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Evaluation of immediate and long-term results of intervention by echocardiography: Can restenosis be predicted?

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Imaging and Intervention in Cardiology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 173))

Abstract

Coronary artery revascularization with either coronary artery bypass surgery or percutaneous transluminal coronary angioplasty is an effective therapeutic procedure in the management of properly selected patients with coronary artery disease [1, 2]. For patient selection and assessment of procedure efficacy, a functional evaluation of stenosis is mandatory. As stated by Andreas Grüntzig at the dawn of the angioplasty era [3], “imaging postcatheteriz-ation permits evaluation of the physiologic significance of an observed lesion - to determine the potential effect of dilatation on perfusion distal to the lesion”. In addition, a preangioplasty imaging evaluation “provides a baseline for noninvasive post-angioplasty monitoring of the procedure success. As with the patient who has undergone bypass surgery, subjective symptoms are usually a good guide, but are not sufficient for the longitudinal evaluation of the procedure” [3].

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References

  1. Grüntzig AR, Senning A, Siegenthaler WE et al. Non-operative dilatation of coronary artery stenosis: Percutaneous transluminal angioplasty. N Eng J Med 1979; 301: 61–68.

    Article  Google Scholar 

  2. Kirklin JW, Akins CW, Blackstone EH et al. ACC/AHA task force report. Guidelines and indications for coronary artery bypass graft surgery. A report of the American College of Cardiology/American Heart Association task force on assessment of diagnostic and therapeutic cardiovascular procedures (subcommittee on coronary artery bypass graft surgery). J Am Coll Cardiol 1991; 17: 543–89.

    Article  Google Scholar 

  3. Bloomfield ME, Gruntzig AR, Stertzer SH. Thallium-201 myocardial imaging and coronary angioplasty: Synergistic diagnostics. DuPont-New England Nuclear Medical Products Monograph no. 15C585A–2358. N. Billerica MA: DuPont, May 1984: 18–23.

    Google Scholar 

  4. Prvulovich E, Underwood R. Can restenosis after coronary angioplasty be predicted by scintigraphy? In: Nienaber CA, Sechtem U, editors. Imaging and intervention in cardiology. Dordrecht, Kluwer Academic Publishers, 1996.

    Google Scholar 

  5. Picaño E. Stress echocardiography. From pathophysiological toy to diagnostic tool. Circulation 1992; 85: 1604–12.

    Google Scholar 

  6. Picaño E. Stress echocardiography, 2nd ed. Heidelberg: Springer Verlag, 1994.

    Google Scholar 

  7. Sawada SG, Judson WE, Ryan T et al. Upright bycicle exercise echocardiography after coronary artery bypass grafting. Am J Cardiol 1989; 64: 1123–9.

    Article  PubMed  CAS  Google Scholar 

  8. Biagini A, Maffei S, Baroni M et al. Early assessment of coronary reserve after bypass surgery by dipyridamole transesophageal echocardiographic stress test. Am Heart J 1990; 120: 1097–101.

    Article  PubMed  CAS  Google Scholar 

  9. Bongo AS, Bolognese L, Sarasso G et al. Early assessment of coronary artery bypass graft patency by high-dose dipyridamole echocardiography. Am J Cardiol 1991; 67: 133–6.

    Article  PubMed  CAS  Google Scholar 

  10. La Canna G, Alfieri O, Giubbini R et al. Echocardiography during infusion of dobutamine for identification of reversibility dysfunction in patients with chronic coronary artery disease. J Am Coll Cardiol 1994; 23: 617–26.

    Article  PubMed  Google Scholar 

  11. Crouse LJ, Vacek JL, Beauchamp GD et al. Exercise echocardiography after coronary bypass grafting. Am J Cardiol 1992; 70: 572–6.

    Article  PubMed  CAS  Google Scholar 

  12. Bjoernstad K, Aakhus S, Lundbom J et al. Digital dipyridamole stress echocardiography in silent ischemia after coronary artery bypass grafting and/or after healing of acute myocardial infarction. Am J Cardiol 1993; 72: 640–6.

    Article  PubMed  CAS  Google Scholar 

  13. Labovitz AJ, Lewen M, Kern MJ et al. The effects of succesful PTCA on left ventricular function: Assessment by exercise echocardiography. Am Heart J 1989; 117: 1003–8.

    Article  PubMed  CAS  Google Scholar 

  14. Massa D, Pirelli S, Gara E et al. Exercise testing and dipyridamole echocardiography test before and 48 h after succesful coronary angioplasty: Prognostic implications. Eur Heart J 1989; 10 (Suppl) G): 13–7.

