Effects of cilostazol on angiographic restenosis after coronary stent placement

Seong Wook Park, Cheol Whan Lee, Hyun Sook Kim, Nae Hee Lee, Deuk Young Nah, Myeong Ki Hong, Jae Joong Kim, Seung Jung Park

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Abstract

This study evaluates the impact of cilostazol on poststenting restenosis. Cilostazol is a potent antiplatelet agent with antiproliferative properties. Few data are available about the effect of cilostazol on poststenting restenosis. Four hundred nine patients (494 lesions) who were scheduled for elective stenting were randomized to receive aspirin plus ticlopidine (group I, n = 201, 240 lesions) or aspirin plus cilostazol (group II, n = 208, 254 lesions), starting 2 days before stenting. Ticlopidine was given for 1 month and cilostazol for 6 months. Follow-up angiography was performed at 6 months, and clinical evaluation at regular intervals. Baseline characteristics were similar between the 2 groups. The procedural success rate was 99.6% in group I and 100% in group II. There were no cases of stent thrombosis after stenting. Angiographic follow-up was performed in 380 of the 494 eligible lesions and the angiographic restenosis rate was 27% in group I and 22.9% in group II (p = NS). However, diffuse type in-stent restenosis was more common in group I than in group II (54.2% vs 26.8%, respectively, p < 0.05). In diabetic patients, the angiographic restenosis rate was 50% in group I and 21.7% in group II (p < 0.05). Clinical events during follow-up did not differ between the 2 groups. In conclusion, aspirin plus cilostazol seems to be an effective antithrombotic regimen with comparable results to aspirin plus ticlopidine, but it does not reduce the overall angiographic restenosis rate after elective coronary stenting.

Original languageEnglish
Pages (from-to)499-503
Number of pages5
JournalAmerican Journal of Cardiology
Volume86
Issue number5
DOIs
Publication statusPublished - 2000 Sep 1

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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    Park, S. W., Lee, C. W., Kim, H. S., Lee, N. H., Nah, D. Y., Hong, M. K., Kim, J. J., & Park, S. J. (2000). Effects of cilostazol on angiographic restenosis after coronary stent placement. American Journal of Cardiology, 86(5), 499-503. https://doi.org/10.1016/S0002-9149(00)01001-8