Outcomes in Diabetic Patients Undergoing Orbital Atherectomy System.

Abstract:

OBJECTIVES:We evaluated the angiographic and clinical outcomes of orbital atherectomy to treat severely calcified coronary lesions in diabetic and non-diabetic patients. BACKGROUND:Diabetics have increased risk for death, myocardial infarction, and target vessel revascularization after percutaneous coronary intervention. Severely calcified coronary lesions are associated with increased cardiac events. Orbital atherectomy facilitates stent delivery and optimizes stent expansion by modifying severely calcified plaque. Outcomes in diabetic patients who undergo orbital atherectomy have not been reported. METHODS:Our retrospective multicenter registry included 458 consecutive real-world patients with severely calcified coronary arteries who underwent orbital atherectomy. The primary safety endpoint was the rate of major adverse cardiac and cerebrovascular events at 30 days. RESULTS:Diabetics represented 42.1% (193/458) of the entire cohort. The primary endpoint was similar in diabetics and non-diabetics (1.0% vs. 3.0%%, P = 0.20), as were 30-day rates of death (0.5% vs. 1.9%, P = 0.41), myocardial infarction (0.5% vs. 1.5%, P = 0.40), target vessel revascularization (0% vs. 0%, P = 1), and stroke (0% vs. 0.4%, P > 0.9). Angiographic complications and stent thrombosis rate were low and did not differ between the 2 groups. CONCLUSION:Diabetics represented a sizeable portion of patients who underwent orbital atherectomy. Diabetics who had severely calcified coronary arteries and underwent orbital atherectomy had low event rates that were similar to non-diabetics. Orbital atherectomy appears to be a viable treatment strategy for diabetic patients. Randomized trials with longer-term follow-up are needed to determine the ideal treatment strategy for diabetics.

journal_name

J Interv Cardiol

authors

Lee MS,Shlofmitz E,Nguyen H,Shlofmitz RA

doi

10.1111/joic.12321

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

491-495

issue

5

eissn

0896-4327

issn

1540-8183

journal_volume

29

pub_type

杂志文章,多中心研究
  • The impact of atrial fibrillation on transcatheter mitral valve repair outcomes: A propensity-matched analysis.

    abstract:BACKGROUND:The concomitant presence of atrial fibrillation (AF) in the setting of Transcatheter Mitral Valve Repair (TMVR) represents a clinical challenge. Despite the high AF burden in patients presenting for the TMVR procedure, there are no studies that evaluate the impact of AF on in-hospital outcomes of TMVR in a n...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/joic.12568

    authors: Subahi A,Munir A,Abubakar H,Akintoye E,Yassin AS,Adegbala O,Alraies MC,Elder M,Mohamad T,Kaki A,Schreiber T

    更新日期:2018-12-01 00:00:00

  • The evolving role of glycoprotein IIb/IIIa inhibitor therapy in contemporary care of acute coronary syndrome patients.

    abstract::Results from clinical trials of glycoprotein IIb/IIIa(GPIIb/IIIa) inhibitors during the past decade have established their current role in the treatment of non-ST-segment elevation acute coronary syndrome and in percutaneous coronary interventions. However, there are still unanswered questions on optimal use of GPIIb/...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8183.2006.00182.x

    authors: Tricoci P,Peterson ED

    更新日期:2006-10-01 00:00:00

  • Acute coronary syndromes in treatment-naïve black South africans with human immunodeficiency virus infection.

    abstract:BACKGROUND:HIV patients on protease inhibitors have greater risk of acute coronary syndromes (ACS) but little is known about treatment-naïve patients. METHODS AND RESULTS:Authors conducted a prospective single-center study from Soweto, South Africa, comparing the clinical and angiographic features of treatment-naïve H...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2009.00520.x

    authors: Becker AC,Sliwa K,Stewart S,Libhaber E,Essop AR,Zambakides CA,Essop MR

    更新日期:2010-02-01 00:00:00

  • The real world experience of the everolimus-eluting coronary stent system: audit of everolimus-eluting coronary stents.

