Clinical outcomes of PCI with rotational atherectomy: the European multicentre Euro4C registry
| العنوان: | Clinical outcomes of PCI with rotational atherectomy: the European multicentre Euro4C registry |
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| المؤلفون: | Markus Meyer-Gessner, Wojciech Zajdel, Emanuele Barbato, Didier Carrié, Jorge Palazuelos Molinero, Krzysztof Reczuch, Sławomir Dobrzycki, Thibault Lhermusier, Miroslaw Ferenc, Erwan Bressollette, Guillaume Cayla, Frédéric Bouisset, Flavio Ribichini |
| المساهمون: | Hôpital de Rangueil, CHU Toulouse [Toulouse], 'Federico II' University of Naples Medical School, University of Wrocław [Poland] (UWr), University of Bialystok, Augusta Krankenhaus, Nouvelles Cliniques Nantaises - NCN [Nantes], Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Uniwersytet Jagielloński w Krakowie = Jagiellonian University (UJ), Hospital Central de la Defensa Gomez Ulla, University Heart Centre Freiburg - Bad Krozingen, University of Verona (UNIVR), Bouisset, F., Barbato, E., Reczuch, K., Dobrzycki, S., Meyer-Gessner, M., Bressollette, E., Cayla, G., Lhermusier, T., Zajdel, W., Molinero, J. P., Ferenc, M., Ribichini, F., Carrie, D. |
| المصدر: | EuroIntervention EuroIntervention, EuroPCR, 2020, 16 (4), pp.e305-e312. ⟨10.4244/EIJ-D-19-01129⟩ |
| بيانات النشر: | Europa Digital & Publishing, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Atherectomy, Coronary, Male, Registrie, Atherectomy, MESH: Registries, medicine.medical_treatment, Coronary Artery Disease, 030204 cardiovascular system & hematology, MESH: Stroke Volume, Ventricular Function, Left, MESH: Aged, 80 and over, 0302 clinical medicine, Retrospective Studie, Undilatable lesion, Prospective Studies, Registries, 030212 general & internal medicine, Myocardial infarction, Stroke, MESH: Atherectomy, Coronary / instrumentation, MESH: Treatment Outcome, Aged, 80 and over, education.field_of_study, Ejection fraction, Calcified stenosi, Multiple vessel disease, 3. Good health, Europe, Treatment Outcome, Cardiology, Female, Cardiology and Cardiovascular Medicine, MESH: Percutaneous Coronary Intervention, Rotablator, Human, MESH: Atherectomy, Coronary / methods, medicine.medical_specialty, Acute coronary syndrome, MESH: Coronary Artery Disease / diagnosis, Population, MESH: Ventricular Function, Left / physiology, 03 medical and health sciences, Percutaneous Coronary Intervention, MESH: Coronary Artery Disease / surgery, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Internal medicine, Left main, medicine, Humans, education, Retrospective Studies, Aged, Interventional cardiology, business.industry, Percutaneous coronary intervention, Stroke Volume, MESH: Retrospective Studies, medicine.disease, MESH: Prospective Studies, Prospective Studie, MESH: Europe, business, Mace |
| الوصف: | International audience; Aims: Despite the use of rotational atherectomy (RA) in interventional cardiology for over three decades, data regarding factors affecting the clinical outcomes of the RA procedure remain scarce. The aim of the present study was to describe the contemporary use and outcomes of RA in Europe.Methods and results: We conducted, for the first time, a prospective international registry in 8 European countries and 19 centres and included patients treated by percutaneous coronary intervention with RA. Between October 2016 and July 2018, 966 patients with complete data were recruited. Mean age was 74.5 years, 72.4% were male and 43.4% had diabetes. Initial presentation was an acute coronary syndrome (ACS) for 25.1% of the patients. Clinical success was observed in 91.9% of the procedures. The rate of in-hospital major adverse cardiac events (MACE) - defined as cardiovascular death, myocardial infarction, target lesion revascularisation, stroke and coronary artery bypass grafting - was 4.7%. At one year, the rate of MACE was 13.2%. Factors independently associated with the occurrence of MACE at one year were female gender, renal failure, ACS at admission, depressed left ventricular ejection fraction (LVEF) and presence of a significant left main coronary artery (LMCA) lesion.Conclusions: Despite the high level of complexity of the studied population, RA turned out to be an effective procedure with a low rate of in-hospital complications and demonstrated good immediate and midterm results. |
| تدمد: | 1969-6213 1774-024X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::798a346e2a4b62f82cdde7b8e66fab6fTest https://doi.org/10.4244/eij-d-19-01129Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....798a346e2a4b62f82cdde7b8e66fab6f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19696213 1774024X |
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