Hybrid strategy with a bioresorbable scaffold and a drug-coated balloon for diffuse coronary artery disease: the 'no more metallic cages' multicentre pilot experience
In: EuroIntervention, Jg. 11 (2016-04-01), S. e1589- (7S.)
Online
unknown
Zugriff:
Aims Our aim was to assess the feasibility and results of a hybrid approach with a bioresorbable scaffold (BRS) plus a drug-coated balloon (DCB) for the treatment of diffuse coronary artery disease (CAD). Methods and results A retrospective analysis was performed on consecutive patients with diffuse de novo or in-stent restenosis treated with BRS implantation (larger proximal segment) and DCB inflation (smaller distal segment or bifurcation side branch). Endpoints were procedural success, then ischaemia-driven target lesion revascularisation (ID-TLR) and BRS/DCB segment thrombosis rates at follow-up. A total of 42 consecutive patients were treated with the hybrid strategy. Mean patient age was 62±1.02 years, while 12 (28.6%) patients were diabetics. Mean BRS and DCB length were 28.0±5.1 mm and 25.8±8.8 mm, respectively. Procedural success was obtained in all patients, but three (7.3%) patients required bail-out scaffolding for DCB-related dissection. At a median follow-up of 12 months (IQR: 6-18), there were no cases of cardiac death, target vessel myocardial infarction, or BRS/DCB segment thrombosis. ID-TLR occurred in two (4.7%) BRS-treated segments. Conclusions Our data in consecutive patients with diffuse CAD suggest that a hybrid strategy using BRS and DCB in different segments of the diseased vessel is feasible and associated with encouraging clinical outcomes.
Titel: |
Hybrid strategy with a bioresorbable scaffold and a drug-coated balloon for diffuse coronary artery disease: the 'no more metallic cages' multicentre pilot experience
|
---|---|
Autor/in / Beteiligte Person: | Ielasi, Alfonso ; Miyazaki, Tadashi ; Ruparelia, Neil ; Testa, Luca ; Tespili, Maurizio ; Colombo, Antonio ; Abdel-Wahab, Mohamed ; Caramanno, Giuseppe ; Bedogni, Francesco ; Latib, Azeem ; Geraci, Salvatore ; Sato, Takao ; Kawamoto, Hiroyoshi |
Link: | |
Zeitschrift: | EuroIntervention, Jg. 11 (2016-04-01), S. e1589- (7S.) |
Veröffentlichung: | Europa Digital & Publishing, 2016 |
Medientyp: | unknown |
ISSN: | 1969-6213 (print) |
DOI: | 10.4244/eijv11i14a309 |
Schlagwort: |
|
Sonstiges: |
|