Long-term outcome of patients with incomplete vs complete revascularization after multivessel PTCA A report from the NHLBI PTCA Registry

摘要: Background Incomplete revascularization is frequently the goal as well final outcome in patients with multivessel coronary disease undergoing PTCA. However, long-term impact of incomplete not known and this common PTCA strategy deserves further scrutiny. Methods results Complete was achieved 132 757 1985–86 NHLBI Registry. Compared to whom complete achieved, were older ( P <0·05), more likely be females <0·05) have recent myocardial infarction unstable angina <0·001), urgent or emergent <0·001). Early death, Q wave CABG rates higher than those [significantly different only for emergency elective CABG]. At 9 years, nearly twice many experienced recurrent (19% vs 10% revascularization, <0·05). Patients undergo repeat (40% 30%, (32% 14%, <0·001; adjusted risk 2·56, 95% CI 1·60, 4·10). Among intended but attempted had highest early event late rates. Finally, dying, having a infarction, at 9-year follow-up among without revascularization. Conclusions by reduces occurrence CABG, angina, disease. These data tend support when feasible planned before procedure.