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Iannaccone M, Franchin L, Hanson ID, Boccuzzi GG, Basir MB, Truesdell AG, O'Neil WW. Door to support in acute myocardial infarction complicated by cardiogenic shock: an updated meta-analysis. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The impact of time to hemodynamic support in acute myocardial infarction complicated by cardiogenic shock (AMICS) has yet to be defined. The aim of this meta-analysis was to evaluate the impact of timing of Impella mechanical circulatory support (MCS) initiation on early and midterm mortality.
Methods
A systematic literature review and meta-analysis was conducted using PubMed and Cochrane databases. All studies reporting short-term mortality rates and timing of Impella placement in AMICS were included. Meta-regression analysis and sensitivity analysis were performed on the primary endpoint, short-term mortality (≤30 days), and secondary endpoints (midterm mortality, device-related bleeding, and limb ischemia).
Results
Of 1289 studies identified, 13 studies (6810 patients; 2970 patients identified as receiving Impella pre-PCI and 3840 patients receiving Impella during/post-PCI) were included in this analysis. Median age was 63.8 years (IQR, 63–65.7); 76% of patients were male, and a high prevalence of cardiovascular risk factors was noted across the entire population. Short-term mortality was significantly reduced in those receiving pre-PCI vs. during/post-PCI Impella support (37.2% vs 53.6%, RR 0.7; CI 0.56–0.88). Midterm mortality was also lower in the pre-PCI Impella group (47.9% vs 73%, RR 0.81; CI 0.68–0.97). The rate of device-related bleeding (RR 1.05; CI 0.47–2.33) and limb ischemia (RR 1.16; CI 0.63–2.15) were similar between the two groups.
Conclusion
This analysis suggests that Impella MCS placement prior to PCI in AMICS may have a positive impact on short- and midterm mortality compared with post-PCI, with similar safety outcomes.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- M Iannaccone
- Torino North Emergency San Giovanni Bosco , Turin , Italy
| | - L Franchin
- Torino North Emergency San Giovanni Bosco , Turin , Italy
| | - I D Hanson
- William Beaumont Hospital, Cardiology , Royal Oak , United States of America
| | - G G Boccuzzi
- Torino North Emergency San Giovanni Bosco , Turin , Italy
| | - M B Basir
- Henry Ford Hospital, Cardiology , Detroit , United States of America
| | - A G Truesdell
- Inova Heart and Vascular Institute , Falls Church , United States of America
| | - W W O'Neil
- Henry Ford Hospital, Cardiology , Detroit , United States of America
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Iannaccone M, Albani S, Giannini F, Colangelo S, Boccuzzi GG, Garbo R, Brilakis ES, D'ascenzo F, de Ferrari GM, Colombo A. Short term outcomes of Impella in cardiogenic shock: A review and meta-analysis of observational studies. Int J Cardiol 2020; 324:44-51. [PMID: 32971148 DOI: 10.1016/j.ijcard.2020.09.044] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 09/11/2020] [Accepted: 09/14/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The clinical impact of invasive hemodynamic support with Impella in patients with cardiogenic shock (CS) remains to be defined. METHOD Only studies including patients treated with Impella in CS were selected. The primary endpoint was short term mortality, while secondary endpoints were major vascular complications and major bleeding. RESULTS 17 studies and 3933 patients were included in the analysis. Median age was 61.9 (IQR 59.2-63.5) years, CS was mainly related to acute coronary syndrome (ACS): 79.6% (IQR 75.1-79.6). Thirty-day mortality was 47.8% (CI 43.7-52%). Based on metaregression analysis, the Impella 5.0 (point estimate -0.006, 95% CI -0.01 - - 0.02, p < 0.01) and the Impella CP (point estimate -0.007, 95% CI -0.01 - - 0.03, p < 0.01) devices were related to a higher survival rate, whereas the Impella 2.5 was not. Furthermore, a correlation with reduced mortality was found when Impella was initiated in CS not complicated by cardiac arrest (CA), and before revascularization, (point estimate 0.01, 95% CI 0.002-0.02, p < 0.01 and point estimate -0.02, 95% CI 0.023-0.01, p < 0.001 respectively). The vascular complication and major bleeding rate were 7.4% (95% CI 5.6-9.6%) and 15.2% (95% CI 10.7-21%) respectively, and were associated with older age and comorbidities, while the implantation of an Impella CP/2.5 L was associated with fewer complications. CONCLUSIONS Despite the use of Impella the 30 day mortality of CS still remains high. Our data suggest that the use of an Impella CP, initiation of Impella prior to PCI and in patients without cardiac arrest was correlated with outcome improvements.
