Incomplete Revascularization in the Era of Drug-Eluting Stents

摘要: Objectives We sought to compare outcomes for percutaneous coronary intervention patients undergoing complete revascularization (CR) and incomplete (IR) in the drug-eluting stent era. Background There have been relatively few studies that examined impact of IR stenting, particularly era stents. Methods New York State9s Percutaneous Coronary Intervention Reporting System was used identify 11,294 with multivessel disease either or CR 39 hospitals between October 1, 2003, December 31, 2004. These were followed through 2005, subdivided based on number vessels presence a chronic total occlusion. Risk-adjusted mortality mortality/myocardial infarction (MI) compared at 18 months. Results Incomplete performed 7,795 (69.0%). associated higher 18-month (adjusted hazard ratio [HR]: 1.23, 95% confidence interval [CI]: 1.04 1.45) MI/mortality HR: 1.27, CI: 1.09 1.47). The risk-adjusted survival rates 94.9% 93.8% (p = 0.01). survival/freedom from MI 93.3% 91.7% 0.002). Patients 2 diseased unattempted occlusion highest risk 1.44, 1.14 1.82, vs. 92.9%, p 0.002; adjusted MI: 1.50, 1.21 1.86, 90.3%, Conclusions stenting who receive experience more adverse even This has implications choice procedure post-procedural monitoring.