Midterm angiographic outcome of single-vessel intracoronary stent placement in diabetic versus nondiabetic patients: A matched comparative study
Background It remains controversial whether diabetes is associated with an increased risk of restenosis after intracoronary stenting. Methods and Results We selected 42 diabetic patients and an equal number of nondiabetic patients with follow-up angiographic restudy after single-vessel stenting, mat...
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| Veröffentlicht in: | The American heart journal 1998-07, Vol.136 (1), p.150-155 |
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| creator | Lau, Kean-Wah Ding, Zee-Pin Johan, Abdullah Lim, Yean-Leng |
| description | Background It remains controversial whether diabetes is associated with an increased risk of restenosis after intracoronary stenting.
Methods and Results We selected 42 diabetic patients and an equal number of nondiabetic patients with follow-up angiographic restudy after single-vessel stenting, matched for 4 important stent-related and angiographic variables (stent design, reference vessel size and expanded stent diameter, coronary vessel treated, and poststent residual diameter stenosis). The 2 patient groups did not differ in their baseline lesion severity and acute luminal gain. At 5-month angiographic assessment, the observed in-stent restenosis rate was significantly higher in diabetic than nondiabetic patients (40.5% vs 16.7%,
P = 0.0157). It was highest in diabetic patients who received small stents |
| doi_str_mv | 10.1016/S0002-8703(98)70195-4 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_80008867</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002870398701954</els_id><sourcerecordid>80008867</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-b64143b702346cea588ccfb6536388ff7341833a26e8e79238f797a0147bf94b3</originalsourceid><addsrcrecordid>eNqFkctu1DAUhi0EKkPhESp5gRAsQp3Y8YUNqqpykVqxANaW4xxPjRI72M5IfYs-Mp7OaLasfPm_8x_7PwhdtORjS1p--ZMQ0jVSEPpeyQ-CtKpv2DO0aYkSDReMPUebE_ISvcr5Tz3yTvIzdKY47zvabdDjnR8LpBmbsPVxm8xy7y2Oa7FxBhwdzj5sJ2h2kDNM2IeSjI0pBpMecC4QCl4mY2He73zAozcDlGqxg5TXjEMMp6vFFF-x_Alf4dkUew8jrm0Wk6qwg2q3jg-v0Qtnpgxvjus5-v3l5tf1t-b2x9fv11e3jaVSlWbgrGV0EKSjjFswvZTWuoH3lFMpnROUtZJS03GQIFRHpRNKGNIyMTjFBnqO3h18lxT_rpCLnn22ME0mQFyzljUsKbmoYH8AbYo5J3B6SX6u39ct0ftJ6KdJ6H3MWkn9NAnNat3FscE6zDCeqo7RV_3tUTfZmsklE6zPJ6yjVDHSV-zzAYMaxs5D0tnWFC2MPoEteoz-Pw_5B_uBqAg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>80008867</pqid></control><display><type>article</type><title>Midterm angiographic outcome of single-vessel intracoronary stent placement in diabetic versus nondiabetic patients: A matched comparative study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Lau, Kean-Wah ; Ding, Zee-Pin ; Johan, Abdullah ; Lim, Yean-Leng</creator><creatorcontrib>Lau, Kean-Wah ; Ding, Zee-Pin ; Johan, Abdullah ; Lim, Yean-Leng</creatorcontrib><description>Background It remains controversial whether diabetes is associated with an increased risk of restenosis after intracoronary stenting.
Methods and Results We selected 42 diabetic patients and an equal number of nondiabetic patients with follow-up angiographic restudy after single-vessel stenting, matched for 4 important stent-related and angiographic variables (stent design, reference vessel size and expanded stent diameter, coronary vessel treated, and poststent residual diameter stenosis). The 2 patient groups did not differ in their baseline lesion severity and acute luminal gain. At 5-month angiographic assessment, the observed in-stent restenosis rate was significantly higher in diabetic than nondiabetic patients (40.5% vs 16.7%,
P = 0.0157). It was highest in diabetic patients who received small stents <3.0 mm in diameter and intermediate in diabetic patients who received larger stent sizes (55% vs 27%,
P = 0.0675). The frequency of restenosis in nondiabetic patients, however, was low; it was 18% and 15% in those who received small stents and larger stents, respectively (
P = 0.7823).
