Skip Navigation

European Heart Journal 1989 10(Supplement H):49-51; doi:10.1093/eurheartj/10.suppl_H.49
Copyright © 1989 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Bonnier, H.
Right arrow Articles by El Gamal, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bonnier, H.
Right arrow Articles by El Gamal, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1989 The European Society of Cardiology

Long-term follow-up of 100 patients with left anterior descending artery lesions treated with percutaneous transluminal coronary angioplasty

H. Bonnier, P. Bronzwaer, R. Michels and M. El Gamal

Catharina Hospital, Eindhoven The Netherlands

Address for correspondence: H. Bonnier M.D., Catharina Hospital, Post box 1350, 5602 ZA Eindhoven, The Netherlands

In order to analyse late outcome, we reviewed the data on the first 100 patients who underwent percutaneous transluminal coronary angioplasty (PTCA) of the left anterior descending artery (LAD) in our institution. Their ages ranged between 40·0 and 82·3 years (mean 66·6, males 75%, females 25%). All patients were treated with the non-steer able system between September 1980 and February 1983, and followed up for 6·2–9·6 years (mean 8·5 years).

The primary success rate was 73%. We were unable to cross the lesion in 19%, and 8% of the patients required emergency bypass surgery because of acute occlusion or dissection. Elective bypass surgery was required in 18% of the patients. The clinical restenosis rate was 22%. Risk factors in this patient group were: smoking 66%; hypertension 37%; elevated serum cholesterol 32% and diabetes mellitus in 7%. After an initially successful PTCA, 12 out of 73 patients required a second PTCA of the same vessel because of restenosis and three, PTCA of a new lesion in another vessel because of recurrence of angina. Fifty-four patients were asymptomatic during the follow-up period of 8·5 years. Ninety-four of the 100 patients are still alive.

Canadian Heart Association anginal classification of the study group was: class 0: 80 patients; class 1:11 patients; class II: three patients; class III and IV: no patient. Six patients died, there were four non-cardiac deaths because of cancer; one patient died 24 h after a myocardial infarction as a result of cardiogenic shock and ventricular septal rupture and one died suddenly 6 years after the initial PTCA.

Thus, PTCA of the LAD is a safe procedure with excellent long-term results during an average 8·5 years' follow-up. More than half of the patients are totally asymptomatic after the initial PTCA.

Key Words: Percutaneous transluminal coronary angioplasty • long-term follow-up • left anterior descending artery


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.