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Affiliation(s)
- Mario Iannaccone
- Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, Italy.
| | - Stefano Albani
- Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, Italy
| | - Francesco Giannini
- Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy
| | - Salvatore Colangelo
- Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, Italy
| | - Giacomo G Boccuzzi
- Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, Italy
| | - Roberto Garbo
- Department of Cardiology, San Giovanni Bosco Hospital, ASL Città di Torino, Turin, Italy
| | - Emmanouil S Brilakis
- Minneapolis Heart Institute at Abbott Northwestern Hospital and Minneapolis Heart Institute Foundation, Minneapolis, MN, United States of America
| | - Fabrizio D'ascenzo
- Department of Cardiology, Città della scienza e della Salute, University of Turin, Turin, Italy
| | | | - Antonio Colombo
- Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy
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Boccuzzi GG, Montabone A, D'Ascenzo F, Colombo F, Ugo F, Muraglia S, De Backer O, Nombela-Franco L, Meincke F, Mazzone P. Cerebral protection in left atrial appendage closure in the presence of appendage thrombosis. Catheter Cardiovasc Interv 2020; 97:511-515. [PMID: 32808741 DOI: 10.1002/ccd.29161] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/21/2020] [Accepted: 07/09/2020] [Indexed: 02/04/2023]
Abstract
BACKGROUND Presence of thrombus in the left atrial appendage (LAA) remains a severe contraindication to the percutaneous left atrial appendage closure procedure (LAAC), due to increased embolic risk. Recently, the experience developed in cerebral protection device in transcatheter aortic valve implantation (TAVI) procedure was translated in LAAC to address this issue. AIM To evaluate efficacy and safety of Sentinel cerebral protection system (CPS) in supporting LAAC in real-world patient with persistent LAA thrombus. METHODS AND RESULTS The study retrospectively enrolled consecutive patients with non-valvular atrial fibrillation (NVAF) and thrombus in LAA who underwent LAAC supported by Sentinel CPS in seven European high-volume centres. Twenty-seven patients were included with a median age of 69.1 ± 9.7 years old, with median CHA2 DS2 -VASc and HAS-BLEED scores 3 [2-5] and 3 [2.75-4], respectively. Technical and procedural success was achieved in all patients. No periprocedural TIA, stroke, or supra-aortic trunks dissection was recorded. CONCLUSIONS In this multicenter registry, LAAC supported by Sentinel CPS in patients with LAA persistent thrombus seems to be a safe and efficacious treatment.
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Affiliation(s)
| | - Andrea Montabone
- Division of Cardiology, San Giovanni Bosco Hospital, Turin, Italy
| | - Fabrizio D'Ascenzo
- Città della Scienza e della Salute, Department of Cardiology, University of Turin, Turin, Italy
| | | | - Fabrizio Ugo
- Division of Cardiology, San Giovanni Bosco Hospital, Turin, Italy
| | | | - Ole De Backer
- Interventional Cardiology, The Heart Center-Rigshospitalet, Copenhagen, Denmark
| | | | - Felix Meincke
- Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany
| | - Patrizio Mazzone
- Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
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Colombo F, Iannaccone M, Bernardi A, Colangelo S, Garbo R, Boccuzzi GG. [Retrieval of devices lost or entrapped during percutaneous coronary interventions]. G Ital Cardiol (Rome) 2020; 21:15S-20S. [PMID: 32469340 DOI: 10.1714/3373.33488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Device loss or entrapment during percutaneous coronary interventions (PCI) is a rare circumstance whose incidence has decreased over time mainly because of device improvements. Nevertheless, they still represent fearful complications also and above all because the operators may be unfamiliar with rescue and retrieval techniques. The devices that most frequently experience loss or entrapment are stents, followed by angioplasty balloons, burrs for rotational atherectomy, guidewires and microcatheters. In this review we will illustrate the risk factors for device loss and the main retrieval techniques, as described in the literature or stemmed from our experience as high-volume PCI center.
