Subadventitial stenting around occluded stents A bailout technique to recanalize in-stent chronic total occlusions /
To evaluate the outcomes of subadventitial stenting (SS) around occluded stents for recanalizing in-stent chronic total occlusions (IS-CTOs).There is little evidence on the outcomes of SS for IS-CTO.We examined the outcomes of SS for IS-CTO PCI at 14 centers between July 2011 and June 2017, and comp...
Elmentve itt :
| Szerzők: | |
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| Dokumentumtípus: | Cikk |
| Megjelent: |
2018
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| Sorozat: | CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
92 No. 3 |
| Tárgyszavak: | |
| doi: | 10.1002/ccd.27472 |
| mtmt: | 30594213 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/23948 |
| LEADER | 02931nab a2200385 i 4500 | ||
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| 001 | publ23948 | ||
| 005 | 20220405083740.0 | ||
| 008 | 220405s2018 hu o 0|| Angol d | ||
| 022 | |a 1522-1946 | ||
| 024 | 7 | |a 10.1002/ccd.27472 |2 doi | |
| 024 | 7 | |a 30594213 |2 mtmt | |
| 040 | |a SZTE Publicatio Repozitórium |b hun | ||
| 041 | |a Angol | ||
| 100 | 1 | |a Azzalini Lorenzo | |
| 245 | 1 | 0 | |a Subadventitial stenting around occluded stents |h [elektronikus dokumentum] : |b A bailout technique to recanalize in-stent chronic total occlusions / |c Azzalini Lorenzo |
| 260 | |c 2018 | ||
| 300 | |a 466-476 | ||
| 490 | 0 | |a CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS |v 92 No. 3 | |
| 520 | 3 | |a To evaluate the outcomes of subadventitial stenting (SS) around occluded stents for recanalizing in-stent chronic total occlusions (IS-CTOs).There is little evidence on the outcomes of SS for IS-CTO.We examined the outcomes of SS for IS-CTO PCI at 14 centers between July 2011 and June 2017, and compared them to historical controls recanalized using within-stent stenting (WSS). Target-vessel failure (TVF) on follow-up was the endpoint of this study, and was defined as a composite of cardiac death, target-vessel myocardial infarction, and target-vessel revascularization.During study period, 422 IS-CTO PCIs were performed, of which 32 (7.6%) were recanalized with SS, usually when conventional approaches failed. The most frequent CTO vessel was the right coronary artery (72%). Mean J-CTO score was 3.1 ± 0.9. SS was antegrade in 53%, and retrograde in 47%. Part of the occluded stent was crushed in 37%, while the whole stent was crushed in 63%. Intravascular imaging was used in 59%. One patient (3.1%) suffered tamponade. Angiographic follow-up was performed in 10/32 patients: stents were patent in six cases, one had mild neointimal hyperplasia, and three had severe restenosis at the SS site. Clinical follow-up was available for 29/32 patients for a mean of 388 ± 303 days. The 24-month incidence of TVF was 13.8%, which was similar to historical controls treated with WSS (19.5%, P = 0.49).SS is rarely performed, usually as last resort, to recanalize complex IS-CTOs. It is associated with favorable acute and mid-term outcomes, but given the small sample size of our study additional research is warranted. | |
| 650 | 4 | |a Klinikai orvostan | |
| 700 | 0 | 1 | |a Karatasakis Aris |e aut |
| 700 | 0 | 1 | |a Spratt James C. |e aut |
| 700 | 0 | 1 | |a Tajti Péter |e aut |
| 700 | 0 | 1 | |a Riley Robert F. |e aut |
| 700 | 0 | 1 | |a Ybarra Luiz F. |e aut |
| 700 | 0 | 1 | |a Schumacher Stefan P. |e aut |
| 700 | 0 | 1 | |a Benincasa Susanna |e aut |
| 700 | 0 | 1 | |a Bellini Barbara |e aut |
| 700 | 0 | 1 | |a Candilio Luciano |e aut |
| 700 | 0 | 1 | |a Mitomo Satoru |e aut |
| 700 | 0 | 1 | |a Henriksen Peter |e aut |
| 700 | 0 | 1 | |a Hidalgo Francisco |e aut |
| 700 | 0 | 1 | |a Timmers Leo |e aut |
| 700 | 0 | 1 | |a Kraaijeveld Adriaan O. |e aut |
| 856 | 4 | 0 | |u http://publicatio.bibl.u-szeged.hu/23948/1/Azzalini.pdf |z Dokumentum-elérés |