Clinical and angiographic outcome of a single center, real world population treated with a dedicated technique of implantation for bioresorbable vascular scaffolds. The FAtebenefratelli Bioresorbable Vascular Scaffold (FABS) registry

Autor:	Roberto Latini, Gaetano Di Palma, Pedro Silva Orrego, Mostafa Elwany, Enrico Cerrato, Romano Seregni, Bernardo Cortese
Rok vydání:	2017
Předmět:	Male medicine.medical_specialty Acute coronary syndrome medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Single Center Revascularization Coronary Angiography 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Restenosis Absorbable Implants medicine Clinical endpoint Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Myocardial infarction Prospective Studies Registries Prospective cohort study Aged Tissue Scaffolds business.industry Middle Aged medicine.disease Surgery Treatment Outcome Female Cardiology and Cardiovascular Medicine business Mace
Zdroj:	Journal of interventional cardiology. 30(5)
ISSN:	1540-8183
Popis:	Objectives With this prospective study we aim at investigating the long-term outcome of a consecutive cohort of patients successfully treated with bioresorbable scaffold (BVS) implantation. Background It is not clearly understood if there is a relation between the technique of BVS implantation and the outcome. Methods Between December 2012 and December 2014, all consecutive patients treated with BVS were included in this registry and received an angiographic follow-up. After a run-in phase, all BVS were implanted using a specific technique consisting of aggressive predilation, correct scaffold sizing, visually determined, and high-pressure post-dilation with a noncompliance balloon. Primary endpoint was late lumen loss (LLL) at 1-year angiographic follow-up and ischemia-driven target-lesion revascularization (ID-TLR) at 2-year clinical follow-up. Secondary endpoints were the occurrence of binary restenosis, major adverse cardiac events (MACE), and every single component of MACE (cardiac death, myocardial infarction, TLR) at 2 years. Results A total of 144 lesions in 122 patients treated consecutively with BVS, were enrolled. Diabetics were 29.5% and acute coronary syndrome at presentation occurred in 29.5% of patients. At the angiographic follow-up LLL was 0.38 ± 0.9. At 2-year clinical follow-up, ID-TLR occurred in eight patients (5.6%). We observed two cases of scaffold thrombosis (1.38%, one early and one very late). At multivariate statistical analysis, STEMI presentation remained a significant predictor for TLR. Conclusions In a complex, all-comers real world population, BVS implantation with a specific, and standardized technique showed to be feasible, with acceptable mid-term angiographic and long-term clinical outcome.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1452c6cfd8dbc7d02144319de1bf9131 https://pubmed.ncbi.nlm.nih.gov/28853189 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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