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Affiliation(s)
- Francesco Colombo
- Laboratorio di Interventistica Cardiovascolare, S.C. Cardiologia, Ospedale San Giovanni Bosco, Torino
| | - Mario Iannaccone
- Laboratorio di Interventistica Cardiovascolare, S.C. Cardiologia, Ospedale San Giovanni Bosco, Torino
| | - Alessandro Bernardi
- Laboratorio di Interventistica Cardiovascolare, S.C. Cardiologia, Ospedale San Giovanni Bosco, Torino
| | - Salvatore Colangelo
- Laboratorio di Interventistica Cardiovascolare, S.C. Cardiologia, Ospedale San Giovanni Bosco, Torino
| | - Roberto Garbo
- Laboratorio di Interventistica Cardiovascolare, S.C. Cardiologia, Ospedale San Giovanni Bosco, Torino
| | - Giacomo G Boccuzzi
- Laboratorio di Interventistica Cardiovascolare, S.C. Cardiologia, Ospedale San Giovanni Bosco, Torino
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Affiliation(s)
- Mario Iannaccone
- Division of Cardiology, San Giovanni Bosco Hospital, Turin, Italy
| | - Emmanouil S Brilakis
- Minneapolis Heart Institute, Abbott Northwestern Hospital and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA
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Iannaccone M, Souteyrand G, Niccoli G, Mancone M, Sardella G, Tamburino C, Templin C, Gili S, Boccuzzi GG, D'Ascenzo F. Clinical impact of optical coherence tomography findings on culprit plaque in acute coronary syndrome: The OCT-FORMIDABLE study registry. Catheter Cardiovasc Interv 2018; 92:E486-E492. [PMID: 29745476 DOI: 10.1002/ccd.27633] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 12/06/2017] [Accepted: 03/19/2018] [Indexed: 01/21/2023]
Abstract
BACKGROUND Aim of this study was to evaluate the clinical impact of the culprit plaque features assessed by optical coherence tomography (OCT) in patients with acute coronary syndrome (ACS). METHODS The OCT-FORMIDABLE register enrolled retrospectively all consecutive patients who perform OCT on culprit plaque in patients with ACS in nine European centres. The primary endpoint was the prevalence of culprit plaque rupture (CPR) in patients experiencing major adverse cardiovascular events (MACEs). Secondary endpoint was the prevalence necrotic core with macrophage infiltrations (NCMI) in the patients experiencing MACEs. RESULTS Two-hundred and nine patients were included in the study. Mean age was 60.1 ± 12.9 years old, 19.1% were females. Main clinical presentation was ST-elevation myocardial infarction (55%). At OCT analysis, CPR was observed in 71.8% patients, while 31.6% presented NCMI. During follow-up (12.6 ± 14.5 months), 11% of the patients experienced MACEs. The presence of CPR (HR 3.7,1.4-9.8, P < .01) and NCMI (HR 3.3,1.6-6.6, P < .01) were independent predictors for MACEs, while dual antiplatelet therapy with prasugrel/ticagrelor at discharge (HR 0.2,0.1-0.6, P < .01) were protective. The protective impact of new antiplatelet drugs was reported only in patients with CPR while in patients without any of the baseline clinical or procedural features impacted on MACEs. CONCLUSIONS CPR and the presence of NCMI are independent predictors of worse outcome. Patients with CPR seem to benefit more of an intensive therapy, both from a pharmacological and interventional point of view. (NCT02486861).
