ANGIOGRAPHIC FOLLOW-UP OF PATIENTS AFTER TRANSLUMINAL CORONARY EXTRACTION ATHERECTOMY

The transluminal coronary extraction-endarterectomy catheter (TEC) con sists of a torquing tube with a distal, conical rotating blade. We suc cessfully treated 26 patients (27 lesions) using this catheter with ad junctive balloon angioplasty. Twenty-five patients (26 lesions) had se rial angiography before, 1 day after, and 3 months after the procedure . All 17 patients without restenosis 3 months after the procedure had angiography at 6 months. Restenosis, defined as >50% diameter stenosis , was noted in nine lesions at 3 months (early restenosis) and in five lesions at 6 months (late restenosis). Between vessels with and witho ut early restenosis, the percentage of diameter stenosis seen 1 day af ter the procedure and the luminal diameter were significantly differen t (38% +/- 14% vs 22% +/- 12%, respectively, p < 0.01; 2.3 vs 2.9 mm, p < 0.01, respectively). However, between vessels with and without lat e restenosis, these variables were not significantly different. The ov erall restenosis rate was 54% (native vessels 50%; grafts 80%). This o bservational study suggests that very early diameter narrowing seen 1 day after the procedure has greater contribution to early restenosis t han to late restenosis after successful TEC atherectomy with adjunctiv e balloon angioplasty.