    PubMed  Google Scholar 

  15. Picaño E, Pirelli S, Marzilli M et al. Usefulness of high dose dipyridamole echocardiography test in coronary angioplasty. Circulation 1989; 80: 807–15.

    Article  PubMed  Google Scholar 

  16. Broderick T, Sawada S, Armstrong WF et al. Improvement in rest and exercise-induced wall motion abnormalities after coronary angioplasty: An exercise echocardiographic study. J Am Coll Cardiol 1990; 15: 591–9.

    Article  PubMed  CAS  Google Scholar 

  17. Aboul-Enein H, Bengston JR, Adams DB et al. Effect of the degree of effort on exercise echocardiography for the detection of restenosis after coronary artery angioplasty. Am Heart J 1991; 122: 430–7.

    Article  PubMed  CAS  Google Scholar 

  18. Pirelli S, Danzi GB, Alberti A et al. Comparison of usefulness of high dose dipyridamole echocardiography and exercise electrocardiography for detection of asyptomatic restenosis after coronary angioplasty. Am J Cardiol 1991; 67: 1335–8.

    Article  PubMed  CAS  Google Scholar 

  19. Pirelli S, Massa D, Faletra F et al. Exercise electrocardiography versus dipyridamole echocardiography testing in coronary angioplasty. Early functional evaluation and prediction of angina recurrence. Circulation 1991; 83: III38–41.

    Google Scholar 

  20. McNeill AT, Fioretti PM, AI-Said SM et al. Dobutamine stress echocardiography before and after coronary angioplasty. Am J Cardiol 1992; 69: 740–5.

    Article  PubMed  CAS  Google Scholar 

  21. Fioretti PM, Pozzoli MM, Ilmer B et al. Exercise echocardiography versus thallium-201 SPECT for assessing patients before and after PTCA. Eur Heart J 1992; 13: 213–9.

    PubMed  CAS  Google Scholar 

  22. Marwick T, Baudhuin T, Willemart W et al. Differential alteration of regional left ventricular function and perfusion responses to cardiac stress early after coronary angioplasty. Eur Heart J 1992; 13 (Suppl): 404.

    Google Scholar 

  23. Hoffmann R, Kleinhans E, Bexten M et al. Transesophageal pacing echocardiography for identification of patients with restenosis after percutaneous transluminal coronary angioplasty. Circulation 1992; 19: 54A.

    Google Scholar 

  24. Akosah KO, Porter TR, Simon R et al. Ischemia-induced regional wall motion abnormality is improved after coronary angioplasty: Demonstration by dobutamine stress echocardiography. J Am Coll Cardiol 1993; 21: 584–9.

    Article  PubMed  CAS  Google Scholar 

  25. Mertes H, Erbel R, Nixdorff U et al. Exercise echocardiography for the evaluation of patients after nonsurgical coronary artery revascularization. J Am Coll Cardiol 1993; 21: 1087–93.

    Article  PubMed  CAS  Google Scholar 

  26. El-Said ES, Fioretti PM, Roelandt JR et al. Dobutamine stress-Doppler echocardiography before and after coronary angioplasty. Eur Heart J 1993; 14: 1011–21.

    Article  PubMed  CAS  Google Scholar 

  27. Pirelli S, Danzi GB, Massa D et al. Exercise thallium scintigraphy versus high dose dipyridamole echocardiography testing for detection of asymptomatic restenosis in patients with positive exercise test after coronary angioplasty. Am J Cardiol 1993; 71: 1052–6.

    Article  PubMed  CAS  Google Scholar 

  28. Hecht HS, DeBord L, Shaw R et al. Usefulness of supine bicycle stress echocardiography for detection of restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol 1993; 71: 293–6.

    Article  PubMed  CAS  Google Scholar 

  29. Heinle SK, Lieberman EB, Ancukiewicz M et al. Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol 1993; 72: 1220–5.

    Article  PubMed  CAS  Google Scholar 

  30. Severi S, Picaño E, Michelassi C et al. Diagnostic and prognostic value of dipyridamole echocardiography in patients with suspected coronary artery disease: Comparison with exercise electrocardiography. Circulation 1994; 89: 1160–73.

    PubMed  CAS  Google Scholar 

  31. Picaño E, Parodi O, Lattanzi F et al. Assessment of anatomic and physiological severity of single-vessel coronary artery lesions by dipyridamole echocardiography: Comparison with positron emission tomography and quantitative arteriography. Circulation 1994; 89: 753–61.