    abstract:AIMS:To investigate the safety and efficacy of everolimus-eluting stents (EES) in a real world population, including those with high-risk characteristics and complex lesions. METHODS:In this report, we analyze 2-year outcomes in 500 consecutive unselected patients treated with EES between April 2007 and March 2008. Al...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2011.00633.x

    authors: Aldous S,Smyth D,Blake J,McClean D,Elliott J

    更新日期:2011-06-01 00:00:00

  • Effect of Paclitaxel-eluting versus sirolimus-eluting stents on coronary restenosis in Korean diabetic patients.

    abstract:BACKGROUND:With the introduction of drug-eluting stents (DES), the angiographic rates of restenosis have reduced dramatically but less prominently in diabetic patients. We compared the effects of sirolimus-eluting stents (SES) versus paclitaxel-eluting stents (PES) on 6-month angiographic and clinical outcomes in Korea...

    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.1540-8183.2008.00353.x

    authors: Kim MH,Hong SJ,Cha KS,Park HS,Chae SC,Hur SH,Gwon HC,Bae JH,Lim DS

    更新日期:2008-06-01 00:00:00

  • Acute decompensation of hypertrophic obstructive cardiomyopathy secondary to A-V disassociation: successful treatment with a combination of alcohol septal ablation and permanent pacemaker.

    abstract::Alcohol septal ablation is increasingly being offered as a therapy for patients with hypertrophic obstructive cardiomyopathy. The procedure is most often performed in stable patients with a history of increasing symptoms. We describe a patient with hypertrophic obstructive cardiomyopathy with an acute decompensation s...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2005.00069.x

    authors: Rohatgi S,Wiegers SE,Hsia H,Herling I,Herrmann HC

    更新日期:2005-10-01 00:00:00

  • Outcomes following percutaneous coronary intervention in patients previously considered "without option": a subgroup analysis of the PACIFIC Trial.

    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

    authors: Lowe HC,Oesterle SN,He KL,Macneill BD,Burkhoff D

    更新日期:2004-04-01 00:00:00

  • Randomized comparison of balloon aortic valvuloplasty performed with or without rapid cardiac pacing: The pacing versus no pacing (PNP) study.

    abstract:OBJECTIVES:To compare the effectiveness and safety of balloon aortic valvuloplasty (BAV) performed with or without rapid ventricular pacing (RP). BACKGROUND:BAV technique is poorly standardized. METHODS:One hundred consecutive patients were randomly assigned 1:1 between BAV performed with or without RP. Exclusion cri...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/joic.12452

    authors: Dall'Ara G,Marzocchi A,Taglieri N,Moretti C,Rodinò G,Chiarabelli M,Bottoni P,Marrozzini C,Sabattini MR,Bacchi-Reggiani ML,Rapezzi C,Saia F

    更新日期:2018-02-01 00:00:00

  • Previous cytomegalovirus infection and restenosis after aggressive angioplasty with provisional stenting.

    abstract:UNLABELLED:The aim of this study was to determine the impact of previous with cytomegalovirus (CMV) on restenosis after aggressive angioplasty with provisional stenting. DESIGN:We prospectively studied 78 consecutive patients scheduled for 6-month follow-up coronary angiography as part of the SIPS study. Anti-CMV IgG ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1034/j.1600-6143.2003.08060.x

    authors: Mueller C,Hodgson JM,Bestehorn HP,Brutsche M,Perruchoud AP,Marsch S,Roskamm H,Buettner HJ

    更新日期:2003-08-01 00:00:00

  • Is direct stent implantation without predilatation safe? Acute and long-term outcome.

