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Outcome Following Percutaneous Transluminal Coronary Angioplasty Performed Before 1990

Outcome Following Percutaneous Transluminal Coronary Angioplasty Performed Before 1990 The goal of this follow‐up study was to assess the long‐term survival of all patients having undergone a first PTCA between 1981 and 1990 and to relate the outcome to the baseline clinical and angiographic state. Although PTCA has become a widely accepted therapeutic choice for revascularization, the authors lacked information on long‐term outcome. Data was collected by questionnaire, the end points being a second PTCA, MI, CABG, death or any of these events. The survival curves were constructed using the Kaplan‐Meier method. Multivariate analysis was performed by a Cox proportional hazards model. Complete follow‐up data were collected for 1,071 patients for a mean period of 7.4 years (SEM ± 1.98 months) with a range of 0 to 14 years. Mean age was 57 years. PTCA was successful in 85% of patients. In‐hospital event rates were death 1.3%, MI 4.4 %, and emergency CABG 2.9%. Overall survival at 14 years was 69% (SEM ± 9.6%) and event‐free survival was 47% (SEM ± 5.8%). MI rate was 11%, CABG 15%, and 20% of patients underwent repeat PTCA. Presence of cardiovascular risk factors, poor left ventricular ejection fraction, and prior CABG were significantly associated with poorer event‐free survival. The short‐term observations are consistent with results reported by the other follow‐up studies. In addition, the study found a total survival rate 14 years after a first PTCA of 69% and 47% of the cohort remained event free. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiology Wiley

Outcome Following Percutaneous Transluminal Coronary Angioplasty Performed Before 1990

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References (22)

Publisher
Wiley
Copyright
Copyright © 2002 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0896-4327
eISSN
1540-8183
DOI
10.1111/j.1540-8183.2002.tb01068.x
Publisher site
See Article on Publisher Site

Abstract

The goal of this follow‐up study was to assess the long‐term survival of all patients having undergone a first PTCA between 1981 and 1990 and to relate the outcome to the baseline clinical and angiographic state. Although PTCA has become a widely accepted therapeutic choice for revascularization, the authors lacked information on long‐term outcome. Data was collected by questionnaire, the end points being a second PTCA, MI, CABG, death or any of these events. The survival curves were constructed using the Kaplan‐Meier method. Multivariate analysis was performed by a Cox proportional hazards model. Complete follow‐up data were collected for 1,071 patients for a mean period of 7.4 years (SEM ± 1.98 months) with a range of 0 to 14 years. Mean age was 57 years. PTCA was successful in 85% of patients. In‐hospital event rates were death 1.3%, MI 4.4 %, and emergency CABG 2.9%. Overall survival at 14 years was 69% (SEM ± 9.6%) and event‐free survival was 47% (SEM ± 5.8%). MI rate was 11%, CABG 15%, and 20% of patients underwent repeat PTCA. Presence of cardiovascular risk factors, poor left ventricular ejection fraction, and prior CABG were significantly associated with poorer event‐free survival. The short‐term observations are consistent with results reported by the other follow‐up studies. In addition, the study found a total survival rate 14 years after a first PTCA of 69% and 47% of the cohort remained event free.

Journal

Journal of Interventional Cardiology – Wiley

Published: Oct 1, 2002

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