One-year outcomes of patients undergoing percutaneous coronary intervention with the revived directional coronary atherectomy catheter: Insights from the J-PCI OUTCOME registry.
In: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, Jg. 102 (2023-12-01), Heft 7, S. 1229-1237
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Zugriff:
Objectives: We sought to investigate the 1-year outcomes, including all-cause and cardiovascular mortality, major adverse cardiovascular events (MACEs), and major bleeding, of patients undergoing percutaneous coronary intervention (PCI) with or without the revived directional coronary atherectomy (DCA) catheter in a Japanese nationwide registry.
Background: Clinical data regarding the midterm outcomes of patients undergoing PCI with DCA are scarce in contemporary real-world practice.
Methods: We analyzed the data of 74,764 patients who underwent PCI at 179 hospitals from January 2017 to December 2018. The baseline characteristics and 1-year outcomes of patients with stable coronary artery disease or unstable angina who underwent PCI with or without DCA were assessed.
Results: Overall, 431 patients (0.6%) underwent PCI with DCA. Patients in the DCA group were younger and predominantly male, with fewer comorbidities than patients in the non-DCA group. Stentless PCI with DCA following additional drug-coated balloon (DCB) angioplasty was the dominant strategy in the DCA group (43.6%). One-year outcomes, including all-cause mortality (1.2% in the DCA group vs. 2.5% in the non-DCA group, respectively, p = 0.075), cardiovascular death (0.9% vs. 1.0%, p = 0.69), MACEs (1.9% vs. 1.8%, p = 0.96), and nonfatal major bleeding requiring readmission (1.2% vs. 1.4%, p = 0.62), were comparable between the two groups. In the DCA group, 1-year outcomes were comparable, regardless of whether the stent or DCB was used.
Conclusions: One-year clinical outcomes after PCI with DCA in patients with stable coronary artery disease or unstable angina are acceptable, regardless of stent use.
(© 2023 Wiley Periodicals LLC.)
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One-year outcomes of patients undergoing percutaneous coronary intervention with the revived directional coronary atherectomy catheter: Insights from the J-PCI OUTCOME registry.
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Autor/in / Beteiligte Person: | Numasawa, Y ; Sawano, M ; Ishii, H ; Kohsaka, S ; Kikuta, Y ; Matoba, T ; Amano, T ; Kozuma, K |
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Zeitschrift: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, Jg. 102 (2023-12-01), Heft 7, S. 1229-1237 |
Veröffentlichung: | New York, NY : Wiley-Liss, c1999-, 2023 |
Medientyp: | academicJournal |
ISSN: | 1522-726X (electronic) |
DOI: | 10.1002/ccd.30895 |
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