    PubMed  Google Scholar 

  32. Lu C, Picaño E, Pingitore A et al. Complex artery coronary lesion morphology influences results of stress echocardiography. Circulation 1995; 91: 1669–75.

    PubMed  CAS  Google Scholar 

  33. Picaño E, Landi P, Bolognese L et al. Prognostic value of dipyridamole echocardiography early after uncomplicated myocardial infarction: A large-scale, multicenter trial. Am J Med 1993; 95: 608–17.

    Article  PubMed  Google Scholar 

  34. Pingitore A, Bigi R, Mathias W et al. on behalf of the EDIC (Echo Dobutamine International Cooperative) study group. The prognostic value of dobutamine-atropine stress echo-cardiography: Early after acute myocardial infarction. Circulation 1994; 90 (4, part 2): I-452.

    Google Scholar 

  35. Pierard LA, De Landsheere CM, Berthe C et al. Identification of viable myocardium by echocardiography during dobutamine infusion in patients with myocardial infarction after thrombolytic therapy: Comparison with positron emission tomography. J Am Coll Cardiol 1990; 15: 1021–31.

    Article  PubMed  CAS  Google Scholar 

  36. Picaño E, Marzullo P, Gigli G et al. Identification of viable myocardium by dipyridamole-induced improvement in regional left ventricular function assessed by echocardiography in myocardial infarction and comparison with thallium scintigraphy test. Am J Cardiol 1992; 70: 1703–10.

    Google Scholar 

  37. Pierard L. Assessment of viability in severely hypokinetic myocardium before revascularization and prediction of functional recovery: The role of echocardiography. In: Nienaber CA, Sechtem U, editors. Imaging and intervention in cardiology. Dordrecht: Kluwer Academic Publishers, 1995.

    Google Scholar 

  38. Miller DD, Verani M. Current status of myocardial perfusion imaging after percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 1994; 24: 260–6.

    Article  PubMed  CAS  Google Scholar 

  39. Beleslin BD, Ostojic M, Stepanovic J et al. Stress echocardiography in the diagnosis of detection of ischemic heart disease: Head-to-head comparison between exercise, dobutamine and dipyridamole tests. Circulation 1994; 90: 1168–76.

    PubMed  CAS  Google Scholar 

  40. Ostojic M, Babic R, Beleslin B et al. Comparative evaluation of exercise, dobutamine and dipyridamole echocardiography in the setting of interventional coronary revascularization. Circulation 1994; 90 (4, part 2): I-660 (Abstr).

    Google Scholar 

  41. Ostojic M, Djordjevic-Dikic A, Beleslin B et al. Detection of coronary restenosis upon performed transluminal coronary angioplasty and/or directional coronary atherectomy. Proceedings of the 10th meeting of invasive cardiology, Alghero, Italy, 26–29 June, 1994.

    Google Scholar 

  42. Sechtem U, Bachmann R, Voth E et al. Myocardial ischemia after successful coronary revascularization: Does intravascular ultrasound provide an explanation? Circulation 1994; 90 (4, part 2): I-448 (Abstr).

    Google Scholar 

  43. Picaño E, Lattanzi F, Orlandini A et al. Stress echocardiography and the human factor: The importance of being expert. J Am Coll Cardiol 1991; 17: 666–9.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. CNR, Institute of Clinical Physiology, Via Paolo Savi 8, 56100, Pisa, Italy

    Dr Eugenio Picano

Authors
  1. Albert Varga
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  2. Dr Eugenio Picano
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Editor information

Editors and Affiliations

  1. Department of Cardiology, University Hospital Eppendorf, Martinistrasse 52, D-20246, Hamburg, Germany

    Christoph A. Nienaber

  2. Klinik III für Innere Medizin, University of Cologne, Joseph-Stelzmannstrasse 9, D-50924, Cologne, Germany

    Udo Sechtem

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© 1996 Kluwer Academic Publishers

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Varga, A., Picano, E. (1996). Evaluation of immediate and long-term results of intervention by echocardiography: Can restenosis be predicted?. In: Nienaber, C.A., Sechtem, U. (eds) Imaging and Intervention in Cardiology. Developments in Cardiovascular Medicine, vol 173. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0115-5_24

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  • DOI: https://doi.org/10.1007/978-94-009-0115-5_24

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6538-2

  • Online ISBN: 978-94-009-0115-5

  • eBook Packages: Springer Book Archive

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