EPA in the Prevention of Restenosis Post PTCA

The effect of fish oil on restenosis was evaluated in patients undergoing coronary balloon angioplasty. In addition to routine pharmacotherapy, subjects were given 2.8 g of eicosapentanoic acid (EPA) daily. Treatment was started within twenty-four hours after successful percutaneous transluminal cor...

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Veröffentlicht in:Angiology 1991-03, Vol.42 (3), p.187-194
Hauptverfasser: Bowles, Mark Howard, Klonis, Demo, Plavac, Thomas G., Gonzales, Brenda, Francisco, Dan A., Roberts, Roger W., Boxberger, Gregory R., Poliner, Larry R., Galichia, Joseph P.
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container_end_page 194
container_issue 3
container_start_page 187
container_title Angiology
container_volume 42
creator Bowles, Mark Howard
Klonis, Demo
Plavac, Thomas G.
Gonzales, Brenda
Francisco, Dan A.
Roberts, Roger W.
Boxberger, Gregory R.
Poliner, Larry R.
Galichia, Joseph P.
description The effect of fish oil on restenosis was evaluated in patients undergoing coronary balloon angioplasty. In addition to routine pharmacotherapy, subjects were given 2.8 g of eicosapentanoic acid (EPA) daily. Treatment was started within twenty-four hours after successful percutaneous transluminal coronary angioplasty (PTCA). After six months of therapy, participants were subjected to coronary arteriography, exercise scintigraphy, exercise electrocardiography, or clinical evaluation. Follow-up evaluation involved 97 coronary lesions in 85 patients. Partial or significant restenosis occurred in 36.5% of patients and 33 % of vessels. The presence of severe stenosis before PTCA, dissection, thrombus, multilesion PTCA, and template bleeding time values were not correlated with restenosis. Dilation of the left anterior descending (LAD) and a residual stenosis≥ 35 % were associated with restenosis. Approximately 20% of the patients related difficulty in taking the fish oil. Furthermore, these results show no advantage over expected restenosis rates.
doi_str_mv 10.1177/000331979104200302
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subjects Angioplasty, Balloon, Coronary
Anticoagulants - therapeutic use
Biological and medical sciences
Constriction, Pathologic
Coronary Angiography
Coronary Disease - diagnostic imaging
Coronary Disease - drug therapy
Coronary Disease - pathology
Coronary Disease - prevention & control
Coronary Disease - therapy
Coronary Vessels - pathology
Eicosapentaenoic Acid - administration & dosage
Eicosapentaenoic Acid - therapeutic use
Exercise Test - drug effects
Follow-Up Studies
General and cellular metabolism. Vitamins
Humans
Medical sciences
Pharmacology. Drug treatments
title EPA in the Prevention of Restenosis Post PTCA
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