Effect of peripheral arterial disease in patients undergoing percutaneous coronary intervention with intracoronary stents

Mayo Clinic Proceedings
Mandeep SinghC S Rihal

Abstract

To compare the short-term and long-term outcomes of patients with coronary artery disease and peripheral arterial disease (PAD) who underwent intracoronary (IC) stent Implantation during percutaneous coronary intervention (PCI) with the outcomes of patients with isolated coronary artery disease but without PAD who underwent IC stent implantation. We analyzed the outcomes of 7696 patients who underwent IC stent implantation during PCI at the Mayo Clinic in Rochester, Minn, between January 1996 and December 2002. Outcomes of 6299 patients (82%) with Isolated coronary artery disease and without PAD who underwent IC stent implantation (group 1) were compared with outcomes of 1397 patients (18%) with coronary artery disease and PAD (group 2) who underwent PCI with IC stent implantation. Patients in group 2 were older (71.1+/-10.2 years vs 65.0+/-12.0 years; P<.001) and had a higher prevalence of hypertension (79% vs 61%; P<.001), diabetes mellitus (33% vs 20%; P<.001), hyperlipidemia (76% vs 70%; P<.001), and history of smoking (70% vs 63%; P<.001) compared with group 1. Prevalence of multivessel disease was higher in group 2 (79% vs 68%; P<.001). Procedural success was significantly lower In group 2 (95% vs 97%; P<.001). In-hospita...Continue Reading

References

Jun 17, 1995·Lancet·S GoldbergD L Fischman
Nov 1, 1995·Clinical Cardiology·T K NasserD R Hathaway
Jul 27, 2002·Journal of the American College of Cardiology·Mandeep SinghCharanjit S Rihal
Apr 2, 2003·Circulation·David R HolmesUNKNOWN National Heart, Lung, and Blood Institute Dynamic Registry

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Citations

Apr 3, 2009·European Heart Journal·Deepak L BhattUNKNOWN CRUSADE Investigators
Jun 8, 2010·European Heart Journal·Andrew CassarBernard J Gersh
Jun 21, 2012·Circulation. Cardiovascular Quality and Outcomes·Sumeet SubherwalMatthew T Roe

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