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Affiliation(s)
- Mario Iannaccone
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy.,Department of Cardiology, "S.G. Bosco Hospital", Turin, Italy
| | - Geraud Souteyrand
- Cardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand 63000, France Cardio Vascular Interventional Therapy and Imaging (CaVITI), UMR CNRS 6284, Auvergne University, Clermont-Ferrand, France
| | - Giampaolo Niccoli
- Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy
| | - Massimo Mancone
- Department of Cardiovascular, Respiratory, Nephrologic, Anesthesiologic and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gennaro Sardella
- Department of Cardiovascular, Respiratory, Nephrologic, Anesthesiologic and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Corrado Tamburino
- Cardio-thoracic-vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Christian Templin
- Department of Cardiology, Zurich University Hospital, Zurich, Switzerland
| | - Sebastiano Gili
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy.,Department of Cardiology, Zurich University Hospital, Zurich, Switzerland
| | | | - Fabrizio D'Ascenzo
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
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Iannaccone M, Gili S, De Filippo O, D'Amico S, Gagliardi M, Bertaina M, Mazzilli S, Rettegno S, Bongiovanni F, Gatti P, Ugo F, Boccuzzi GG, Colangelo S, Prato S, Moretti C, D'Amico M, Noussan P, Garbo R, Hildick-Smith D, Gaita F, D'Ascenzo F. Diagnostic accuracy of functional, imaging and biochemical tests for patients presenting with chest pain to the emergency department: A systematic review and meta-analysis. Eur Heart J Acute Cardiovasc Care 2018; 8:412-420. [PMID: 29350536 DOI: 10.1177/2048872617754275] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND Non-invasive ischaemia tests and biomarkers are widely adopted to rule out acute coronary syndrome in the emergency department. Their diagnostic accuracy has yet to be precisely defined. METHODS Medline, Cochrane Library CENTRAL, EMBASE and Biomed Central were systematically screened (start date 1 September 2016, end date 1 December 2016). Prospective studies (observational or randomised controlled trial) comparing functional/imaging or biochemical tests for patients presenting with chest pain to the emergency department were included. RESULTS Overall, 77 studies were included, for a total of 49,541 patients (mean age 59.9 years). Fast and six-hour highly sensitive troponin T protocols did not show significant differences in their ability to detect acute coronary syndromes, as they reported a sensitivity and specificity of 0.89 (95% confidence interval 0.79-0.94) and 0.84 (0.74-0.9) vs 0.89 (0.78-0.94) and 0.83 (0.70-0.92), respectively. The addition of copeptin to troponin increased sensitivity and reduced specificity, without improving diagnostic accuracy. The diagnostic value of non-invasive tests for patients without troponin increase was tested. Coronary computed tomography showed the highest level of diagnostic accuracy (sensitivity 0.93 (0.81-0.98) and specificity 0.90 (0.93-0.94)), along with myocardial perfusion scintigraphy (sensitivity 0.85 (0.77-0.91) and specificity 0.92 (0.83-0.96)). Stress echography was inferior to coronary computed tomography but non-inferior to myocardial perfusion scintigraphy, while exercise testing showed the lower level of diagnostic accuracy. CONCLUSIONS Fast and six-hour highly sensitive troponin T protocols provide an overall similar level of diagnostic accuracy to detect acute coronary syndrome. Among the non-invasive ischaemia tests for patients without troponin increase, coronary computed tomography and myocardial perfusion scintigraphy showed the highest sensitivity and specificity.