Conclusions Our data suggest that diabetes predisposes to an increased risk of in-stent restenosis, particularly in small vessels. (Am Heart J 1998;136:150-5.)</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/S0002-8703(98)70195-4</identifier><identifier>PMID: 9665232</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biological and medical sciences ; Coronary Angiography ; Diabetes Complications ; Diseases of the cardiovascular system ; Follow-Up Studies ; Humans ; Medical sciences ; Middle Aged ; Myocardial Ischemia - complications ; Myocardial Ischemia - diagnostic imaging ; Myocardial Ischemia - surgery ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recurrence ; Retrospective Studies ; Risk Factors ; Stents ; Treatment Outcome</subject><ispartof>The American heart journal, 1998-07, Vol.136 (1), p.150-155</ispartof><rights>1998 Mosby, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-b64143b702346cea588ccfb6536388ff7341833a26e8e79238f797a0147bf94b3</citedby><cites>FETCH-LOGICAL-c389t-b64143b702346cea588ccfb6536388ff7341833a26e8e79238f797a0147bf94b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-8703(98)70195-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2339405$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9665232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lau, Kean-Wah</creatorcontrib><creatorcontrib>Ding, Zee-Pin</creatorcontrib><creatorcontrib>Johan, Abdullah</creatorcontrib><creatorcontrib>Lim, Yean-Leng</creatorcontrib><title>Midterm angiographic outcome of single-vessel intracoronary stent placement in diabetic versus nondiabetic patients: A matched comparative study</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background It remains controversial whether diabetes is associated with an increased risk of restenosis after intracoronary stenting.
Methods and Results We selected 42 diabetic patients and an equal number of nondiabetic patients with follow-up angiographic restudy after single-vessel stenting, matched for 4 important stent-related and angiographic variables (stent design, reference vessel size and expanded stent diameter, coronary vessel treated, and poststent residual diameter stenosis). The 2 patient groups did not differ in their baseline lesion severity and acute luminal gain. At 5-month angiographic assessment, the observed in-stent restenosis rate was significantly higher in diabetic than nondiabetic patients (40.5% vs 16.7%,
P = 0.0157). It was highest in diabetic patients who received small stents <3.0 mm in diameter and intermediate in diabetic patients who received larger stent sizes (55% vs 27%,
P = 0.0675). The frequency of restenosis in nondiabetic patients, however, was low; it was 18% and 15% in those who received small stents and larger stents, respectively (
P = 0.7823).
