Abstract:
BACKGROUND:Routine use of adjunctive devices to percutaneous coronary intervention (PCI) for the treatment of patients of ST-segment elevation myocardial infarction (STEMI) is questionable. Also, the clinical characteristics of STEMI patients that can modulate the treatment benefits of adjunctive devices are not fully understood. OBJECTIVE:To synthesize the existing literature to summarize the therapeutic benefit of the adjunctive devices and to identify the patient characteristics which relate to this therapeutic benefit. METHODS:We conducted (i) meta-analyses of the randomized controlled trials (RCT) comparing the performance of the adjunctive devices with PCI for three reperfusion-related outcomes: myocardial blush grade (MBG) < 3, failed ST-segment resolution (STR), and Thrombolysis In Myocardial Infarction (TIMI) flow grade < 3; (ii) stepwise meta-regressions of the effect of trial characteristics on between-trial heterogeneity; and (iii) analyses to examine whether the reperfusion-related end-points explained the between-trial difference in cardiac death and major adverse cardiac events (MACE). RESULTS:Our meta-analyses represent data from 23 RCT and 5,728 subjects. The overall therapeutic benefit attributable ranged from 32 to 35% for the reperfusion-related outcomes, and thrombectomy devices were more beneficial than the distal protection devices.Meta-regression identified gender, receipt of glycoprotein (GP) IIb/IIIa inhibitor, and baseline TIMI flow grade as significant predictors of improved reperfusion across trials. The available clinical trials were individually underpowered and not designed to detect the influence of adjunctive devices on death or MACE. CONCLUSIONS:Routine use of adjunctive devices cannot be recommended. Thrombus burden, treatment with GPIIb/IIIa inhibitors, and gender may modify the reperfusion benefit of adjunctive devices.
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Amin AP,Mamtani MR,Kulkarni Hdoi
10.1111/j.1540-8183.2008.00420.xsubject
Has Abstractpub_date
2009-02-01 00:00:00pages
49-60issue
1eissn
0896-4327issn
1540-8183pii
JOIC420journal_volume
22pub_type
杂志文章,meta分析abstract:Background:Contrast-induced nephropathy (CIN) becomes more and more frequent after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI). There have been no reported meta-analyses to determine the role of these risk factors in predicting CIN in patients with STEMI ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析,评审
doi:10.1155/2019/2750173
更新日期:2019-08-25 00:00:00
abstract::A group of 312 patients who underwent percutaneous coronary intervention for bifurcation lesions at 12 centers in China, Singapore, Thailand, Israel, India, and Japan were enrolled in a prospective, randomized DKCRUSH-1 trial. The goal of the study was to compare the double kissing (DK) crush technique with the classi...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1540-8183.2009.00440.x
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Conventional two-dimensional angiography lacks the ability to properly image the true bifurcation geometry, and its percutaneous coronary intervention-induced changes in the clinical setting. METHODS AND RESULTS:A novel three-dimensional reconstruction system was investigated by retrospectively analyzing 39...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00512.x
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:The economic impact of bleeding in the setting of nonemergent percutaneous coronary intervention (PCI) is poorly understood and complicated by the variety of bleeding definitions currently employed. This retrospective analysis examines and contrasts the in-hospital cost of bleeding associated with this proce...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00431.x
更新日期:2009-06-01 00:00:00
abstract::The incidence and morbidity associated with stent fracture are unknown. Recommendations and evidence-based treatment are lacking. We report a case of symptomatic fracture of a sirolimus-eluting stent advancing from the left main into the circumflex coronary artery, forming an acute angle with calcifications at the hin...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2009.00484.x
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVES:We evaluated the impact of stent inflation pressure and type of guidewire on "jailed" coronary guidewire damage occurring during bifurcation angioplasty. BACKGROUND:Despite new techniques and treatment options during percutaneous coronary intervention (PCI) we still observe peri- and postoperative complicat...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12523
更新日期:2018-10-01 00:00:00
abstract:Objectives:Our aim was to evaluate the safety and efficacy of biodegradable polymer everolimus-eluting stents (BP-EES) compared with durable polymer everolimus-eluting stents (DP-EES) in midterm. Background:There are few data about midterm clinical outcomes of BP-EES compared with DP-EES. Methods and Results:Between ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2020/2869303