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Affiliation(s)
- Mario Iannaccone
- 1 Division of Cardiology, University of Turin, Italy.,2 Division of Cardiology, S.G. Bosco Hospital, Italy
| | | | | | | | | | | | | | - Sara Rettegno
- 1 Division of Cardiology, University of Turin, Italy
| | | | - Paolo Gatti
- 1 Division of Cardiology, University of Turin, Italy
| | - Fabrizio Ugo
- 2 Division of Cardiology, S.G. Bosco Hospital, Italy
| | | | | | - Silvia Prato
- 2 Division of Cardiology, S.G. Bosco Hospital, Italy
| | | | | | | | - Roberto Garbo
- 2 Division of Cardiology, S.G. Bosco Hospital, Italy
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Ielasi A, Kawamoto H, Latib A, Boccuzzi GG, Sardella G, Garbo R, Meliga E, D'Ascenzo F, Presbitero P, Nakamura S, Colombo A. In-Hospital and 1-Year Outcomes of Rotational Atherectomy and Stent Implantation in Patients With Severely Calcified Unprotected Left Main Narrowings (from the Multicenter ROTATE Registry). Am J Cardiol 2017; 119:1331-1337. [PMID: 28274573 DOI: 10.1016/j.amjcard.2017.01.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2016] [Revised: 01/09/2017] [Accepted: 01/09/2017] [Indexed: 11/26/2022]
Abstract
Heavily calcified unprotected left main (ULM) disease continues to be a challenging situation and represent a high-risk subset for interventional cardiologist. To date, there are limited data investigating the results after rotational atherectomy (RA) in this setting. The aim of this study was to investigate the in-hospital and 1-year outcomes after RA of heavily calcified ULM lesions. A retrospective cohort analysis was performed on all calcified patients with ULM (n = 86) enrolled in the multicenter international ROTATE registry (overall patients, n = 962). End points of the study were the in-hospital and 1-year incidence of major adverse cardiovascular events (MACE): a composite of death, myocardial infarction, and target-vessel revascularization in the ULM versus non-ULM group. Patients in the ULM group were older (p = 0.01) and more frequently with diabetes (p = 0.001) compared with the non-ULM group, whereas intravascular ultrasound guidance was higher, even if not systematic, in the ULM group (p <0.001). No difference was reported between ULM versus non-ULM groups in terms of in-hospital MACE (5.8% vs 8%). At 1 year, MACE rate was higher in ULM versus non-ULM (26.4% vs 14.9%, p = 0.002) mostly driven by target-vessel revascularization (20.3% vs 12.7%, p = 0.05). Even definite/probable stent thrombosis rate was higher in the ULM group (3.9% vs 0.8%). All these events were subacute and 2/3 (75%) were fatal. In conclusion, our multicenter experience shows that RA followed by stent implantation in patients with heavily calcified ULM narrowing is feasible and associated with good in-hospital results. Patient (age and diabetes) and procedural aspects (relatively low intravascular ultrasound guidance) may affect the worse subacute mid-term prognosis in the more complex ULM group.
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Iannaccone M, Barbero U, D'ascenzo F, Latib A, Pennacchi M, Rossi ML, Ugo F, Meliga E, Kawamoto H, Moretti C, Ielasi A, Garbo R, Colombo A, Sardella G, Boccuzzi GG. Rotational atherectomy in very long lesions: Results for the ROTATE registry. Catheter Cardiovasc Interv 2016; 88:E164-E172. [PMID: 27083771 DOI: 10.1002/ccd.26548] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Revised: 02/28/2016] [Accepted: 03/11/2016] [Indexed: 11/11/2022]
Abstract
BACKGROUND Rotational atherectomy (RA) is relatively contraindicated in patients with lesions ≥25 mm of length. Aim of this study was to evaluate RA safety and efficacy in this subset of patients with new technology and devices. METHODS AND RESULTS From April 2002 to August 2013, the ROTATE registry included all consecutive patients undergoing RA in 8 centres. They were divided into shorter lesion group (SLG, lesions < 25 mm) and longer lesion group (LLG, lesions ≥ 25 mm). The angiographic success (AS) was the primary end point. Procedural complications (PC), a composite end point of procedural perforation, slow flow/no flow, and in-hospital major acute cardiovascular events (MACE), were secondary end points, along with death, nonfatal MI, target lesion revascularization, and MACE during follow-up. Sensitivity analysis was performed according to generation of DES. 1186 patients were included: 51.5% in SLG and 48.4% in LLG. Mean age was 70.4 ± 9.3 years, 64.5% were