Everolimus-eluting bioresorbable vascular scaffolds for treatment of complex chronic total occlusions
| Autor: | Fam, Jiang Ming, Ojeda, Soledad, Garbo, Roberto, Latib, Azeem, La Manna, Alessio, Vaquerizo, Beatriz, Boukhris, Marouane, Vlachojannis, Georgios J., Van Geuns, Robert jan, Ezhumalai, Babu, Kawamoto, Hiroyoshi, Van Der Sijde, Jors, Felix, Cordula, Pan, Manuel, Serdoz, Roberta, Boccuzzi, Giacomo Giovanni, De Paolis, Marcella, Sardella, Gennaro, Mancone, Massimo, Tamburino, Corrado, Smits, Pieter C., Di Mario, Carlo, Seth, Ashok, Serra, Antonio, Serruys, Patrick, Galassi, Alfredo R., Zijlstra, Felix, Van Mieghem, Nicolas M., Diletti, Roberto, Thiele, Holger, COLOMBO, ANTONIO |
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| Přispěvatelé: | Fam, Jiang Ming, Ojeda, Soledad, Garbo, Roberto, Latib, Azeem, La Manna, Alessio, Vaquerizo, Beatriz, Boukhris, Marouane, Vlachojannis, Georgios J., Van Geuns, Robert jan, Ezhumalai, Babu, Kawamoto, Hiroyoshi, Van Der Sijde, Jor, Felix, Cordula, Pan, Manuel, Serdoz, Roberta, Boccuzzi, Giacomo Giovanni, De Paolis, Marcella, Sardella, Gennaro, Mancone, Massimo, Tamburino, Corrado, Smits, Pieter C., Di Mario, Carlo, Seth, Ashok, Serra, Antonio, Colombo, Antonio, Serruys, Patrick, Galassi, Alfredo R., Zijlstra, Felix, Van Mieghem, Nicolas M., Diletti, Roberto, Thiele, Holger, Cardiology |
| Rok vydání: | 2017 |
| Předmět: |
Target lesion
Adult Male Bioresorbable scaffold stable angina Chronic coronary total occlusion Stable angina Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] Coronary Artery Disease 030204 cardiovascular system & hematology Balloon bioresorbable Lesion 03 medical and health sciences 0302 clinical medicine Text mining Percutaneous Coronary Intervention Absorbable Implants medicine Humans 030212 general & internal medicine Myocardial infarction Everolimus Registries chronic total occlusion Aged scaffolds Tissue Scaffolds bioresorbable scaffolds business.industry Drug-Eluting Stents chronic coronary total occlusion Middle Aged medicine.disease Thrombosis Treatment Outcome Coronary Occlusion Chronic Disease Female Artery diseases medicine.symptom business Nuclear medicine Cardiology and Cardiovascular Medicine medicine.drug |
| Zdroj: | Eurointervention, 13, 3, pp. 355-363 Eurointervention, 13, 355-363 EuroIntervention, 13(3), 355-363. EuroPCR EuroIntervention r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
| ISSN: | 1774-024X |
| Popis: | Item does not contain fulltext AIMS: Bioresorbable vascular scaffolds (BVS) represent a novel therapeutic option for the treatment of coronary artery diseases. The objective of this study was to evaluate the feasibility of BVS implantation in complex chronic total occlusions (CTO). METHODS AND RESULTS: The present report is a multicentre registry evaluating results after BVS deployment in challenging CTO lesions, defined as J-CTO score >/=2 (difficult or very difficult). A total of 105 patients were included in the present analysis. The mean J-CTO score was 2.61 (difficult 52.4%, very difficult 47.6%). Device success and procedural success rates were 98.1% and 97.1%, respectively. The retrograde approach was used in 25.7% of cases. After wire crossing, predilatation was performed in all cases with a mean predilatation balloon diameter of 2.73+/-0.43 mm. The mean scaffold length was 59.75+/-25.85 mm, with post-dilatation performed in 89.5% of the cases and a mean post-dilatation balloon diameter of 3.35+/-0.44 mm. Post-PCI minimal lumen diameter was 2.50+/-0.51 mm and percentage diameter stenosis 14.53+/-10.31%. At six-month follow-up, a total of three events were reported: one periprocedural myocardial infarction, one late scaffold thrombosis and one additional target lesion revascularisation. CONCLUSIONS: The present report suggests the feasibility of BVS implantation in complex CTO lesions, given adequate lesion preparation and post-dilatation, with good acute angiographic results and midterm clinical outcomes. |
| Databáze: | OpenAIRE |
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