Influence of vessel diameter on the efficacy of distal protection devices during saphenous vein graft intervention
| Autor: | Patrick Hall, Campbell Rogers, A.R. Zaki Masud, Aravind Swaminathan, Ronald P. Caputo, James B. Hermiller, David A. Cox, Howard C. Herrmann, Robert Haber, Robert L. Feldman, Gregg W. Stone, Roxana Mehran, Patrick A. Cambier |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Treatment outcome Saphenous vein graft Embolism Catheterization Blood Vessel Prosthesis Implantation Internal medicine medicine Humans Saphenous Vein Coronary Artery Bypass Aged business.industry medicine.disease Surgery Vessel diameter medicine.anatomical_structure Treatment Outcome cardiovascular system Cardiology Female Stents Cardiology and Cardiovascular Medicine Distal protection business Mace Filtration Blood vessel |
| Zdroj: | The American journal of cardiology. 95(5) |
| ISSN: | 0002-9149 |
| Popis: | We sought to determine the influence of vessel diameter on the efficacy of distal protection devices during saphenous vein graft intervention. From the Filterwire EX Randomized Evaluation trial, in which patients who underwent saphenous vein graft stenting were randomized to distal protection with the GuardWire or FilterWire EX, outcomes in 572 patients were examined in vessel size tertiles. The 30-day composite incidence of major adverse cardiac events (MACEs) increased with vessel size and was 6.9%, 9.7%, and 14.9% in the smallest, middle, and largest tertiles, respectively (p = 0.04). MACE rates were relatively vessel size independent for the GuardWire but increased steadily with vessel size with the FilterWire EX. In the smallest tertile, MACEs were reduced by 71% with the FilterWire EX compared with the GuardWire (p = 0.05), with the devices showing similar event rates in the other tertiles. |
| Databáze: | OpenAIRE |
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