Long-term results of endovascular intervention and coronary artery stenting: five-year follow-up

Aim. To compare long-term results of coronary artery (CA) angioplasty and stenting. To assess dyslipidemia, diabetes mellitus and systemic inflammation effects on angina recurrence during five post-intervention years. Material and methods. During 1989-2005, five-year follow-up results for 793 patien...

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Bibliographic Details
Main Authors: V. G. Seyidov, A. Yu. Fisun, V. V. Evsyukov, I. V. Lyubchuk, S. E. Bobyrev, E. V. Arutyunov
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2007-06-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1244
Description
Summary:Aim. To compare long-term results of coronary artery (CA) angioplasty and stenting. To assess dyslipidemia, diabetes mellitus and systemic inflammation effects on angina recurrence during five post-intervention years. Material and methods. During 1989-2005, five-year follow-up results for 793 patients with CA stenting and 272 patients with angioplasty were analyzed. Results. At five years after endovascular intervention, comparing to hospitalization period, the number of patients with recurrent angina substantially increased. Long-term recurrent angina rates were affected by increased levels of total cholesterol, low-density lipoproteins, alpha-lipoprotein, C-reactive protein, and concomitant diabetes mellitus. Conclusion. Comparing to conservative treatment, coronary intervention was associated with better quality of life, reduced rates of III-IV functional class angina and death. In five-year follow-up, repeated endovascular intervention is as effective as coronary artery stenting, but as many as 2,6 repeated angioplasty procedures might be needed.
ISSN:1728-8800
2619-0125