Top

Published in:

01-05-2007 | original article

Troponin T elevation and prognosis after multivessel compared with single-vessel elective percutaneous coronary intervention

Authors: M. B. Nienhuis, J. P. Ottervanger, H. E. Dambrink, L. D. Dikkeschei, H. Suryapranata, A. W. J. van ’t Hof, J. C. A. Hoorntje, M. J. de Boer, A. T. M. Gosselink, F. Zijlstra

Published in: Netherlands Heart Journal | Issue 5/2007

Extract

During the last decade, percutaneous coronary intervention (PCI) has been improved.1 Use of (drug-eluting) stents has decreased the occurrence of restenosis. Furthermore, PCI is now often combined with diagnostic coronary angiography in one procedure. 2,3 Another development is performing multivessel PCI in one session. Although it was not confirmed by a recently published registry,4 randomised trials have suggested that in most patients with multivessel disease, PCI is comparable to coronary artery bypass grafting (CABG) with regards to mortality and myocardial infarction (MI) in follow-up.5 Performing more interventions in one procedure may be faster and more convenient than staged procedures. Although one study suggests that this one-session strategy might be more harmful, there are only few data on this issue.6 …

Lenzen MJ, Boersma E, Bertrand ME, Maier W, Moris C, Piscione F, et al. European Society of Cardiology. Management and outcome of patients with established coronary artery disease: the Euro Heart Survey on coronary revascularization. Eur Heart J 2005;26:1169-79.

Kimmel SE, Berlin JA, Hennessy S, Strom BL, Krone RJ, Laskey WK. Risk of major complications from coronary angioplasty performed immediately after diagnostic coronary angiography: results from the Registry of the Society for Cardiac Angiography and Interventions. J Am Coll Cardiol 1997;30:193-200.

Goldstein CL, Racz M, Hannan EL. Impact of cardiac catheterization- percutaneous coronary intervention timing on inhospital mortality. Am Heart J 2002;144:561-7.

Hannan EL, Racz MJ, Walford G, Jones RH, Ryan TJ, Bennett E, et al. Long-term outcomes of coronary-artery bypass grafting versus stent implantation. N Engl J Med 2005;352:2174-83.

Smith SC, Feldman TE, Hirshfeld Jr JW, Jacobs AK, Kern MJ, King III SB, et al. ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention. A report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation 2006;113:156-75.

Nikolsky E, Halabi M, Roguin A, Zdorovyak A, Gruberg L, Hir J, et al. Staged versus one-step approach for multivessel percutaneous coronary interventions. Am Heart J 2002;143:1017-26.

Wu AH, Boden WE, McKay RG. Long-term follow-up of patients with increased cardiac troponin concentrations following percutaneous coronary intervention. Am J Cardiol 2002;89:1300-2.

Nienhuis MB, Ottervanger JP, Bilo HJG, Dikkeschei LD, Zijlstra F. Prognostic value of troponin after elective percutaneous coronary intervention: A Meta-Analysis. Submitted.

Prasad A, Singh M, Lerman A, Lennon RJ, Holmes DR Jr, Rihal CS. Isolated elevation in troponin T after percutaneous coronary intervention is associated with higher long-term mortality. J Am Coll Cardiol 2006;48:1765-70.

Nageh T, Sherwood RA, Harris BM, Thomas MR. Prognostic role of cardiac troponin I after percutaneous coronary intervention in stable coronary disease. Heart 2005;91:1181-5.

Nienhuis MB, Ottervanger JP, Dikkeschei LD, Suryapranata H, de Boer MJ, Dambrink JHE, et al. Prognostic importance of elevated troponin T and creatine kinase after elective percutaneous coronary intervention. Int J Cardiol, in press.

Jordanova N, Gyongyosi M, Khorsand A, Falkensammer C, Zorn G, Wojta J, et al. New cut-off values of cardiac markers for risk stratification of angina pectoris. Int J Cardiol 2005;99:429-35.

Solymoss BC, Bourassa MG, Fortier A, Theroux P. Evaluation and risk stratification of acute coronary syndromes using a low cut-off level of cardiac troponin T, combined with CK-MB mass determination. Clin Biochem 2004;37:286-92.

Collinson PO, Stubbs PJ, Kessler AC. Multicentre Evaluation Of Routine Immunoassay Of Troponin T Study. Multicentre evaluation of the diagnostic value of cardiac troponin T, CK-MB mass, and myoglobin for assessing patients with suspected acute coronary syndromes in routine clinical practice. Heart 2003;89: 280-6.

Kornowski R, Mehran R, Satler LF, Pichard AD, Kent KM, Greenberg A, et al. Procedural results and late clinical outcomes following multivessel coronary stenting. J Am Coll Cardiol 1999;33:420-6.

