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J Am Coll Cardiol, 1988; 12:616-623
© 1988 by the American College of Cardiology Foundation
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Restenosis after successful percutaneous transluminal coronary angioplasty: serial angiographic follow-up of 229 patients

M Nobuyoshi, T Kimura, H Nosaka, S Mioka, K Ueno, H Yokoi, N Hamasaki, H Horiuchi, and H Ohishi

Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.

To further understand the temporal mode and mechanisms of coronary restenosis, 229 patients were studied by prospective angiographic follow-up on day 1 and at 1, 3 and 6 months and 1 year after successful percutaneous transluminal coronary angioplasty. Quantitative measurement of coronary stenosis was achieved by cinevideodensitometric analysis. Actuarial restenosis rate was 12.7% at 1 month, 43.0% at 3 months, 49.4% at 6 months and 52.5% at 1 year. In 219 patients followed up for greater than or equal to 3 months, mean stenosis diameter was 1.91 +/- 0.53 mm immediately after coronary angioplasty, 1.72 +/- 0.52 mm on day 1, 1.86 +/- 0.58 mm at 1 month and 1.43 +/- 0.67 mm at 3 months. In 149 patients followed up for greater than or equal to 6 months, mean stenosis diameter was 1.66 +/- 0.58 mm at 3 months and 1.66 +/- 0.62 mm at 6 months. In 73 patients followed up for 1 year, mean stenosis diameter was 1.65 +/- 0.56 mm at 6 months and 1.66 +/- 0.57 mm at 1 year. Thus, stenosis diameter decreased markedly between 1 month and 3 months after coronary angioplasty and reached a plateau thereafter. In conclusion, restenosis is most prevalent between 1 and 3 months and rarely occurs beyond 3 months after coronary angioplasty.


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Late Regression of the Dilated Site After Coronary Angioplasty : A 5-Year Quantitative Angiographic Study
Circulation, July 15, 1997; 96(2): 468 - 474.
[Abstract] [Full Text]


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CirculationHome page
T. Kimura, S. Kaburagi, T. Tamura, H. Yokoi, Y. Nakagawa, H. Yokoi, N. Hamasaki, H. Nosaka, M. Nobuyoshi, G. S. Mintz, et al.
Remodeling of Human Coronary Arteries Undergoing Coronary Angioplasty or Atherectomy
Circulation, July 15, 1997; 96(2): 475 - 483.
[Abstract] [Full Text]


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CirculationHome page
M. Aikawa, Y. Sakomura, M. Ueda, K. Kimura, I. Manabe, S. Ishiwata, N. Komiyama, H. Yamaguchi, Y. Yazaki, and R. Nagai
Redifferentiation of Smooth Muscle Cells After Coronary Angioplasty Determined via Myosin Heavy Chain Expression
Circulation, July 1, 1997; 96(1): 82 - 90.
[Abstract] [Full Text]


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CirculationHome page
E. Camenzind, W. H. Bakker, A. Reijs, I. M. van Geijlswijk, E. Boersma, M. J. B. Kutryk, E. P. Krenning, J. R. T. C. Roelandt, P. W. Serruys, and P. W. Serruys
Site-Specific Intracoronary Heparin Delivery in Humans After Balloon Angioplasty : A Radioisotopic Assessment of Regional Pharmacokinetics
Circulation, July 1, 1997; 96(1): 154 - 165.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
H. Ueno, H. Yamamoto, S.-i. Ito, J.-J. Li, and A. Takeshita
Adenovirus-Mediated Transfer of a Dominant-Negative H-ras Suppresses Neointimal Formation in Balloon-Injured Arteries In Vivo
Arterioscler Thromb Vasc Biol, May 1, 1997; 17(5): 898 - 904.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
J. M. Bosmans, M. M. Kockx, C. J. Vrints, H. Bult, G. R. Y. De Meyer, and A. G. Herman
Fibrin(ogen) and von Willebrand Factor Deposition Are Associated With Intimal Thickening After Balloon Angioplasty of the Rabbit Carotid Artery
Arterioscler Thromb Vasc Biol, April 1, 1997; 17(4): 634 - 645.
[Abstract] [Full Text]


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CirculationHome page
V. Verin, P. Urban, Y. Popowski, M. Schwager, P. Nouet, P. A. Dorsaz, P. Chatelain, J. M. Kurtz, and W. Rutishauser
Feasibility of Intracoronary ß-Irradiation to Reduce Restenosis After Balloon Angioplasty: A Clinical Pilot Study
Circulation, March 4, 1997; 95(5): 1138 - 1144.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
D. I. Simon, H. Xu, S. Ortlepp, C. Rogers, and N. K. Rao
7E3 Monoclonal Antibody Directed Against the Platelet Glycoprotein IIb/IIIa Cross-reacts With the Leukocyte Integrin Mac-1 and Blocks Adhesion to Fibrinogen and ICAM-1
Arterioscler Thromb Vasc Biol, March 1, 1997; 17(3): 528 - 535.
[Abstract] [Full Text]


