G. Kober, Abteilung für Kardiologie, Zentrum der Inneren Medizin, Klinikum der J. W. Goethe Universität, Theodor-Stern-Kai 7, D-6000 Frankfurt am Main 70, Federal Republic of Germany
Percutaneous transluminal coronary angioplasty (PTCA) has become a widely accepted procedure that provides acute and medium-term relief of anginal symptoms and myocardial ischaemia.
The acute success rate has risen from about 50% in the early days to approximately 90% in recent years. Serial repeat angiograms obtained in different patient groups have shown a 20% incidence of angiographically defined restenoses in patients who had been successfully treated initially. Despite the restenosis, many of these patients were symptomatically improved since the lesions shown at follow-up angiography were often less severe than those that had existed prior to original PTCA.
These figures suggest that a success rate of 80% at 1 year should now be a realistic expectation, especially when patients with repeat PTCA are included.
None of the 87 patients re-angiographed between 2 and 8 years after successful PTCA developed restenosis after the first year of treatment. However, new stenoses of 50% or more were found in other vessel segments, in both symptomatic and asymptomatic patients, at a rate of about 7% per year.
Key Words: Coronary angioplasty recurrence rate new stenoses long-term follow-up angiography