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 defined as eGFR < 60 mL/min. We selected n = 35 articles leading to 376 169 patients, of which 76 557 CKD patients receiving BMS n = 35,807, 1st generation DES n = 37,650, or 2nd generation DES n = 3100. Patient receiving DES, compared to BMS, had a 18% lower all-cause mortality (RR 0.82, 95%CI 0.71-0.94). The composite of death or myocardial infarction (MI) was lower in DES patients (RR 0.78, 95%CI 0.67-0.91), as was stent thrombosis (ST) (RR 0.57, 95%CI 0.34-0.95), target vessel/lesion revascularization (TVR/TLR) (RR 0.69, 95%CI 0.57-0.84) and death for cardiovascular cause (RR 0.43, 95%CI 0.25-0.74). We also found a gradient between 1st and 2nd generation DES, through BMS. Second, compared to 1st generation DES, were associated with further relative risk (RR) reduction of -18% in of all-cause death, and lower incidence of stent-related clinical events: -39% RR of ST risk; -27 RR of TVR/TLR risk. Conclusions DES in CKD patients undergoing PCI were superior to BMS in reducing major adverse clinical events. This was possibly explained, by a lower risk of stent-related events as ST and TVR or TLR. Second, compared to 1st generation DES may furtherly reduce clinical events.
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Crimi G,Gritti V,Galiffa VA,Scotti V,Leonardi S,Ferrario M,Ferlini M,De Ferrari GM,Oltrona Visconti L,Klersy Cdoi
10.1111/joic.12473subject
Has Abstractpub_date
2018-06-01 00:00:00pages
319-329issue
3eissn
0896-4327issn
1540-8183journal_volume
31pub_type
杂志文章,meta分析,评审abstract:INTRODUCTION:Hemostasis following transradial cardiac catheterization is achieved by external pressure application using various devices, TR Band being one. There is no standardized protocol for the application and removal of such devices. OBJECTIVE:To assess the safety and feasibility of a more rapid (1 hour) initiat...
journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章
doi:10.1111/j.1540-8183.2009.00501.x
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The transradial approach for coronary procedures is associated with a low complication rate, but specific training is considered mandatory. METHODS:Procedural characteristics (contrast dye: CD; fluoroscopy time: FT, patient radiation dose: RD) and local complication rates were prospectively assessed in 784 ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00603.x
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To determine whether drug-eluting stent (DES) coronary complete revascularization (CR) confers clinical benefit over incomplete revascularization (IR) in patients with multivessel coronary artery disease (MVD). BACKGROUND:Clinical benefit of CR over IR in patients with MVD with angina (both stable and unsta...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析,评审
doi:10.1111/joic.12390
更新日期:2017-08-01 00:00:00
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
更新日期:2015-02-01 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:OBJECTIVES:This study aimed to examine the outcomes of endovascular recanalization for native superficial femoral artery (SFA) chronic total occlusion (CTO) in patients with critical limb ischemia (CLI) after femoropopliteal bypass failure with limited surgical revascularization options. BACKGROUND:Endovascular recana...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12470
更新日期:2018-04-01 00:00:00
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
更新日期:2003-08-01 00:00:00
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
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:There has been growing interest in transcatheter closure of interatrial septal defects (IASDs) for a variety of indications, but reports are limited in patients with hypoxia from right-to-left shunting. METHODS:Between August 2000 and October 2004, 181 patients were referred to our institution for elective ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2005.00043.x
更新日期:2005-08-01 00:00:00
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
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Postdilatation (PD) with noncompliant balloon during elective percutaneous coronary intervention (PCI) is performed usually in clinical practice in order to optimize stent expansion. However, current knowledge about its use in patients undergoing primary PCI is controversial. This study aims to evaluate the ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12041
更新日期:2013-08-01 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:OBJECTIVE:To assess long-term outcome and parameters associated with poor and favorable outcome in patients with a left ventricular ejection fraction (LV-EF) ≤25% and severe mitral regurgitation (MR) after percutaneous edge-to-edge mitral valve repair (pMVR). BACKGROUND:There is no data on long-term outcome in this co...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12193
更新日期:2015-04-01 00:00:00
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
更新日期:2005-06-01 00:00:00
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 ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析
doi:10.1111/j.1540-8183.2008.00420.x
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:Study the new Amplatzer Duct Occluder II (ADO II). Limitations were encountered with the preexisting devices in nonconical ducts, large ducts, or in small infants. These include failure, residual shunts, protrusion, migration, and vascular damage. METHODS:Between June 2008 and March 2009, 20 consecutive pati...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00504.x