更新日期:2020-04-20 00:00:00
abstract:INTRODUCTION:Contrast induced nephropathy is linked to contrast utilization and strategies for minimizing renal injury are incorporated into many laboratories that perform coronary angiography. Contrast limits have been described, below which there is minimal incremental increase in the risk of renal injury. Whether a ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12482
更新日期:2018-08-01 00:00:00
abstract::Implantable cardioverter defibrillators are devices capable of detecting and terminating ventricular tachycardias or fibrillations. They are utilized in the treatment of severe ventricular tachyarrhythmias, and their efficacy in the prevention of sudden death is demonstrated. As a matter of fact, despite the new antia...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.1995.tb00931.x
更新日期:1995-12-01 00:00:00
abstract:Objective:To determine short-term and mid-term prognosis in patients with calcified ostial coronary lesions who underwent rotational atherectomy (RA). Background:RA was developed to facilitate stenting in complex lesions. Treatment of calcified aortoostial coronary lesions with RA appears to have poorer procedure outc...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2019/9012787
更新日期:2019-08-21 00:00:00
abstract:OBJECTIVE:This study sought to identify patient and left atrial morphology specific factors associated with early complications for left atrial appendage occlusion with the Watchman™ (Boston Scientific, Natick, MA) device. BACKGROUND:Oral anticoagulation (OAC) is recommended for patients with atrial fibrillation, howe...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12374
更新日期:2017-04-01 00:00:00
abstract::Catheter closure of atrial septal defects (ASDs) is an accepted procedure among pediatric cardiologists. We report our early experience with the newest of these devices in clinical trials in the United States. Between April and October 2001, 14 patients were enrolled in an FDA phase II multicenter trial comparing the ...
journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1046/j.1540-8183.2003.08005.x
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Differences in stent platform, polymer coatings, and antirestenotic drugs among the current in use second-generation drug-eluting stents (G2-DESs) may induce significant variations in neointimal response and vascular healing, which may impact the prevalence of neoatherosclerosis (NA) and morphological appear...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12375
更新日期:2017-06-01 00:00:00
abstract:AIMS:To evaluate the correlation between iFR and FFR in real-world clinical practice. METHODS AND RESULTS:Retrospective, single-centre study of 229 consecutive pressure-wire studies (np = 158). Real-time iFR and FFR measurements were performed for angiographically borderline stenoses. Functionally significant stenose...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12422
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:We investigated and compared the clinical outcomes between biodegradable polymer biolimus-eluting stents (BES) and durable polymer everolimus-eluting stents (EES) in a single-center prospective registry. BACKGROUND:There is limited data regarding the safety and efficacy of the biodegradable BES compared to ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12140
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To identify differences between various occluder types regarding thromboembolic event rates and existence of residual shunts during medium-term follow-up. METHODS:Three hundred nine consecutive patients with presumed paradoxical embolism and scheduled for percutaneous closure of patent foramen ovale or atria...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00507.x
更新日期:2009-12-01 00:00:00
abstract::Percutaneous balloon aortic valvuloplasty (PBAV), which is used to treat symptomatic aortic stenosis, requires ionizing radiation and contrast agent for imaging guidance. The aim of the study is to evaluate the feasibility and effectiveness of ultrasound-guided PBAV in patients with aortic stenosis. This case series i...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2020/8086796
更新日期:2020-03-16 00:00:00
abstract::Catheter-based vascular interventions have been in development worldwide for several decades, leading to remarkable progress in device technology. Mechanical interventional devices, such as angioplasty balloons, atherectomy devices, and stents, were invented and have contributed greatly to the treatment of atheroscler...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2002.tb01070.x
更新日期:2002-10-01 00:00:00
