Influence of coronary collateral flow on restenosis following primary angioplasty for acute myocardial infarction

Cheol Whan Lee, Myeong Ki Hong, Si Wan Choi, June Hong Kim, Jae Joong Kim, Seong Wook Park, Seung Jung Park

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We investigated the influence of collateral flow on restenosis in 156 consecutive acute myocardial infarction (AMI) patients treated with primary angioplasty within 12 hr of symptom onset. Collateral flow was quantitatively assessed using the pressure-derived fractional collateral flow (PDCF) index. Follow-up angiography was performed at 6 months. The patients were classified into two groups according to the PDCF index: group I (PDCF index > 24%; n = 55) with good collaterals and group II (PDCF index le; 24%; n = 101) with poor collaterals. Baseline characteristics were similar between the two groups, with the exception of peak levels of creatine kinase, angiographic collaterals, and TIMI flow 3 after intervention. The binary restenosis rate was 31.8% in group I and 32.9% in group II (P = NS). Use of the stents was the only independent predictor of binary restenosis. In conclusions, well-developed collaterals measured by PDCF may not predict restenosis following primary angioplasty for AMI.

Original languageEnglish
Pages (from-to)477-481
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume55
Issue number4
DOIs
Publication statusPublished - 2002 Apr 10

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All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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