Value of the American College of Cardiology/American Heart Association angiographic classification of coronary lesion morphology in patients with in-stent restenosis. Insights from the Restenosis Intra-stent Balloon angioplasty versus elective Stenting (RIBS) randomized trial

American Heart Journal
Fernando AlfonsoRestenosis Intra-stent Balloon angioplasty versus elective Stenting (RIBS) Investigators

Abstract

The implications of the American College of Cardiology/American Heart Association (ACC/AHA) lesion classification in patients with in-stent restenosis (ISR) are unknown. Four hundred fifty patients included in the RIBS randomized study were analyzed. A centralized core laboratory assessed ISR classifications including ACC/AHA, the classification of Mehran et al (Circulation 1999;100:1872-8), diffuse/focal, and a new quantitative ISR index (lesion length/stent length). Logistic regression models were constructed for prespecified outcome measures including (1) unsatisfactory acute results and (2) recurrent restenosis rate. Complex (B2/C) lesions (78%) more frequently obtained unsatisfactory acute results (20% vs 8%, P = .007), smaller minimal lumen diameter after the procedure (2.45 +/- 0.5 vs 2.73 +/- 0.5 mm, P = .001) and at follow-up (1.48 +/- 0.8 vs 1.94 +/- 0.8 mm, P = .0001), and had a higher restenosis rate (43 vs 24%, P = .001) than simple (A/B1) lesions. On logistic regression analysis, all classification schemes were useful to predict unsatisfactory initial results (area under the curve: 0.63, 0.61, 0.59, and 0.62) and recurrent restenosis (area under the curve: 0.60, 0.64, 0.61, and 0.63). The predictive ability of the...Continue Reading

References

Apr 29, 1998·The American Journal of Cardiology·G S MintzM B Leon
Dec 18, 1998·The American Journal of Cardiology·N A MahdiI F Palacios

❮ Previous
Next ❯

Citations

Nov 16, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gioel Gabrio SeccoCarlo Di Mario
Dec 3, 2014·International Journal of Cardiology·Fernando AlfonsoCarlos Macaya
Jan 5, 2016·The American Journal of Cardiology·Fernando AlfonsoUNKNOWN Restenosis Intra-Stent: Drug-Eluting Balloon vs Everolimus-Eluting Stent (RIBS-IV and V Studies) Investigators (Under the au
Jul 4, 2015·Journal of the American College of Cardiology·Fernando AlfonsoUNKNOWN RIBS IV Study Investigators (under auspices of Interventional Cardiology Working Group of Spanish Society of Cardiology)
Jan 15, 2014·Journal of the American College of Cardiology·Fernando AlfonsoUNKNOWN RIBS V Study Investigators, under the auspices of the Working Group on Interventional Cardiology of the Spanish Society of C
Jul 21, 2012·JACC. Cardiovascular Interventions·Fernando AlfonsoUNKNOWN RIBS-III Study Investigators (under the auspices of the Working Group on Interventional Cardiology of the Spanish Society of
Jun 26, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gioel Gabrio SeccoCarlo Di Mario
Mar 19, 2014·Journal of the American College of Cardiology·Fernando AlfonsoAdnan Kastrati
Jan 1, 2017·International Journal of Cardiology·Davide PirainoBernardo Cortese
Sep 22, 2017·World Journal of Cardiology·M Chadi AlraiesRon Waksman
Jul 15, 2016·Circulation. Cardiovascular Interventions·Fernando AlfonsoUNKNOWN under the auspices of the Interventional Cardiology Working Group of the Spanish Society of Cardiology
Sep 23, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Fernando AlfonsoUNKNOWN Restenosis Intra-stent: drug-eluting Balloon vs. everolimus-eluting Stent (RIBS IV) Study Investigators (under the auspices
Apr 27, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Leia HeeChristian J Mussap
May 9, 2018·Korean Circulation Journal·Ae Young Her, Eun Seok Shin
Dec 21, 2018·Herz·R J ZotzS Genth-Zotz
Oct 24, 2018·Current Cardiology Reports·Ron Waksman, Micaela Iantorno
Feb 9, 2020·Journal of Neurointerventional Surgery·Kaijiang KangNing Ma
Jun 20, 2020·Coronary Artery Disease·Fernando AlfonsoUNKNOWN Restenosis Intrastent: Bioresorbable Vascular Scaffolds Treatment with Scoring Balloon Pre-dilatation (RIBS VI ‘Scoring’) St
Jul 30, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Catherine LiontouJavier Escaned

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.