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:To propose an original approach based on simultaneous dual vascular access site (DAS) using 2 small-size guiding catheters to easily perform complex 2-stent techniques for bifurcation coronary lesions (BL). BACKGROUND:Simultaneous kissing stenting and classic crush technique require large 7 or 8Fr guiding c...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2012.00745.x
更新日期:2012-10-01 00:00:00
abstract::The aim of this study was to review current studies relevant to the link between impaired glucose tolerance (IGT), diabetes, and cardiovascular disease. Cardiovascular disease is a major cause of the reduction in life expectancy in patients with diabetes. Seventy-five percent of diabetic patients die prematurely of ca...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2005.00080.x
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:We present our single center experience with Medtronic CoreValve and Evolut R regarding procedural outcome and 3 years follow-up in patients with degenerated bioprostheses. METHODS:From 1645 patients who underwent transfemoral TAVI at our institution between February 2009 and December 2016, 37 patients with...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12498
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:While the efficacy of drug-eluting coronary stents (DES) has been demonstrated by several clinical trials, the impact of DES on health-care costs and recipient quality of life (QOL) is controversial. We performed a systematic review of the published literature on DES costs and the QOL effects of restenosis a...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2007.00214.x
更新日期:2007-02-01 00:00:00
abstract:Background:Transcatheter aortic valve implantation (TAVI) is currently recommended for patients with severe aortic stenosis at intermediate or high surgical risk. The decision process during TAVI evaluation includes a thorough benefit-risk assessment, and knowledge about long-term benefits and outcomes may improve pati...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2019/4292987
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:The prognostic value of identifying the retinal status of diabetic patients undergoing coronary implantation of drug-eluting stents is unknown. METHODS:We evaluated the outcomes of 318 consecutive patients undergoing implantation of sirolimus-eluting stents for coronary artery disease. Patients were divid...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2007.00252.x
更新日期:2007-04-01 00:00:00
abstract:Objectives:We aimed to identify mechanical and pharmacological revascularization strategies correlated with the index of microcirculatory resistance (IMR) in ST-elevation myocardial infarction (STEMI) patients. Background:Microvascular dysfunction (MVD) after STEMI is correlated with infarct size and poor long-term pr...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2020/5036396
更新日期:2020-07-09 00:00:00
abstract:OBJECTIVE:In the present study, we investigated the effectiveness and reliability of a new method that reveals whether guidewire advanced distal to the lesion is in the lumen in patients with acute (ATO) or chronic coronary total occlusion (CTO). METHODS:Forty-one patients with symptomatic ATO and 22 patients with CTO...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12444
更新日期:2017-12-01 00:00:00
abstract::Drug-eluting stents have altered the practice of interventional cardiology by dramatically reducing the risk of angiographic and clinical restenosis following percutaneous coronary intervention. Based on extensive preclinical study and clinical trial data, the polymer-based, slow rate-release paclitaxel-eluting TAXUS ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2004.04040.x
更新日期:2004-10-01 00:00:00
abstract::Vessel rupture and perforation are important complications of percutaneous treatment of coronary and peripheral arterial disease. These complications can result in abrupt vessel closure, distal organ injury, bleeding into the surrounding tissue, and death. Prompt management of such complications is therefore criticall...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2007.00302.x
更新日期:2008-02-01 00:00:00
abstract::This case report documents the presentation of a disabling ionizing radiation (IR)-related illness (multiple basal cell carcinoma [BCC] syndrome) in a 50-year-old interventional cardiologist. This case emphasizes the need for interventionalists to: (1) understand the occupational hazards of IR; (2) recognize the failu...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00610.x
更新日期:2011-02-01 00:00:00
abstract::The 6Fr Hydrolyser thrombectomy catheter for acute myocardial infarction (AMI) successfully removed a massive thrombus in the coronary artery in three patients. The 6Fr Hydrolyser catheter could be advanced into the right coronary artery with bare-wire methods via a 6Fr sheath at the radial artery. This approach sugge...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00356.x
更新日期:2001-08-01 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
abstract:INTRODUCTION:Sirolimus-eluting stents (SES) have demonstrated low target vessel revascularizations and low incidence of angiographic restenosis in several clinical scenarios. The aim of the present study was to assess the efficacy and safety of SES for the treatment of proximal left anterior descending coronary artery ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2006.00119.x
更新日期:2006-04-01 00:00:00