A retrospective study from a single center to compare outcomes in 79 patients with in-stent restenosis treated with paclitaxel-coated balloon angioplasty or drug-eluting stent implantation

Background Despite the recent progress made in drug-eluting stents (DESs), in-stent restenosis (ISR) is still a common complication of percutaneous coronary interventions. This retrospective study from a single center aimed to compare outcomes in 79 patients with ISR treated with paclitaxel-coated b...

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Bibliographic Details
Published in:The Egyptian heart journal 2023-01, Vol.75 (1), p.8-8, Article 8
Main Authors: Ben Abdessalem, Mohamed Aymen, Ghariani, Anis, Romdhane, Ahmed Fekih, Ichrmad, Fatma, Ben Ameur, Zied, Saoudi, Wassim, Bouraoui, Hatem, Mahdhaoui, Abdallah, Ernez Hajri, Samia
Format: Article
Language:English
Subjects:
Angina pectoris
Angioplasty
Antimitotic agents
Antineoplastic agents
Cardiology
Cardiovascular disease
Coronary restenosis
Coronary vessels
Diabetes
Drug-coated balloon
Ejection fraction
Heart attacks
Hypertension
Medical imaging
Medicine
Medicine & Public Health
Patients
Percutaneous coronary intervention
Polymers
Stent (Surgery)
Stents
Transluminal angioplasty
Vein & artery diseases
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Summary:Background Despite the recent progress made in drug-eluting stents (DESs), in-stent restenosis (ISR) is still a common complication of percutaneous coronary interventions. This retrospective study from a single center aimed to compare outcomes in 79 patients with ISR treated with paclitaxel-coated balloon (PCB) angioplasty or DES implantation. Results From January 2017 to December 2021, 83 ISR lesions from 79 patients were included. Thirty-two were treated with PCB and 51 treated with available DES in the catheterization laboratory. Baseline characteristics were similar in both groups. Mean time between index angioplasty and restenosis was 27 months with a minimum of 4 months and a maximum of 70 months. Concerning Mehran ISR angiographic classification, classes II and III were more likely treated with DES. Stenosis diameter and minimal lumen diameter (MLD) were similar in both groups. PCB used was significantly shorter than DES: Mean length was 19.75 ± 5.7 versus 22.1 ± 16.5 ( p
ISSN:2090-911X
1110-2608
2090-911X
DOI:10.1186/s43044-023-00330-z