abstract:OBJECTIVES:The present study assesses clinical outcomes in patients from the Potential Angina Class Improvement From Intramyocardial Channels (PACIFIC) trial of percutaneous transmyocardial revascularization (PTMR) who had previously been considered "no-option," but who subsequently underwent percutaneous coronary inte...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2004.00325.x
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To compare the safety and efficacy of transcathether aortic valve-in-valve implantation (ViV-TAVI) in degenerated stentless bioprostheses with failed stented valves and degenerated native aortic valves. INTRODUCTION:Little is known about ViV-TAVI in degenerated stentless valves. METHODS:Out of 45 ViV-TAVI p...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12540
更新日期:2018-12-01 00:00:00
abstract::The use of radiofrequency energy for the treatment of supraventricular tachycardia in pediatric patients has gained widespread acceptance, especially for tachyarrhythmias associated with palpitations, dizziness, presyncope or syncope, cardiomyopathy, and cardiac arrest. Ablation of the substrate supporting atrioventri...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.1995.tb00583.x
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:There is limited comparative clinical data regarding the safety and efficacy profile of paclitaxel delivery via balloon versus stent-polymer matrix. In this study, we aimed to compare the clinical and angiographic results of two different methods of paclitaxel delivery among patients undergoing percutaneous ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/joic.12210
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVES:The valve-in-valve (VIV) technique is an emerging therapeutic option for patients with failure of previously implanted xenografts. We describe a balloon-expandable transthoracic transapical mitral VIV implantation in an emergency setting in a 69-year-old woman with dysfunction of the mitral bioprosthesis. M...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00637.x
更新日期:2011-10-01 00:00:00
abstract::The concept of the "vulnerable" plaque has recently emerged to explain how quiescent atherosclerotic lesions evolve to cause clinical events. The morphologic and immunologic determinants specific for the vulnerable plaque have been reported: a large lipid core (>or=40% plaque volume) composed of free cholesterol cryst...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2005.00090.x
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:We sought to evaluate the patterns of use and outcomes associated with eptifibatide and abciximab administration among dialysis patients who underwent percutaneous coronary intervention (PCI). BACKGROUND:Contraindicated medications are frequently administered to dialysis patients undergoing PCI often result...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12388
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the efficacy of sirolimus-eluting stents (SES) in the treatment of saphenous vein graft (SVG) disease. BACKGROUND:Percutaneous coronary intervention (PCI) of SVG lesions with bare metal stents (BMS) is associated with frequent in-stent restenosis, progression of dise...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2007.00301.x
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Using optical coherence tomography (OCT), we evaluated the relationship between malapposed and uncovered struts following implantation of drug-eluting stents (DESs). METHODS:A total of 271 patients with 306 lesions who underwent DES implantation and follow-up OCT were included in the study. The lesions were...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00706.x
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Drug-eluting stents have been shown to reduce the incidence of restenosis and target vessel revascularization (TVR) compared with bare metal stents (BMSs); however, the long-term efficacy of sirolimus-eluting stent (SES) implantation in patients with acute coronary syndrome (ACS) has not been w...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00446.x
更新日期:2009-06-01 00:00:00
abstract::Aims To compare clinical outcome in Chronic kidney disease (CKD) patients receiving coronary stents according to stent type BMS versus DES and 1st generation versus 2nd generation DES. Methods and Results PubMed, Cinhal, Cochrane, Embase, and Web of Science were searched for studies including CKD patients. CKD was def...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析,评审
doi:10.1111/joic.12473
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:The latest generation of interactive cardiac magnetic resonance (MR) scanners has made cardiac interventions with real-time MRI possible. To date, cardiac MRI has been mostly applied to measure myocardial perfusion, viability, and regional function, but now the application of cardiac MRI can be extended to c...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2004.01712.x
更新日期:2004-02-01 00:00:00