Evidence map›Paper›PMID 40978996›Full record

ArticleCureus2025

Retrospective Analysis of In-Stent Restenosis in Diabetic Patients.

Haseeba Khalid, Hammad Mudassar, Ali Husnain, Muhammad Fakhar Hayat, Babar Jahangir Baig, Atif Nazir, Hamza Riaz

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Haseeba KhalidInternal Medicine, Akhtar Saeed Medical and Dental College, Lahore, PAK.
Hammad MudassarInternal Medicine, Akhtar Saeed Medical and Dental College, Lahore, PAK.
Ali HusnainCardiology, Shalamar Hospital, Lahore, PAK.
Muhammad Fakhar HayatCardiology, Shalamar Hospital, Lahore, PAK.
Babar Jahangir BaigInternal Medicine, Sheikh Zayed Hospital, Lahore, PAK.
Atif NazirCardiology, Rawalpindi Institute of Cardiology, Rawalpindi, PAK.
Hamza RiazInternal Medicine, Nawaz Sharif Social Security Hospital, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In-stent restenosis (ISR) remains a major clinical challenge in diabetic patients undergoing percutaneous coronary intervention (PCI), despite the widespread use of drug-eluting stents (DES). Objective This study aims to determine the incidence of ISR and identify associated clinical and procedural risk factors in diabetic patients following PCI with DES. Materials and methods This retrospective study was conducted at Akhtar Saeed Trust Hospital, Lahore, Pakistan, from April 2023 to April 2025. A total of 265 diabetic patients who underwent PCI with DES implantation and later presented for follow-up angiographic evaluation were enrolled in the study. Participants were selected through non-probability consecutive sampling. Data were collected using a structured proforma, which included demographic information (age, sex), clinical history (duration of diabetes, smoking status, hypertension, dyslipidemia), laboratory parameters (HbA1c, fasting glucose, lipid profile), and procedural details (number, type, and length of stents used; lesion characteristics; and target vessel). Results ISR was observed in 76 out of 265 patients (28.7%). Patients with ISR had significantly higher HbA1c levels (8.6 ± 1.2% vs. 7.3 ± 1.1%, p < 0.001), longer duration of diabetes (11.1 ± 4.3 vs. 8.4 ± 4.2 years, p < 0.001), and more frequent use of long stents and smaller stent diameters. Multivariate regression identified poor glycemic control (OR 2.83, p < 0.001), diabetes duration > 10 years (OR 2.45, p = 0.005), and stent length >28 mm (OR 1.96, p = 0.015) as independent predictors of ISR. ISR patients were also more symptomatic at follow-up. Conclusions ISR remains a frequent and serious complication in diabetic patients after PCI. Poor glycemic control, longer disease duration, and certain stent characteristics significantly contribute to its development.

Indexed as

angiographydiabeticsdrug-eluting stentsin-stent restenosispercutaneous coronary intervention

Identifiers

PMID40978996
PMCPMC12444098

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.