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ANGIOLOGYHome page
K. Ovunc, M. Kabukcu, S. Aksoyek, G. Kabakci, K. Aytemir, L. Tokgozoglu, F. Ozmen, M. Ali Oto, and K. Ovunc
Is There Any Association Between Dissection After Successful Percutaneous Transluminal Coronary Angioplasty and Late Restenosis? An Angiographic Study
Angiology, February 1, 1997; 48(2): 111 - 116.
[Abstract] [PDF]


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NEJMHome page
J. A. Bittl
Advances in Coronary Angioplasty
N. Engl. J. Med., October 24, 1996; 335(17): 1290 - 1302.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
Y. Shi, J. E. O'Brien, A. Fard, and A. Zalewski
Transforming Growth Factor-ß1 Expression and Myofibroblast Formation During Arterial Repair
Arterioscler Thromb Vasc Biol, October 1, 1996; 16(10): 1298 - 1305.
[Abstract] [Full Text]


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Arch Intern MedHome page
J. A. Ambrose and M. Weinrauch
Thrombosis in Ischemic Heart Disease
Arch Intern Med, July 8, 1996; 156(13): 1382 - 1394.
[Abstract] [PDF]


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CirculationHome page
G. S. Mintz, J. J. Popma, A. D. Pichard, K. M. Kent, L. F. Satler, S. Chiu Wong, M. K. Hong, J. A. Kovach, and M. B. Leon
Arterial Remodeling After Coronary Angioplasty : A Serial Intravascular Ultrasound Study
Circulation, July 1, 1996; 94(1): 35 - 43.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
S.-i. Ozeki, A. Ohtsuru, S. Seto, S. Takeshita, H. Yano, T. Nakayama, M. Ito, T. Yokota, M. Nobuyoshi, G. V. Segre, et al.
Evidence That Implicates the Parathyroid Hormone–Related Peptide in Vascular Stenosis : Increased Gene Expression in the Intima of Injured Rat Carotid Arteries and Human Restenotic Coronary Lesions
Arterioscler Thromb Vasc Biol, April 1, 1996; 16(4): 565 - 575.
[Abstract] [Full Text]


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CirculationHome page
R. Riessen, T. N. Wight, C. Pastore, C. Henley, and J. M. Isner
Distribution of Hyaluronan During Extracellular Matrix Remodeling in Human Restenotic Arteries and Balloon-Injured Rat Carotid Arteries
Circulation, March 15, 1996; 93(6): 1141 - 1147.
[Abstract] [Full Text]


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NEJMHome page
T. Kimura, H. Yokoi, Y. Nakagawa, T. Tamura, S. Kaburagi, Y. Sawada, Y. Sato, H. Yokoi, N. Hamasaki, H. Nosaka, et al.
Three-Year Follow-Up after Implantation of Metallic Coronary-Artery Stents
N. Engl. J. Med., February 29, 1996; 334(9): 561 - 567.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. A. Hardhammar, H. M.M. van Beusekom, H. U. Emanuelsson, S. H. Hofma, P. A. Albertsson, P. D. Verdouw, E. Boersma, P. W. Serruys, and W. J. van der Giessen
Reduction in Thrombotic Events With Heparin-Coated Palmaz-Schatz Stents in Normal Porcine Coronary Arteries
Circulation, February 1, 1996; 93(3): 423 - 430.
[Abstract] [Full Text]


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CirculationHome page
M. P. Savage, S. Goldberg, A. A. Bove, E. Deutsch, G. Vetrovec, R. G. Macdonald, T. Bass, J. R. Margolis, H. B. Whitworth, A. Taussig, et al.
Effect of Thromboxane A2 Blockade on Clinical Outcome and Restenosis After Successful Coronary Angioplasty : Multi-Hospital Eastern Atlantic Restenosis Trial (M-HEART II)
Circulation, December 1, 1995; 92(11): 3194 - 3200.
[Abstract] [Full Text]


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CirculationHome page
R. L. Wilensky, K. L. March, I. Gradus-Pizlo, G. Sandusky, N. Fineberg, and D. R. Hathaway
Vascular Injury, Repair, and Restenosis After Percutaneous Transluminal Angioplasty in the Atherosclerotic Rabbit
Circulation, November 15, 1995; 92(10): 2995 - 3005.
[Abstract] [Full Text]


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CirculationHome page
E. Camenzind, P.-P. Kint, C. Di Mario, J. Ligthart, W. van der Giessen, E. Boersma, and P. W. Serruys
Intracoronary Heparin Delivery in Humans : Acute Feasibility and Long-term Results
Circulation, November 1, 1995; 92(9): 2463 - 2472.
[Abstract] [Full Text]


