Cited 1 times in
Repeated Target Vessel Revascularization After Coronary Artery Bypass for In-Stent Restenosis
DC Field | Value | Language |
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dc.contributor.author | 김정환 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 주현철 | - |
dc.date.accessioned | 2018-07-20T08:15:19Z | - |
dc.date.available | 2018-07-20T08:15:19Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 0003-4975 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/161017 | - |
dc.description.abstract | BACKGROUND: 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.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | ANNALS OF THORACIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cardiovascular Diseases/epidemiology | - |
dc.subject.MESH | Cardiovascular Diseases/etiology* | - |
dc.subject.MESH | Coronary Artery Bypass, Off-Pump/adverse effects* | - |
dc.subject.MESH | Coronary Artery Bypass, Off-Pump/mortality | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Percutaneous Coronary Intervention*/adverse effects | - |
dc.subject.MESH | Propensity Score | - |
dc.subject.MESH | Retreatment | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Survival Rate | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Repeated Target Vessel Revascularization After Coronary Artery Bypass for In-Stent Restenosis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery | - |
dc.contributor.googleauthor | Jung-Hwan Kim | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Hyun-Chel Joo | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.identifier.doi | 10.1016/j.athoracsur.2017.03.034 | - |
dc.contributor.localId | A00905 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02935 | - |
dc.contributor.localId | A03960 | - |
dc.relation.journalcode | J00183 | - |
dc.identifier.eissn | 1552-6259 | - |
dc.identifier.pmid | 28377035 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0003497517304484 | - |
dc.contributor.alternativeName | Kim, Jung Hwan | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.alternativeName | Lee, Seung Hyun | - |
dc.contributor.alternativeName | Joo, Hyun Chel | - |
dc.contributor.affiliatedAuthor | Kim, Jung Hwan | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Lee, Seung Hyun | - |
dc.contributor.affiliatedAuthor | Joo, Hyun Chel | - |
dc.citation.volume | 104 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 1332 | - |
dc.citation.endPage | 1339 | - |
dc.identifier.bibliographicCitation | ANNALS OF THORACIC SURGERY, Vol.104(4) : 1332-1339, 2017 | - |
dc.identifier.rimsid | 60908 | - |
dc.type.rims | ART | - |
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