Conclusions Our data suggest that diabetes predisposes to an increased risk of in-stent restenosis, particularly in small vessels. (Am Heart J 1998;136:150-5.)</description><subject>Biological and medical sciences</subject><subject>Coronary Angiography</subject><subject>Diabetes Complications</subject><subject>Diseases of the cardiovascular system</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - complications</subject><subject>Myocardial Ischemia - diagnostic imaging</subject><subject>Myocardial Ischemia - surgery</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1DAUhi0EKkPhESp5gRAsQp3Y8YUNqqpykVqxANaW4xxPjRI72M5IfYs-Mp7OaLasfPm_8x_7PwhdtORjS1p--ZMQ0jVSEPpeyQ-CtKpv2DO0aYkSDReMPUebE_ISvcr5Tz3yTvIzdKY47zvabdDjnR8LpBmbsPVxm8xy7y2Oa7FxBhwdzj5sJ2h2kDNM2IeSjI0pBpMecC4QCl4mY2He73zAozcDlGqxg5TXjEMMp6vFFF-x_Alf4dkUew8jrm0Wk6qwg2q3jg-v0Qtnpgxvjus5-v3l5tf1t-b2x9fv11e3jaVSlWbgrGV0EKSjjFswvZTWuoH3lFMpnROUtZJS03GQIFRHpRNKGNIyMTjFBnqO3h18lxT_rpCLnn22ME0mQFyzljUsKbmoYH8AbYo5J3B6SX6u39ct0ftJ6KdJ6H3MWkn9NAnNat3FscE6zDCeqo7RV_3tUTfZmsklE6zPJ6yjVDHSV-zzAYMaxs5D0tnWFC2MPoEteoz-Pw_5B_uBqAg</recordid><startdate>19980701</startdate><enddate>19980701</enddate><creator>Lau, Kean-Wah</creator><creator>Ding, Zee-Pin</creator><creator>Johan, Abdullah</creator><creator>Lim, Yean-Leng</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980701</creationdate><title>Midterm angiographic outcome of single-vessel intracoronary stent placement in diabetic versus nondiabetic patients: A matched comparative study</title><author>Lau, Kean-Wah ; Ding, Zee-Pin ; Johan, Abdullah ; Lim, Yean-Leng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-b64143b702346cea588ccfb6536388ff7341833a26e8e79238f797a0147bf94b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Biological and medical sciences</topic><topic>Coronary Angiography</topic><topic>Diabetes Complications</topic><topic>Diseases of the cardiovascular system</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - complications</topic><topic>Myocardial Ischemia - diagnostic imaging</topic><topic>Myocardial Ischemia - surgery</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lau, Kean-Wah</creatorcontrib><creatorcontrib>Ding, Zee-Pin</creatorcontrib><creatorcontrib>Johan, Abdullah</creatorcontrib><creatorcontrib>Lim, Yean-Leng</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lau, Kean-Wah</au><au>Ding, Zee-Pin</au><au>Johan, Abdullah</au><au>Lim, Yean-Leng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Midterm angiographic outcome of single-vessel intracoronary stent placement in diabetic versus nondiabetic patients: A matched comparative study</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1998-07-01</date><risdate>1998</risdate><volume>136</volume><issue>1</issue><spage>150</spage><epage>155</epage><pages>150-155</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background It remains controversial whether diabetes is associated with an increased risk of restenosis after intracoronary stenting.
Methods and Results We selected 42 diabetic patients and an equal number of nondiabetic patients with follow-up angiographic restudy after single-vessel stenting, matched for 4 important stent-related and angiographic variables (stent design, reference vessel size and expanded stent diameter, coronary vessel treated, and poststent residual diameter stenosis). The 2 patient groups did not differ in their baseline lesion severity and acute luminal gain. At 5-month angiographic assessment, the observed in-stent restenosis rate was significantly higher in diabetic than nondiabetic patients (40.5% vs 16.7%,
P = 0.0157). It was highest in diabetic patients who received small stents <3.0 mm in diameter and intermediate in diabetic patients who received larger stent sizes (55% vs 27%,
P = 0.0675). The frequency of restenosis in nondiabetic patients, however, was low; it was 18% and 15% in those who received small stents and larger stents, respectively (
P = 0.7823).
Conclusions Our data suggest that diabetes predisposes to an increased risk of in-stent restenosis, particularly in small vessels. (Am Heart J 1998;136:150-5.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9665232</pmid><doi>10.1016/S0002-8703(98)70195-4</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Coronary Angiography Diabetes Complications Diseases of the cardiovascular system Follow-Up Studies Humans Medical sciences Middle Aged Myocardial Ischemia - complications Myocardial Ischemia - diagnostic imaging Myocardial Ischemia - surgery Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recurrence Retrospective Studies Risk Factors Stents Treatment Outcome |
| title | Midterm angiographic outcome of single-vessel intracoronary stent placement in diabetic versus nondiabetic patients: A matched comparative study |
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