The Korean journal of internal medicine

  • 제30권1호
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  • Pages.49-55
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  • 2015
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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Clinical impact of routine follow-up coronary angiography after second- or third-generation drug-eluting stent insertion in clinically stable patients

  • Choi, Seonghoon (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Mun, Hee-Sun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kang, Min-Kyung (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Cho, Jung Rae (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Han, Seong Woo (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Lee, Namho (Department of Internal Medicine, Hallym University College of Medicine)
  • 투고 : 2014.07.10
  • 심사 : 2014.11.10
  • 발행 : 2015.01.01
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: In the bare-metal stent era, routine follow-up coronary angiography (RFU CAG) was used to ensure stent patency. With the advent of drug-eluting stents (DESs) with better safety and efficacy profiles, RFU CAG has been performed less often. There are few data on the clinical impact of RFU CAG after second- or third-generation DES implantation in clinically stable patients with coronary artery disease; the aim of this study was to examine this issue. Methods: We analyzed clinical outcomes retrospectively of 259 patients who were event-free at 12-month after stent implantation and did not undergo RFU CAG (clinical follow-up group) and 364 patients who were event-free prior to RFU CAG (angiographic follow-up group). Baseline characteristics were compared between the groups. Results: The Kaplan-Meier estimated total survival and major adverse cardiac event (MACE)-free survival did not differ between the groups (p = 0.100 and p = 0.461, respectively). The cumulative MACE rate was also not different between the groups (hazard ratio, 0.85; 95% confidence interval, 0.35 to 2.02). In the angiographic follow-up group, 8.8% revascularization was seen at RFU CAG. Conclusions: RFU CAG did not affect long-term clinical outcome after second- or third-generation DES implantation in clinically stable patients.

키워드

참고문헌

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피인용 문헌

  1. The Impact of In-stent Restenosis Detected upon Routine Follow-up Angiography after Percutaneous Coronary Intervention with Metallic Stent vol.9, pp.2, 2015, https://doi.org/10.17264/stmarieng.9.53