    abstract::Direct stenting could potentially lead to a reduction in dissections, time, and restenosis at 6-month follow-up. Using the premounted Palmaz-Schatz Crown stent elective stenting was performed without predilatation in 61 consecutive patients who were compared with a control group of provisional stenting. All patients u...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2002.tb01101.x

    authors: Rahel BM,Suttorp MJ,Ten Berg JM,Bal ET,Ernst SM,Mast EG,Kelder JC,Plokker HW

    更新日期:2002-08-01 00:00:00

  • (Meta)-analysis of safety and efficacy following edge-to-edge mitral valve repair using the MitraClip system.

    abstract:OBJECTIVES:The authors investigated safety and efficacy of the MitraClip-System (MCS) using a systematic analysis. BACKGROUND:The safety and efficacy of the MCS continues to be debated, and randomized trials are still lacking. METHOD:A systematic literature search was conducted using common medical and scientific dat...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/joic.12168

    authors: Bail DH

    更新日期:2015-02-01 00:00:00

  • Long-term clinical and angiographic follow-up after placement of Palmaz-Schatz coronary stent: a single center experience.

    abstract::The purpose of this study is to evaluate long-term clinical and angiographic follow-up results after placement of the Palmaz-Schatz stent and angiographic follow-up results of repeat interventions for stent restenosis. From June 1990 to September 1993, the Palmaz-Schatz stent was placed in 411 patients, 427 lesions. ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.1994.tb00896.x

    authors: Kimura T,Tamura T,Yokoi H,Nobuyoshi M

    更新日期:1994-04-01 00:00:00

  • Do complaints of amaurosis fugax and blurred vision after transcatheter device closure of atrial septal defect indicate microemboli to retinal vessels?

    abstract::Atrial septal defect (ASD) is a common diagnosis in young adults with congenital heart disease. The aim of this study was to determine if ocular symptoms following percutaneous treatment are due to microemboli. The study group included 20 adult patients (9 men, 11 women, mean age 57.2 years) with ASD who had undergone...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2005.00392.x

    authors: Ehrlich R,Mutzmacher L,Averbuch L,Dotan G,Hirsh R

    更新日期:2005-02-01 00:00:00

  • Thrombolysis increases the risk of free wall rupture in patients with acute myocardial infarction undergoing percutaneous coronary intervention.

    abstract::In spite of the progress made in acute angiographic evaluation and obtaining durable reperfusion of acute myocardial infarction (AMI) in the past two decades, cardiac free wall rupture (FWR) is still one of the causes of mortality following AMI. In this study, we evaluated the role of thrombolysis in the risk of FWR i...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2005.04110.x

    authors: Okino S,Nishiyama K,Ando K,Nobuyoshi M

    更新日期:2005-06-01 00:00:00

  • Predictor of stent thrombosis in patients treated with turbostratic carbon-coated stent implantation for acute myocardial infarction.

    abstract:BACKGROUND:Stent thrombosis is a major complication after percutaneous coronary intervention (PCI) for ST-segment elevation acute myocardial infarction (AMI) and is associated with reinfarction and increased risk of death. METHODS:Patients treated with the turbostratic carbon-coated stent (CID, Saluggia, Italy) for AM...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2010.00564.x

    authors: Migliorini A,Valenti R,Moschi G,Parodi G,Cerisano G,Buonamici P,Carrabba N,Antoniucci D

    更新日期:2010-12-01 00:00:00

  • Long-term clinical and angiographic results of Sirolimus-Eluting Stent in Complex Coronary Chronic Total Occlusion Revascularization: the SECTOR registry.

    abstract:BACKGROUND:Drug-eluting stents showed a better angiographic and clinical outcome in comparison with bare metal stent in chronic total occlusions (CTOs) percutaneous revascularization, however, great concerns still remain regarding the rate of restenosis and reocclusion in comparison with nonocclusive lesions. AIM:To e...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2011.00648.x

    authors: Galassi AR,Tomasello SD,Costanzo L,Campisano MB,Barrano G,Tamburino C

    更新日期:2011-10-01 00:00:00

  • Percutaneous balloon atrioseptostomy for left heart discharge in extracorporeal life support patients with persistent pulmonary edema.

