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
Aug 1, 1991·Circulation·S G EllisE J Topol
Oct 1, 1990·Circulation·S G EllisT M Bulle
Aug 1, 1988·Circulation·T J RyanW L Winters
Aug 25, 1994·The New England Journal of Medicine·P W SerruysP Materne
Feb 1, 1994·Circulation·S G EllisP L Whitlow
Feb 1, 1993·The American Journal of Cardiology·D S BaimR A Schatz
Apr 15, 1996·The American Journal of Cardiology·J BotasE L Alderman
Feb 19, 1998·Circulation·C BautersM E Bertrand
Apr 29, 1998·The American Journal of Cardiology·G S MintzM B Leon
Oct 13, 1998·Journal of the American College of Cardiology·H EltchaninoffA Cribier
Dec 18, 1998·The American Journal of Cardiology·N A MahdiI F Palacios
Sep 24, 1999·Circulation·A KastratiF J Neumann
Nov 5, 1999·Circulation·R MehranM B Leon
Nov 11, 1999·Circulation·S G EllisE J Topol
May 10, 2000·The American Journal of Cardiology·R J KroneJ D Babb
Mar 10, 2001·Circulation·W MaierB Meier
Feb 6, 2002·Circulation·Juergen vom DahlHeinrich G Klues
Feb 5, 2003·Circulation·Kengo TanabeMary E Russell
Nov 5, 2003·American Heart Journal·Jörg HausleiterAlbert Schömig
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)
Nov 11, 2008·Journal of the American College of Cardiology·Fernando AlfonsoUNKNOWN RIBS-II Investigators
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 25, 2016·JACC. Cardiovascular Interventions·Fernando AlfonsoUNKNOWN RIBS V Study Investigators
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
Jun 13, 2018·BMC Cardiovascular Disorders·Hyung Joon JooDo-Sum Lim
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
Dec 6, 2020·BMC Cardiovascular Disorders·Pengfei WangJingtao Guo
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
Nov 25, 2020·Coronary Artery Disease·Jinzhou ZhuRuiyan Zhang