Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention
Aim: to determine factors associated with In-Stent Restenosis (ISR) in patients following Percutaneous Coronary Intervention (PCI). Methods: a retrospective cross-sectional study was conducted using secondary information from medical records of post-PCI patients who underwent follow-up of angiograp...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2015-07-01
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| Series: | Acta Medica Indonesiana |
| Online Access: | https://www.actamedindones.org/index.php/ijim/article/view/34 |
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| author | Dedi Wihanda Idrus Alwi Hamzah Shatri E. Mudjaddid E. Mudjaddid |
| author_facet | Dedi Wihanda Idrus Alwi Hamzah Shatri E. Mudjaddid E. Mudjaddid |
| author_sort | Dedi Wihanda |
| collection | DOAJ |
| description |
Aim: to determine factors associated with In-Stent Restenosis (ISR) in patients following Percutaneous Coronary Intervention (PCI). Methods: a retrospective cross-sectional study was conducted using secondary information from medical records of post-PCI patients who underwent follow-up of angiography PCI between January 2009 and March 2014 at The Integrated Cardiovascular Service Unit, Cipto Mangunkusumo Hospital, Jakarta. Angiographic ISR was defined when the diameter of stenosis ≥50% at follow-up angiography including the diameter inside the stent and diameter with five-mm protrusion out of the proximal and distal ends of the stent. Results: there were 289 subjects including 133 subjects with and 156 subjects without ISR. The incidence of ISR in patients using of bare-metal stent (BMS) and drug-eluting stent (DES) were 61.3% and 40.7%, respectively. Factors associated with ISR are stent-type (OR=4.83, 95% CI 2.51-9.30), stent length (OR=3.71, 95% CI 1.99-6.90), bifurcation lesions (OR=2.43, 95% CI 1.16-5.10), smoking (OR=2.30, 95% CI 1.33-3.99), vascular diameter (OR=2.18, 95% CI 1.2-3.73), hypertension (OR=2.16, 95% CI 1.16-4.04) and diabetes mellitus (OR=2.14, 95% CI 1.23-3.70). Conclusion: stent type, stent length, bifurcation lesions, smoking, vascular diameter, hypertension and DM are factors associated with ISR in patients following PCI.
Key words: bare-metal stent; drug-eluting stent; in-stent restenosis.
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| format | Article |
| id | doaj-art-3e66b3b2162c4276980bb9cfa76fb78a |
| institution | Kabale University |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2015-07-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-3e66b3b2162c4276980bb9cfa76fb78a2025-08-20T03:35:40ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322015-07-0147334Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary InterventionDedi Wihanda0Idrus Alwi1Hamzah Shatri2E. Mudjaddid E. Mudjaddid3Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia Aim: to determine factors associated with In-Stent Restenosis (ISR) in patients following Percutaneous Coronary Intervention (PCI). Methods: a retrospective cross-sectional study was conducted using secondary information from medical records of post-PCI patients who underwent follow-up of angiography PCI between January 2009 and March 2014 at The Integrated Cardiovascular Service Unit, Cipto Mangunkusumo Hospital, Jakarta. Angiographic ISR was defined when the diameter of stenosis ≥50% at follow-up angiography including the diameter inside the stent and diameter with five-mm protrusion out of the proximal and distal ends of the stent. Results: there were 289 subjects including 133 subjects with and 156 subjects without ISR. The incidence of ISR in patients using of bare-metal stent (BMS) and drug-eluting stent (DES) were 61.3% and 40.7%, respectively. Factors associated with ISR are stent-type (OR=4.83, 95% CI 2.51-9.30), stent length (OR=3.71, 95% CI 1.99-6.90), bifurcation lesions (OR=2.43, 95% CI 1.16-5.10), smoking (OR=2.30, 95% CI 1.33-3.99), vascular diameter (OR=2.18, 95% CI 1.2-3.73), hypertension (OR=2.16, 95% CI 1.16-4.04) and diabetes mellitus (OR=2.14, 95% CI 1.23-3.70). Conclusion: stent type, stent length, bifurcation lesions, smoking, vascular diameter, hypertension and DM are factors associated with ISR in patients following PCI. Key words: bare-metal stent; drug-eluting stent; in-stent restenosis. https://www.actamedindones.org/index.php/ijim/article/view/34 |
| spellingShingle | Dedi Wihanda Idrus Alwi Hamzah Shatri E. Mudjaddid E. Mudjaddid Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention Acta Medica Indonesiana |
| title | Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention |
| title_full | Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention |
| title_fullStr | Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention |
| title_full_unstemmed | Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention |
| title_short | Factors Associated with In-stent Restenosis in Patients Following Percutaneous Coronary Intervention |
| title_sort | factors associated with in stent restenosis in patients following percutaneous coronary intervention |
| url | https://www.actamedindones.org/index.php/ijim/article/view/34 |
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