Long-term efficacy of percutaneous transluminal coronary angioplasty (PTCA): Report from the national heart, lung, and blood institute PTCA registry
The NHLBI PTCA Registry has collected data from 3,079 patients who underwent PTCA at 105 centers from September 1977 through September 1981 that document the initial risks and benefits of PTCA. A subgroup of 2,272 patients at 65 centers was chosen to examine the long-term effects of PTCA (97% follow...
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| Veröffentlicht in: | The American journal of cardiology 1984-06, Vol.53 (12), p.C27-C31 |
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| container_title | The American journal of cardiology |
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| creator | Kent, Kenneth M. Bentivoglio, Lamberto G. Block, Peter C. Bourassa, Martial G. Cowley, Michael J. Dorros, Gerald Detre, Katherine M. Gosselin, Arthur J. Gruentzig, Andreas R. Kelsey, Sheryl F. Mock, Michael B. Mullin, Suzanne M. Passamani, Eugene R. Myler, Richard K Simpson, John Stertzer, Simon H. Van Raden, Mark J. O. Williams, David |
| description | The NHLBI PTCA Registry has collected data from 3,079 patients who underwent PTCA at 105 centers from September 1977 through September 1981 that document the initial risks and benefits of PTCA. A subgroup of 2,272 patients at 65 centers was chosen to examine the long-term effects of PTCA (97% follow-up). All patients were followed for 1 year, 191 for 3 years and 57 for 4 years. Initial success occurred in 1,397 (61%), and 72% remained improved at 1 year with no further procedures; during the first year of follow-up, 14% had repeat PTCA, 12% had CABG, 3% had MI and 1.6% died. After 1 year, 67% were asymptomatic; of these, 52% had no other procedure, 7% had a second PTCA and 8% had CABG. Follow-up at 2 to 4 years was similar except that there were few repeat PTCA or CABG procedures after 1 year. The annual mortality rate after PTCA in patients with 1-vessel diseases was less than 1% per year and with multivessel CAD, 3% per year. Thus, successful PTCA alone results in sustained improvement in 84% of patients; 59% were asymptomatic (12% had repeat PTCA). PTCA offers extended effective therapy in selected patients with CAD. |
| doi_str_mv | 10.1016/0002-9149(84)90741-0 |
| format | Article |
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Initial success occurred in 1,397 (61%), and 72% remained improved at 1 year with no further procedures; during the first year of follow-up, 14% had repeat PTCA, 12% had CABG, 3% had MI and 1.6% died. After 1 year, 67% were asymptomatic; of these, 52% had no other procedure, 7% had a second PTCA and 8% had CABG. Follow-up at 2 to 4 years was similar except that there were few repeat PTCA or CABG procedures after 1 year. The annual mortality rate after PTCA in patients with 1-vessel diseases was less than 1% per year and with multivessel CAD, 3% per year. Thus, successful PTCA alone results in sustained improvement in 84% of patients; 59% were asymptomatic (12% had repeat PTCA). PTCA offers extended effective therapy in selected patients with CAD.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/0002-9149(84)90741-0</identifier><identifier>PMID: 6233882</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Angioplasty, Balloon - adverse effects ; Coronary Artery Bypass ; Coronary Disease - mortality ; Coronary Disease - surgery ; Coronary Disease - therapy ; Coronary Vessels ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Myocardial Infarction - etiology ; National Institutes of Health (U.S.) ; Registries ; United States</subject><ispartof>The American journal of cardiology, 1984-06, Vol.53 (12), p.C27-C31</ispartof><rights>1984</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c338t-33bd54f81164d974c222a26b832bed675e54d98be335dd5929b66059546450653</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002914984907410$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6233882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kent, Kenneth M.</creatorcontrib><creatorcontrib>Bentivoglio, Lamberto G.</creatorcontrib><creatorcontrib>Block, Peter C.</creatorcontrib><creatorcontrib>Bourassa, Martial G.</creatorcontrib><creatorcontrib>Cowley, Michael J.</creatorcontrib><creatorcontrib>Dorros, Gerald</creatorcontrib><creatorcontrib>Detre, Katherine M.</creatorcontrib><creatorcontrib>Gosselin, Arthur J.</creatorcontrib><creatorcontrib>Gruentzig, Andreas R.</creatorcontrib><creatorcontrib>Kelsey, Sheryl F.</creatorcontrib><creatorcontrib>Mock, Michael B.</creatorcontrib><creatorcontrib>Mullin, Suzanne M.</creatorcontrib><creatorcontrib>Passamani, Eugene R.</creatorcontrib><creatorcontrib>Myler, Richard K</creatorcontrib><creatorcontrib>Simpson, John</creatorcontrib><creatorcontrib>Stertzer, Simon H.</creatorcontrib><creatorcontrib>Van Raden, Mark J.