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논문번호 38
논문제목(영문) Long-term clinical outcomes in diabetics after coronary artery bypass surgery and coronary stenting.
국내외구분 국내 SCI여부 KCI
연구책임자역할 교신저자
주저자명 Sim DS
교신저자명 Jeong MH
공동저자명 Sim DS, Jeong MH, Kim W, Rhew JY, Yum JH, Kim JH, Ahn YK, Cho JG, Park JC, Ahn BH, Kim SH, Kang JC;
게제년월일 2003-04-28
ISSN 1738-9364
Impact Factor 0
학술지명 Korean Journal of Medicine
서지사항 0집 / 65권 / 2호,   페이지(160 - 167)
요약초록문
(Abstract) 입력		 Background : Diabetes is a major risk factor for restenosis after percuataneous coronary intervention (PCI) and coronary artery bypass surgery (CABG) has been considered desirable in diabetics with multivessel disease. However, recent developments in devices and techniques of PCI have led to speculation about advantages of CABG in diabetic patients. We sought to compare long-term clinical outcomes of coronary stenting and those of CABG in diabetics with coronary artery disease.
Methods : Among diabetics who underwent revascularization therapy in Chonnam National University Hospital between Mar 1998 and Feb 1999, 122 patients (Group I, 84 males, 60±}8 years) who had stent implanted, and 38 patients (Group II, 24 males, 60±}8 years) who had bypass surgery were selected and their short- and long-term clinical were compared.
Results : As for clinical diagnosis and risk factors there were no differences between the two groups. In ACC/AHA types Group II　had more multiple and complex vessel disease than Group I (p<0.05). Incidences of in-hospital adverse cardiac events were not different between the two groups, but during the period of 30.5±}6.7 months the incidence of target lesion revascularization was significantly higher in Group I (18.9% versus 5.7%, p<0.005).
Conclusion : Short-term clinical outcomes of coronary stenting were comparable to those of CABG　in patients with diabetes, but the incidence of repeat revascularization was higher in the coronary stenting group. With the advent of adjunctive therapies in the prevention of restenosis after PCI, these results require fu rther clinical assessment.
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