INCIDENCE ET CHRONOLOGIE DE LA RESTENOSE CORONAIRE APRES ANGIOPLASTIE CORONARIENNE TRANSLUMINALE PRECUTANEE. ANALYSE ANGIOGRAPHIQUE QUANTITATIVE AUX 1ER, 2E, 3E, 4E ET 5E MOIS

Coronary restenosis occurs fairly early after transluminal coronary angioplasty, as suggested by anatomico-clinical, isotopic and angiographic studies. Its incidence, as reported in the literature, varies according to the clinical selection of patients, to the number of patients with follow-up angiography and the timing of this procedure, and to the criteria used to define restenosis. In this prospective study we endeavoured to determine the exact date at which restenosis takes place, as well as its true incidence, by means of 6 different angiographic criteria. The population studied was divided into five groups and each group underwent coronary arteriography at a different date: during the 1st, 2nd, 3rd, 4th and 5th post-angioplasty months respectively. In 424 of the 500 patients thus examined (84.8 p. 100), coronary angiography involved automatic detection of contours and made quantitative analysis possible. Coronary restenosis was found to occur early, with a peak of incidence in the 3rd month. Its incidence varied considerably dependeing on the criterion used. A critical analysis of the data had prompted us to use a criterion based on absolute values determined by quantitative angiographic analysis.