Kloeter UC, Jander NG, Buser PT, Osswald S, Mueller-Brand J, Pfisterer ME. Long-term outcome of angioplasty for multivessel coronary disease: importance and price of complete revascularization. Int J Cardiol 2001;79:197-205.

Goldman LE, Okrainec K, Eisenberg MJ, Schechter D, Lefkovits J, Goudreau E, et al; ROSETTA Investigators. Six-month outcomes after single- and multi-lesion percutaneous coronary intervention: results from the ROSETTA registry. Can J Cardiol 2004;20:608-12.

IJsselmuiden AJ, Ezechiels J, Westendorp IC, Tijssen JG, Kiemeneij F, Slagboom T, et al. Complete versus culprit vessel percutaneous coronary intervention in multivessel disease: A randomized comparison. Am Heart J 2004;148:467-74.

Berger A, Botman KJ, MacCarthy PA, Wijns W, Bartunek J, Heyndrickx GR, et al. Long-term clinical outcome after fractional flow reserve-guided percutaneous coronary intervention in patients with multivessel disease. J Am Coll Cardiol 2005;46:438-42.

Shishehbor MH, Topol EJ, Mukherjee D, Hu T, Cohen DJ, Stone GW, et al; TARGET Investigators. Outcome of multivessel coronary intervention in the contemporary percutaneous revascularization era. Am J Cardiol 2006;97:1585-90.

Abdelmeguid AE, Topol EJ, Whitlow PL, Sapp SK, Ellis SG. Significance of mild transient release of creatine kinase-MB fraction after percutaneous coronary interventions. Circulation 1996;94: 1528-36.

Natarajan MK, Kreatsoulas C, Velianou JL, Mehta SR, Pericak D, Goodhart DM. Incidence, predictors, and clinical significance of troponin-I elevation without creatine kinase elevation following percutaneous coronary interventions. Am J Cardiol 2004;93: 750-3.

Corpus RA, House JA, Marso SP, Grantham JA, Huber KC Jr, Laster SB, et al. Multivessel percutaneous coronary intervention in patients with multivessel disease and acute myocardial infarction. Am Heart J 2004;148:493-500.

Di Mario C, Mara S, Flavio A, Imad S, Antonio M, Anna P, et al. Single vs multivessel treatment during primary angioplasty: results of the multicentre randomised HEpacoat for cuLPrit or multivessel stenting for Acute Myocardial Infarction (HELP AMI) Study. Int J Cardiovasc Intervent 2004;6:128-33.

Herrmann J. Peri-procedural myocardial injury: 2005 update. Eur Heart J 2005;26:2493-519.

Prati F, Pawlowsky T, Gil R, Labellarte A, Gziut A, Caradonna E, et al. Stenting of culprit lesions in unstable angina leads to a marked reduction in plaque burden: a major role of plaque embolization? A serial intravascular ultrasound study. Circulation 2003;107: 2320-5.

Bonderman D, Teml A, Jakowitsch J, Adlbrecht C, Gyongyosi M, Sperker W, et al. Coronary no-reflow is caused by shedding of active tissue factor from dissected atherosclerotic plaque. Blood 2002;99:2794-800.

Gregorini L, Fajadet J, Robert G, Cassagneau B, Bernis M, Marco J. Coronary vasoconstriction after percutaneous transluminal coronary angioplasty is attenuated by antiadrenergic agents. Circulation 1994;90:895-907.

Nienhuis MB, Ottervanger JP, Miedema K, Suryapranata H, de Boer MJ, Dambrink JHE, et al. Pre-treatment with clopidogrel and postprocedure troponin elevation after elective percutaneous coronary intervention. Thromb Haemost 2006;95:337-40.

Title: Troponin T elevation and prognosis after multivessel compared with single-vessel elective percutaneous coronary intervention
Authors: M. B. Nienhuis
J. P. Ottervanger
H. E. Dambrink
L. D. Dikkeschei
H. Suryapranata
A. W. J. van ’t Hof
J. C. A. Hoorntje
M. J. de Boer
A. T. M. Gosselink
F. Zijlstra
Publication date: 01-05-2007
Publisher: Bohn Stafleu van Loghum
Published in: Netherlands Heart Journal / Issue 5/2007
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI: https://doi.org/10.1007/BF03085977

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Troponin T elevation and prognosis after multivessel compared with single-vessel elective percutaneous coronary intervention

Extract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Extract

Please log in to get access to this content

Other articles of this Issue 5/2007

Emergency cardiac surgery after a failed percutaneous coronary intervention in an interventional centre without on-site cardiac surgery

Coronary tortuosity: a long and winding road

Familial screening and genetic counselling in hypertrophic cardiomyopathy: the Rotterdam experience

Percutaneous closure of an adult patent ductus arteriosus

Should more hospitals in the Netherlands provide PCI without on-site cardiac surgery?