Percutaneous Intervention in Diffuse Coronary Disease: Overlapping Versus Single Very Long Stent Technique. Results From the OVERLONG Registry
| Autor: | Fernando Lozano-Ruíz-Poveda, Ignacio Sanchez-Perez, José Abellán-Huerta, Alfonso Jurado-Román, María T. López-Lluva, Javier González López, Martín Negreira-Caamaño, Pedro Pérez-Díaz |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Percutaneous medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Coronary disease Coronary artery disease 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Recurrence Internal medicine Intervention (counseling) medicine Humans Registries 030212 general & internal medicine Non-ST Elevated Myocardial Infarction Aged Retrospective Studies business.industry Percutaneous coronary intervention Stent Middle Aged medicine.disease Treatment Outcome Cardiology ST Elevation Myocardial Infarction Female Stents Cardiology and Cardiovascular Medicine business |
| Zdroj: | Angiology. 72:979-985 |
| ISSN: | 1940-1574 0003-3197 |
| Popis: | Background Both stent length and stent overlap are associated with worse outcomes in the percutaneous treatment of diffuse coronary artery disease (dCAD). However, evidence comparing these issues is scarce. We aimed to compare the results between the use of single very long stent (VLS) and ≥2 overlapping stents (OS) in the treatment of dCAD. Methods Seven hundred twenty-four consecutive lesions were included: 275 treated with a single VLS (≥40 mm) and 449 with ≥2 OS. Procedural characteristics were assessed, and survival analysis was performed to compare the incidence of major adverse cardiovascular events (MACE; composite of cardiovascular death, nonfatal myocardial infarction, target lesion revascularization [TLR], or stent thrombosis) during a median follow-up of 31 months. Results Procedures with VLS required less contrast volume (268 ± 122 vs 302 ± 113 cm3; P < .01), fluoroscopy time (16 ± 8 vs 21 ± 16 minutes; P < .01), and procedure duration (37 ± 18 vs 47 ± 27 minutes; P < .01) than the OS procedures. The VLS group showed lower incidence of MACE (4.4% vs 10.7%; P < .01), driven mainly by lower TLR rate (1.1% vs 4.7%; P < .01). The use of OS was an independent predictor of MACE. Conclusions In this study, the use of VLS for the treatment of dCAD was associated with better outcomes compared to OS. |
| Databáze: | OpenAIRE |
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