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Clinical outcomes following stent implantation in internal mammary artery grafts
Author(s) -
Sharma Arvind K.,
McGlynn Scott,
Apple Sue,
Pinnow Ellen,
Canos Daniel A.,
Gevorkian Natalie,
Tebeica Mihaela,
Gruberg Luis,
Pichard Augusto D.,
Lindsay Joseph
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10580
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , revascularization , angioplasty , cardiology , myocardial infarction , stent , percutaneous , anastomosis , surgery , radiology
We evaluated our experience with percutaneous coronary intervention (PCI) of internal mammary artery (IMA) grafts. From the institution's database we identified 288 patients with 311 IMA lesions. Of these, 82 (26.4%) had stents placed during PCI. Angiographic success was 92%. Mortality at 1 month was 1.7%, myocardial infarction (MI) 15.7%, and target lesion revascularization (TLR) 0.4%. Cumulative 1‐year event rates were mortality 6.4%, MI 20.4%, and TLR 8.0%. TLR rates were significantly higher in the stented lesions than lesions treated with angioplasty alone (19.2% vs. 4.9%; P = 0.004). The higher TLR rate in stented lesions was most apparent at the anastomotic site (25.0% vs. 4.2%; P = 0.006). Percutaneous revascularization of IMA grafts can be performed safely with high procedural success and excellent short‐ and long‐term results. Stenting, particularly at the anastomotic site, was associated with significantly greater rates of TLR than angioplasty alone. Cathet Cardiovasc Intervent 2003;59:436–441. © 2003 Wiley‐Liss, Inc.