Incidence of restenosis after successful coronary angioplasty: a time-related phenomenon. A quantitative angiographic study in 342 consecutive patients at 1, 2, 3, and 4 months.
Open accessAbstract
Data from experimental, clinical, and pathologic studies have suggested that the process of restenosis begins very early after coronary angioplasty. The present study was performed to determine prospectively the incidence of restenosis with use of the four National Heart, Lung, and Blood Institute and the 50% or greater diameter stenosis criteria, as well as a criterion based on a decrease of 0.72 mm or more in minimal luminal diameter. Patients were recatheterized at 30, 60, 90, or 120 days after successful percutaneous transluminal coronary angioplasty (PTCA). After PTCA all patients received 10 mg nifedipine three to six times a day and aspirin once a day until repeat angiography. Of 400 consecutive patients in whom PTCA was successful (less than 50% diameter stenosis), 342 underwent quantitative angiographic follow-up (86%) by use of an automated edge-detection technique. A wide variation in the incidence of restenosis was found dependent on the criterion applied. The incidence of restenosis proved to be progressive to at least the third month for all except NHLBI criterion II. At 4 months a further increase in the incidence of restenosis was observed when defined as a decrease of 0.72 mm or more in minimal luminal diameter, whereas the criteria based on percentage diameter stenosis showed a variable response. The lack of overlap between the different restenosis criteria applied affirms the arbitrary nature of angiographic definitions currently in use. Restenosis should be assessed by repeat angiography, and preferably ascertained according to the change in absolute quantitative measurements of the luminal diameter.
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Pure PLLA is known to require over a year for resorption.
“it is known to require over a year for resorption [1, 6, 8, 15, 16].”
From Tuning structural relaxations, mechanical properties, and degradation timescale of PLLA during hydrolytic degradation by blending with PLCL-PEG (2019) · cites this paper as [15]
PLLA degrades slowly, with typical resorption taking several years.
“typical PLLA resorption can take several years [1, 6, 8, 15, 16].”
From Tuning structural relaxations, mechanical properties, and degradation timescale of PLLA during hydrolytic degradation by blending with PLCL-PEG (2019) · cites this paper as [15]
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- Authors
- Serruys, P. W., Luijten, H. E., Beatt, K. J., Geuskens, R., de Feyter, P. J., van den Brand, M., Reiber, J. H., ten Katen, H. J., van Es, G. A., & Hugenholtz, P. G.
- Affiliations
- Erasmus University Rotterdam (NL)
- Thoraxcenter, Erasmus University, Rotterdam, The Netherlands.
- Venue
- Circulation
- Published
- 1988-02
- Volume
- 77
- Issue
- 2
- Pages
- 361-371
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2107392339
- Cited by
- 931
- References
- 34
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 12 · 2019: 7 · 2018: 10 · 2017: 11 · 2016: 20 · 2015: 11 · 2014: 15 · 2013: 18 · 2012: 9
- FWCI
- 55.81
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Keywords
- coronary restenosis, percutaneous transluminal coronary angioplasty, quantitative coronary angiography, minimal lumen diameter, nifedipine, aspirin, repeat angiography
- MeSH terms
- Adult, Aged, Angioplasty, Balloon, Coronary Disease, Coronary Vessels, Female, Follow-Up Studies, Humans, Male, Middle Aged, Recurrence, Vascular Patency, Coronary Angiography
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