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CirculationHome page
D. J. Cohen, H. M. Krumholz, C. A. Sukin, K. K.L. Ho, R. B. Siegrist, M. Cleman, R. R. Heuser, J. A. Brinker, J. W. Moses, M. P. Savage, et al.
In-Hospital and One-Year Economic Outcomes After Coronary Stenting or Balloon Angioplasty : Results From a Randomized Clinical Trial
Circulation, November 1, 1995; 92(9): 2480 - 2487.
[Abstract] [Full Text]


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CirculationHome page
G. Montalescot, A. Ankri, E. Vicaut, G. Drobinski, Y. Grosgogeat, and D. Thomas
Fibrinogen After Coronary Angioplasty as a Risk Factor for Restenosis
Circulation, July 1, 1995; 92(1): 31 - 38.
[Abstract] [Full Text]


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Circ. Res.Home page
A. E. Villa, L. A. Guzman, E. J. Poptic, V. Labhasetwar, S. D'Souza, C. L. Farrell, E. F. Plow, R. J. Levy, P. E. DiCorleto, and E. J. Topol
Effects of Antisense c-myb Oligonucleotides on Vascular Smooth Muscle Cell Proliferation and Response to Vessel Wall Injury
Circ. Res., April 1, 1995; 76(4): 505 - 513.
[Abstract] [Full Text]


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NEJMHome page
J. A. Bittl, L. Schwartz, P. W. Serruys, The Benestent Investigators, D. L. Fischman, M. P. Savage, S. Goldberg, and E. J. Topol
Coronary-Stent Placement Compared with Balloon Angioplasty
N. Engl. J. Med., February 23, 1995; 332(8): 536 - 538.
[Full Text]


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CirculationHome page
B. Stein, W. S. Weintraub, S. S.P. Gebhart, C. L. Cohen-Bernstein, R. Grosswald, H. A. Liberman, J. S. Douglas Jr, D. C. Morris, and S. B. King III
Influence of Diabetes Mellitus on Early and Late Outcome After Percutaneous Transluminal Coronary Angioplasty
Circulation, February 15, 1995; 91(4): 979 - 989.
[Abstract] [Full Text]


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ANGIOLOGYHome page
A. Millaire, P. de Groote, E. Decoulx, J.M. Coullet, P. Marache, J.Y. Brunet, M.E. Bertrand, and G. Ducloux
Long-Term Follow-up After Peripheral and Coronary Angioplasty in Patients Undergoing Both Types of Procedure
Angiology, November 1, 1994; 45(11): 923 - 929.
[Abstract] [PDF]


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NEJMHome page
C. W. Hamm, J. Reimers, T. Ischinger, H.-J. Rupprecht, J. Berger, W. Bleifeld, and The German Angioplasty Bypass Surgery Investigatio
A Randomized Study of Coronary Angioplasty Compared with Bypass Surgery in Patients with Symptomatic Multivessel Coronary Disease
N. Engl. J. Med., October 20, 1994; 331(16): 1037 - 1043.
[Abstract] [Full Text]


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NEJMHome page
D. L. Fischman, M. B. Leon, D. S. Baim, R. A. Schatz, M. P. Savage, I. Penn, K. Detre, L. Veltri, D. Ricci, M. Nobuyoshi, et al.
A Randomized Comparison of Coronary-Stent Placement and Balloon Angioplasty in the Treatment of Coronary Artery Disease
N. Engl. J. Med., August 25, 1994; 331(8): 496 - 501.
[Abstract] [Full Text]


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NEJMHome page
C. Landau, R. A. Lange, and L. D. Hillis
Percutaneous Transluminal Coronary Angioplasty
N. Engl. J. Med., April 7, 1994; 330(14): 981 - 993.
[Full Text]


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NEJMHome page
E. J. Topol, F. Leya, C. A. Pinkerton, P. L. Whitlow, B. Hofling, C. A. Simonton, R. R. Masden, P. W. Serruys, M. B. Leon, D. O. Williams, et al.
A Comparison of Directional Atherectomy with Coronary Angioplasty in Patients with Coronary Artery Disease
N. Engl. J. Med., July 22, 1993; 329(4): 221 - 227.
[Abstract] [Full Text]


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NEJMHome page
A. G. Adelman, E. A. Cohen, B. P. Kimball, R. Bonan, D. R. Ricci, J. G. Webb, L. Laramee, G. Barbeau, M. Traboulsi, B. N. Corbett, et al.
A Comparison of Directional Atherectomy with Balloon Angioplasty for Lesions of the Left Anterior Descending Coronary Artery
N. Engl. J. Med., July 22, 1993; 329(4): 228 - 233.
[Abstract] [Full Text]


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NEJMHome page
J. A. Bittl
Directional Coronary Atherectomy versus Balloon Angioplasty
N. Engl. J. Med., July 22, 1993; 329(4): 273 - 274.
[Full Text]



 
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