    abstract:AIMS:In severe myocardial dysfunction, extracorporeal life support (ECLS) can preserve organ perfusion. Occasionally, the high resulting afterload can lead to refractory pulmonary edema. We report our experience with percutaneous balloon atrioseptostomy used in this circumstance to discharge the left heart and prevent ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2011.00681.x

    authors: Bignon M,Roule V,Dahdouh Z,Sabatier R,Lognoné T,Malcor G,Idali M,Ivascau C,Massetti M,Grollier G

    更新日期:2012-02-01 00:00:00

  • Effect on Clinical Restenosis of an Ultra-Thin-Strut Bare Metal Cobalt-Chromium Stent Versus a Thin-Strut Stainless Steel Stent.

    abstract:OBJECTIVES:To prospectively compare the impact of ultrathin-strut cobalt-chromium (Cro-Co) bare metal stent (BMS) versus thin-strut stainless steel (SS) BMS on clinically driven target lesion revascularization (TLR). BACKGROUND:Stent characteristics are an important determinant of restenosis. Thinner strut Cro-Co BMS ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/joic.12300

    authors: Silenzi S,Grossi P,Mariani L,Fraccaro C,Vagnarelli F,Moretti L

    更新日期:2016-06-01 00:00:00

  • Changes in Index of Microcirculatory Resistance during PCI in the Left Anterior Descending Coronary Artery in Relation to Total Length of Implanted Stents.

    abstract:Aim:To investigate the relationship between stent length and changes in microvascular resistance during PCI in stable coronary artery disease (CAD). Methods and Results:We measured fractional flow reserve (FFR), index of microcirculatory resistance (IMR), and coronary flow reserve (CFR) before and after stenting in 42...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1155/2019/1397895

    authors: Ekenbäck C,Jokhaji F,Östlund-Papadogeorgos N,Mir-Akbari H,Linder R,Witt N,Törnerud M,Samad B,Persson J

    更新日期:2019-12-01 00:00:00

  • Safety and efficacy of percutaneous intramyocardial bone marrow cell injection for chronic myocardial ischemia: Long-term results.

    abstract:BACKGROUND:Intramyocardial injection of bone marrow cells (BMC) in refractory angina patients with chronic myocardial ischemia has shown to be safe and improve clinical status during short-term follow-up. However, scarce data are available on long-term (>12 months) safety and efficacy. Therefore, the occurrence of clin...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/joic.12408

    authors: Rodrigo SF,Mann I,van Ramshorst J,Beeres SL,Zwaginga JJ,Fibbe WE,Bax JJ,Schalij MJ,Atsma DE

    更新日期:2017-10-01 00:00:00

  • The mitral-to-aortic flow-velocity integral ratio in the real world echocardiographic evaluation of functional mitral regurgitation before and after percutaneous repair.

    abstract:INTRODUCTION:Percutaneous mitral valve repair (PMVR) using MitraClip system has emerged as a therapeutic option for patients with functional severe mitral regurgitation (FMR) at prohibitive risk for surgery. In this setting, the echocardiographic assessment of FMR severity is challenging because the traditional echocar...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/joic.12401

    authors: Palmiero G,Ascione L,Briguori C,Carlomagno G,Sordelli C,Ascione R,Pisacane F,Monda V,Severino S,Caso P

    更新日期:2017-08-01 00:00:00

  • Drug eluting stents are superior to bare metal stents to reduce clinical outcome and stent-related complications in CKD patients, a systematic review, meta-analysis and network meta-analysis.

