Clinical Study

The Predictors of Target Lesion Revascularization and Rate of In-Stent Restenosis in the Second-Generation Drug-Eluting Stent Era

Table 2

Baseline patients and lesion characteristics according to late TLR.

Clinical FactorsLate TLR(-)Late TLR(+)P
(335 patients)(19 patients)

Age (years old)65.5±10.362.8±11.20.272
BMI (kg/m2)24.9±2.924.3±2.80.429
Male sex, n (%)249 (74.3)16 (84.2)0.488
Previous PCI, n (%)33 (9.9)5 (26.3)0.061
Diabetes mellitus, n (%)108 (32.2)6 (31.6)1.000
Hypertension, n (%)232 (69.3)14 (73.7)0.879
CRF, n (%)129 (38.5)8 (42.1)0.811
Dyslipidemia, n (%)213 (63.6)12 (63.2)1.000
Current smoking, n (%)87 (26.0)8 (42.1)0.201
FHx of CAD, n (%)44 (13.1)0 (0)0.223
LV ejection fraction (%)60.2±8.462.5±6.90.300
Clinical diagnosis0.632
 (i) Silent ischemia, n (%)19 (5.7)2 (10.5)
 (ii) Stable angina, n (%)197 (58.8)12 (63.2)
 (iii) Unstable angina, n (%)67 (20.0)4 (21.1)
 (iv) STEMI, n (%)21 (6.3)1 (5.3)
 (v) NSTEMI, n (%)31 (9.3)0 (0.0)
Multi Vessel disease, n (%)245 (73.1)10 (52.6)0.066

Laboratory tests

WBC (109/L)6.9±2.47.4±2.20.354
Hemoglobin (g/dl)13.6±1.813.7±2.00.840
Creatinine(mg/dl)1.04±0.431.19±0.630.303
GFR(ml/min/1.73m2)70.9±24.169.6±24.40.864
Total cholesterol (mg/dl)157±38157±440.982
Triglyceride (mg/dl)141±88118±380.283
LDL (mg/dl)97±35102±380.576
HDL (mg/dl)42±1139±80.277
CRP (mg/dl)0.34±0.921.44±3.270.200

Medication at discharge

 (i) Aspirin, n (%)334 (99.7)19 (100.0)1.000
 (ii) Clopidogrel, n (%)334 (99.7)19 (100.0)1.000
 (iii) DAPT, n (%)#333 (99.4)19 (100.0)1.000
 (vi) Beta blocker, n (%)237 (70.7)14 (73.7)1.000
 (v) Statin, n (%)318 (94.9)19 (100.0)0.612
 (vi) CCB, n (%)66 (19.7)9 (47.4)0.008
 (vii) ACEI, n (%)82 (24.5)3 (15.8)0.581
 (viii) ARB, n (%)128 (38.2)6 (31.6)0.634

Medication at first follow-up

 (i) Aspirin, n (%)332 (99.1)19 (100.0)1.000
 (ii) Clopidogrel, n (%)328 (97.9)18 (94.7)0.360
 (iii) DAPT, n (%)#325 (97.0)18 (94.7)0.460
 (vi) Beta blocker, n (%)252 (75.2)14 (73.7)1.000
 (v) Statin, n (%)333 (99.4)19 (100.0)1.000
 (vi) CCB, n (%)72 (21.5)7 (36.8)0.153
 (vii) ACEI, n (%)35 (10.4)1 (5.3)0.706
 (viii) ARB, n (%)136 (40.6)9 (47.4)0.634

Medication at second follow-up

 (i) Aspirin, n (%)307 (91.6)17 (89.5)0.669
 (ii) Clopidogrel, n (%)282 (84.2)18 (94.7)0.329
 (iii) DAPT, n (%)#256 (76.4)16 (84.2)0.581
 (vi) Beta blocker, n (%)244 (72.8)12 (63.2)0.429
 (v) Statin, n (%)330 (98.5)19 (100.0)1.000
 (vi) CCB, n (%)62 (18.5)6 (31.6)0.225
 (vii) ACEI, n (%)28 (8.4)0 (0)0.382
 (viii) ARB, n (%)127 (37.9)10 (52.6)0.230

Lesion factorsLate TLR(-)Late TLR(+)
(863 lesions)(23 lesions)

Treated coronary location0.482
 (i) LAD, n (%)397 (46.0)14 (60.9)
 (ii) LCX, n (%)215 (24.9)3 (13.0)
 (iii) RCA, n (%)249 (28.9)6 (26.1)
Bifurcation lesion, n (%)298 (34.5)10 (43.5)0.382
Calcified lesion0.109
 (i) None, n (%)437 (50.9)14 (60.9)
 (ii) Mild, n (%)154 (17.9)1 (4.3)
 (iii) Moderate, n (%)113 (13.2)1 (4.3)
 (vi) Severe, n (%)154 (17.9)7 (30.4)
Tortuous lesion0.761
 (i) None, n (%)797 (92.8)22 (95.7)
 (ii) Mild, n (%)24 (2.8)0 (0)
 (iii) Moderate, n (%)25 (2.9)1 (4.3)
 (vi) Severe, n (%)13 (1.5)0 (0)
Angulation lesion, n (%)0.428
 (i) None (<45°), n (%)798 (93.1)23 (100.0)
 (ii) Moderate (45°<90°), n (%)37 (4.3)0 (0)
 (iii) Extreme n (>90°), n (%)22 (2.6)0 (0)
Thrombus in lesion, n (%)26 (3.0)3 (13.0)0.291
Ostial lesion, n (%)165 (19.1)4 (17.4)1.000
Ulceration, n (%)2 (0.2)0 (0)1.000
Aneurysm, n (%)10 (1.2)0 (0)1.000
Lesion type0.132
 (i) A, n (%)87 (10.1)5 (21.7)
 (ii) B1, n (%)206 (23.9)8 (34.8)
 (iii) B2, n (%)50 (5.8)2 (8.7)
 (vi) C, n (%)491 (56.9)8 (34.8)
Type B2/C lesion, n (%)541 (64.9)10 (43.5)0.059
Reference vessel diameter (mm)2.93±0.512.89±0.530.713
Lesion length (mm)27.7±17.125.3±20.20.561
Pre-procedure MLD (mm)0.74±0.500.75±0.590.926
Pre-procedure DS (%)74.7±15.774.9±17.30.938
Post-procedure MLD, in- stent (mm)2.49±0.432.55±0.400.509
Post-procedure MLD, in-segment (mm)2.12±0.512.26±0.550.216
Post-procedure DS, in- stent (mm)11.4±8.111.3±9.60.955
Post-procedure DS, in-segment (mm)21.0±11.320.5±10.90.825

TLR, target lesion revascularization; BMI, body mass index; kg, kilogram; PCI, percutaneous coronary intervention; CRF, chronic renal failure; FHx, family history; CAD, coronary artery disease; LV, left ventricle; STEMI, ST-elevation myocardial infarction; NSTEMI, non-ST-elevation myocardial infarction; WBC, white blood cell; GFR, glomerular filtration rate; LDL, low density lipoprotein cholesterol; HDL, high density lipoprotein cholesterol; CRP, C-reactive protein; DAPT, dual antiplatelet therapy; CCB, calcium channel blockers; ACEI, angiotensin converting enzyme inhibitors; ARB, angiotensin II receptor blockers; LAD, left anterior descending; LCX, left circumflex; RCA, right coronary artery; MLD, minimal lumen diameter; DS, diameter stenosis.
# DAPT: combination of aspirin and clopidogrel.