</creatorcontrib><creatorcontrib>O. Williams, David</creatorcontrib><title>Long-term efficacy of percutaneous transluminal coronary angioplasty (PTCA): Report from the national heart, lung, and blood institute PTCA registry</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>The NHLBI PTCA Registry has collected data from 3,079 patients who underwent PTCA at 105 centers from September 1977 through September 1981 that document the initial risks and benefits of PTCA. A subgroup of 2,272 patients at 65 centers was chosen to examine the long-term effects of PTCA (97% follow-up). All patients were followed for 1 year, 191 for 3 years and 57 for 4 years. Initial success occurred in 1,397 (61%), and 72% remained improved at 1 year with no further procedures; during the first year of follow-up, 14% had repeat PTCA, 12% had CABG, 3% had MI and 1.6% died. After 1 year, 67% were asymptomatic; of these, 52% had no other procedure, 7% had a second PTCA and 8% had CABG. Follow-up at 2 to 4 years was similar except that there were few repeat PTCA or CABG procedures after 1 year. The annual mortality rate after PTCA in patients with 1-vessel diseases was less than 1% per year and with multivessel CAD, 3% per year. Thus, successful PTCA alone results in sustained improvement in 84% of patients; 59% were asymptomatic (12% had repeat PTCA). PTCA offers extended effective therapy in selected patients with CAD.</description><subject>Angioplasty, Balloon - adverse effects</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - surgery</subject><subject>Coronary Disease - therapy</subject><subject>Coronary Vessels</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - etiology</subject><subject>National Institutes of Health (U.S.)</subject><subject>Registries</subject><subject>United States</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UduKFDEQDaKs4-ofKORJdmFbc59uH4Rl8AYDiqzPIZ1Uz0a6kzZJC_MffrBpZ9hHn4qqOudU1SmEXlLyhhKq3hJCWNNR0V214rojW0Eb8ghtaLvtGtpR_hhtHiBP0bOcf9aUUqku0IVinLct26A_-xgOTYE0YRgGb4094jjgGZJdigkQl4xLMiGPy-SDGbGNKQaTjtiEg4_zaHI54qtvd7vb63f4O8wxFTykOOFyDziY4uPKugeTyg0el3C4qUyH-zFGh33IxZelAF4FcIKDzyUdn6MngxkzvDjHS_Tj44e73edm__XTl93tvrF1-9Jw3jsphpZSJVy3FZYxZpjqW856cGorQdZ62wPn0jnZsa5XishOCiUkUZJfotcn3TnFXwvkoiefLYzj6XBdlQnjTFWgOAFtijknGPSc_FRd0JTo9Rl6dVqvTutW6H_P0KTSXp31l34C90A6u1_77099qEf-9pB0th6CBecT2KJd9P8f8Bfkgpl8</recordid><startdate>19840615</startdate><enddate>19840615</enddate><creator>Kent, Kenneth M.</creator><creator>Bentivoglio, Lamberto G.</creator><creator>Block, Peter C.</creator><creator>Bourassa, Martial G.</creator><creator>Cowley, Michael J.</creator><creator>Dorros, Gerald</creator><creator>Detre, Katherine M.</creator><creator>Gosselin, Arthur J.</creator><creator>Gruentzig, Andreas R.</creator><creator>Kelsey, Sheryl F.</creator><creator>Mock, Michael B.</creator><creator>Mullin, Suzanne M.</creator><creator>Passamani, Eugene R.</creator><creator>Myler, Richard K</creator><creator>Simpson, John</creator><creator>Stertzer, Simon H.</creator><creator>Van Raden, Mark J.</creator><creator>O. 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Williams, David</creatorcontrib><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 journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kent, Kenneth M.</au><au>Bentivoglio, Lamberto G.</au><au>Block, Peter C.</au><au>Bourassa, Martial G.</au><au>Cowley, Michael J.</au><au>Dorros, Gerald</au><au>Detre, Katherine M.</au><au>Gosselin, Arthur J.</au><au>Gruentzig, Andreas R.</au><au>Kelsey, Sheryl F.</au><au>Mock, Michael B.</au><au>Mullin, Suzanne M.</au><au>Passamani, Eugene R.</au><au>Myler, Richard K</au><au>Simpson, John</au><au>Stertzer, Simon H.</au><au>Van Raden, Mark J.</au><au>O. Williams, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term efficacy of percutaneous transluminal coronary angioplasty (PTCA): Report from the national heart, lung, and blood institute PTCA registry</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1984-06-15</date><risdate>1984</risdate><volume>53</volume><issue>12</issue><spage>C27</spage><epage>C31</epage><pages>C27-C31</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>The NHLBI PTCA Registry has collected data from 3,079 patients who underwent PTCA at 105 centers from September 1977 through September 1981 that document the initial risks and benefits of PTCA. A subgroup of 2,272 patients at 65 centers was chosen to examine the long-term effects of PTCA (97% follow-up). All patients were followed for 1 year, 191 for 3 years and 57 for 4 years. Initial success occurred in 1,397 (61%), and 72% remained improved at 1 year with no further procedures; during the first year of follow-up, 14% had repeat PTCA, 12% had CABG, 3% had MI and 1.6% died. After 1 year, 67% were asymptomatic; of these, 52% had no other procedure, 7% had a second PTCA and 8% had CABG. Follow-up at 2 to 4 years was similar except that there were few repeat PTCA or CABG procedures after 1 year. The annual mortality rate after PTCA in patients with 1-vessel diseases was less than 1% per year and with multivessel CAD, 3% per year. Thus, successful PTCA alone results in sustained improvement in 84% of patients; 59% were asymptomatic (12% had repeat PTCA). PTCA offers extended effective therapy in selected patients with CAD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>6233882</pmid><doi>10.1016/0002-9149(84)90741-0</doi></addata></record> |
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| identifier | ISSN: 0002-9149 |
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| issn | 0002-9149 1879-1913 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Angioplasty, Balloon - adverse effects Coronary Artery Bypass Coronary Disease - mortality Coronary Disease - surgery Coronary Disease - therapy Coronary Vessels Female Follow-Up Studies Humans Male Middle Aged Myocardial Infarction - etiology National Institutes of Health (U.S.) Registries United States |
| title | Long-term efficacy of percutaneous transluminal coronary angioplasty (PTCA): Report from the national heart, lung, and blood institute PTCA registry |
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