    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

    authors: Crimi G,Gritti V,Galiffa VA,Scotti V,Leonardi S,Ferrario M,Ferlini M,De Ferrari GM,Oltrona Visconti L,Klersy C

    更新日期:2018-06-01 00:00:00

  • Cutting balloon for in-stent restenosis: acute and long-term results.

    abstract:INTRODUCTION:Conventional percutaneous coronary intervention for the treatment of in-stent restenosis (ISR) has shown a high rate of ISR (30-55%). Considering the need for both extrusion of hyperplastic intima and additional stent expansion, a cutting balloon might be more effective for the treatment of ISR. METHODS:W...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2004.00378.x

    authors: Rahel BM,Suttorp MJ,ten Berg JM,Bal ET,Ernst SM,Rensing BJ,Kelder JC,Plokker HW

    更新日期:2004-08-01 00:00:00

  • Uneventful 25-year course of an intracardiac intravenous catheter fragment in the right heart.

    abstract::We describe a patient with an intracardiac intravenous catheter fragment in the right heart that was found during fluoroscopy. The catheter fragment had broken off from an intravenous catheter inserted 25 years previously when the patient was admitted after a road accident. There were no complications during these yea...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2002.tb01080.x

    authors: Van Den Akker-Berman LM,Pinzur S,Aydinalp A,Brezins M,Gellerman M,Elami A,Roguin N

    更新日期:2002-10-01 00:00:00

  • Comparison of the safety and efficacy of biodegradable polymer biolimus-eluting stents and durable polymer everolimus-eluting stents: propensity score-matched analysis.

    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

    authors: Lee JH,Lee JW,Youn YJ,Ahn MS,Ahn SG,Kim JY,Yoo BS,Lee SH,Choi E,Yoon J

    更新日期:2014-08-01 00:00:00

  • A hybrid surgical transcatheter strategy for treating severe para-right atrioventricular valvular regurgitation in a patient with left atrial isomerism.

    abstract::Paravalvular leaks are a recognized complication of valve replacement surgery. We report a 47-year-old man with left atrial isomerism, interrupted left sided inferior caval vein with unilateral left sided superior caval vein, a common atrium, and anomalous pulmonary venous connection to the coronary sinus, who had rec...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2007.00290.x

    authors: Kalantre A,Vettukattil J,Haw M,Veldtman GR

    更新日期:2007-12-01 00:00:00

  • Initial experience with paclitaxel-coated stents.

    abstract::Local delivery of immunosuppressive or antiproliferative agents using a drug-eluting stent is a new technology that is supposed to inhibit in-stent restenosis, thus providing a biological and mechanical solution. This technique is a very promising. To date, several agents have been used, including paclitaxel, QP-2, ra...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8183.2002.tb01091.x

    authors: Grube E,Büllesfeld L

    更新日期:2002-12-01 00:00:00

  • Catheter-based approach to mitral regurgitation.

    abstract::Mitral Regurgitation (MR) is a common medical problem. MR is also a prognostic factor; patients with severe symptomatic MR have a poor prognosis with an annual mortality rate of 5% without surgical intervention. An anatomic understanding of the normal and regurgitant mitral valve is essential in order to evaluate appr...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,评审

    doi:10.1046/j.1540-8183.2003.01052.x

    authors: Condado JA,Vélez-Gimón M

    更新日期:2003-12-01 00:00:00

  • Spontaneous late thrombolysis of an occluded saphenous vein graft subsequent to acute myocardial infarction treated with percutaneous coronary intervention to the native culprit vessel.

    abstract::A 67-year-old male with prior history of myocardial infarction and coronary artery bypass grafting (individual vein grafts to the left anterior descending artery [LAD] and right coronary artery) presented with an acute anterior ST elevation myocardial infarction and cardiogenic shock. The vein graft to the LAD was occ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8183.2006.00129.x

    authors: Shah RA,Khanal S,Kugelmass A

    更新日期:2006-04-01 00:00:00

  • A novel 3-d reconstruction system for the assessment of bifurcation lesions treated by the mini-crush technique.

    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

    authors: Galassi AR,Tomasello SD,Capodanno D,Seminara D,Canonico L,Occhipinti M,Tamburino C

    更新日期:2010-02-01 00:00:00