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Repeated Target Vessel Revascularization After Coronary Artery Bypass for In-Stent Restenosis

DC FieldValueLanguage
dc.contributor.author김정환-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이승현-
dc.contributor.author주현철-
dc.date.accessioned2018-07-20T08:15:19Z-
dc.date.available2018-07-20T08:15:19Z-
dc.date.issued2017-
dc.identifier.issn0003-4975-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161017-
dc.description.abstractBACKGROUND: The purpose of this study was to examine the impact of previous percutaneous coronary intervention with stent on long-term outcomes after off-pump coronary artery bypass grafting (OPCAB). METHODS: Between January 2001 and December 2014, 1,668 patients with triple-vessel disease undergoing OPCAB were reviewed and divided into 2 groups. The no-stent group (n = 1,409) included patients who underwent OPCAB as a primary revascularization procedure and the stent group (n = 259) included patients with a history of percutaneous coronary intervention with stent. The mean follow-up duration was 5.32 ± 3.39 years. RESULTS: After propensity score matching, characteristics of both groups were comparable (n = 259 in each group). In-hospital mortality (n = 3 [1.2%] in both groups; p > 0.999) was similar. The 14-year overall survival rate (75.6% ± 6.6% in the no-stent group versus 71.9% ± 8.5% in the stent group; p = 0.917) and freedom from major adverse cardiac and cerebrovascular events (MACCEs) rate (68.3% ± 6.6% versus 54.6% ± 8.5%; p = 0.239) were also similar. However, freedom from target vessel revascularization (TVR) rate at 14 years was significantly higher in the no-stent group (97.2% ± 1.7% versus 76.9% ± 6.5%; p < 0.001). The independent risk factor for late TVR was in-stent restenosis (hazard ratio, 3.355; 95% confidence interval, 1.925 to 5.848; p < 0.001) and it also was a risk factor for MACCEs (hazard ratio, 1.645; 95% CI, 1.105 to 2.448; p = 0.014). CONCLUSIONS: Previous intracoronary stenting does not increase long-term mortality, but grafting to previously stented target vessels with in-stent restenosis increases the risk of repeat TVR and MACCEs.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfANNALS OF THORACIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHCardiovascular Diseases/epidemiology-
dc.subject.MESHCardiovascular Diseases/etiology*-
dc.subject.MESHCoronary Artery Bypass, Off-Pump/adverse effects*-
dc.subject.MESHCoronary Artery Bypass, Off-Pump/mortality-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPercutaneous Coronary Intervention*/adverse effects-
dc.subject.MESHPropensity Score-
dc.subject.MESHRetreatment-
dc.subject.MESHStents*-
dc.subject.MESHSurvival Rate-
dc.subject.MESHTreatment Outcome-
dc.titleRepeated Target Vessel Revascularization After Coronary Artery Bypass for In-Stent Restenosis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery-
dc.contributor.googleauthorJung-Hwan Kim-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorHyun-Chel Joo-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.contributor.googleauthorYoung-Nam Youn-
dc.identifier.doi10.1016/j.athoracsur.2017.03.034-
dc.contributor.localIdA00905-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA02935-
dc.contributor.localIdA03960-
dc.relation.journalcodeJ00183-
dc.identifier.eissn1552-6259-
dc.identifier.pmid28377035-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0003497517304484-
dc.contributor.alternativeNameKim, Jung Hwan-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Seung Hyun-
dc.contributor.alternativeNameJoo, Hyun Chel-
dc.contributor.affiliatedAuthorKim, Jung Hwan-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Seung Hyun-
dc.contributor.affiliatedAuthorJoo, Hyun Chel-
dc.citation.volume104-
dc.citation.number4-
dc.citation.startPage1332-
dc.citation.endPage1339-
dc.identifier.bibliographicCitationANNALS OF THORACIC SURGERY, Vol.104(4) : 1332-1339, 2017-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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