male. AS and PC did not differ between the two groups (93% vs 91%, p = 0.24 and 9.8 vs 9.4%, p = 0.84). During follow-up (27.6 ± 22.9 months), MACE did not differ between the two groups (28% vs 29.1%, p = 0.95). At multivariate analysis chronic kidney disease, male gender increased risk of MACE (HR 1.94, IQR 1.29-2.0, p = 0.01, HR 0.52, IQR 0.34-0.79, p = 0.01) while second-generation DES seemed protective (HR 0.53, IQR 0.31-0.88, p = 0.02). Data were confirmed at sensitivity analysis for second-generation DES (759 pts, 63.9%). No differences were found in this subpopulation between the two groups in term of AS, PC, and long-term MACE (93.6% vs 93.5%, p = 0.28, 11.9% vs 9.4%, p = 0.32 and 25.5% vs 23.9%, p = 0.72, respectively). CONCLUSIONS Treating coronary lesions ≥ 25 mm length with RA does not impact short- and long-term outcome, in particular, in patients with second-generation DES. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Mario Iannaccone
- "Citta' Della Scienza e della Salute", University of Turin, Italy
| | - Umberto Barbero
- "Citta' Della Scienza e della Salute", University of Turin, Italy
| | | | - Azeem Latib
- Italy and EMO-GVM Centro Cuore Columbus, San Raffaele Scientific Institute, Milan, Milan, Italy
| | - Mauro Pennacchi
- Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Italy
| | | | - Fabrizio Ugo
- Cardiology Department, Ospedale San Giovanni Bosco, Torino, Italy
| | - Emanuele Meliga
- Interventional Cardiology Unit, a.O. Ordine Mauriziano Umberto I, Turin, Italy
| | | | - Claudio Moretti
- "Citta' Della Scienza e della Salute", University of Turin, Italy
| | - Alfonso Ielasi
- Department of Cardiology, Azienda Ospedaliera Bolognini Seriate, Italy
| | - Roberto Garbo
- Cardiology Department, Ospedale San Giovanni Bosco, Torino, Italy
| | - Antonio Colombo
- Italy and EMO-GVM Centro Cuore Columbus, San Raffaele Scientific Institute, Milan, Milan, Italy
| | - Gennaro Sardella
- Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Italy
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Kawamoto H, Latib A, Ruparelia N, Boccuzzi GG, Pennacchi M, Sardella G, Garbo R, Meliga E, D'Ascenzo F, Moretti C, Rossi ML, Presbitero P, Ielasi A, Magri C, Nakamura S, Colombo A. Planned versus provisional rotational atherectomy for severe calcified coronary lesions: Insights From the ROTATE multi-center registry. Catheter Cardiovasc Interv 2016; 88:881-889. [DOI: 10.1002/ccd.26411] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 12/26/2015] [Indexed: 11/09/2022]
Affiliation(s)
- Hiroyoshi Kawamoto
- Interventional Cardiology Unit, San Raffaele Scientific Institute; Milan Italy
- Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus; Milan Italy
- Interventional Cardiology Unit, New Tokyo Hospital; Chiba Japan
| | - Azeem Latib
- Interventional Cardiology Unit, San Raffaele Scientific Institute; Milan Italy
- Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus; Milan Italy
| | - Neil Ruparelia
- Interventional Cardiology Unit, San Raffaele Scientific Institute; Milan Italy
- Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus; Milan Italy
- Department of Cardiology; Imperial College; London United Kingdom
| | | | - Mauro Pennacchi
- Department of Cardiovascular, Respiratory and Morphologic Sciences; Policlinico Umberto I, “Sapienza” University of Rome; Italy
| | - Gennaro Sardella
- Department of Cardiovascular, Respiratory and Morphologic Sciences; Policlinico Umberto I, “Sapienza” University of Rome; Italy
| | - Roberto Garbo
- Cardiology Department; Ospedale San Giovanni Bosco; Torino Italy
| | - Emanuele Meliga
- Interventional Cardiology Unit, a.O. Ordine Mauriziano Umberto I; Turin Italy
| | - Fabrizio D'Ascenzo
- Dipartimento Di Scienze Mediche, Divisione Di Cardiologia, Città Della Salute E Della Scienza; Turin Italy
| | - Claudio Moretti
- Dipartimento Di Scienze Mediche, Divisione Di Cardiologia, Città Della Salute E Della Scienza; Turin Italy
| | | | | | - Alfonso Ielasi
- Department of Cardiology; Bolognini Hospital; Seriate, Bergamo Italy
| | - Caroline Magri
- Interventional Cardiology Unit, San Raffaele Scientific Institute; Milan Italy
| | - Sunao Nakamura
- Interventional Cardiology Unit, New Tokyo Hospital; Chiba Japan
| | - Antonio Colombo
- Interventional Cardiology Unit, San Raffaele Scientific Institute; Milan Italy
- Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus; Milan Italy
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Colangelo S, Ugo F, Boccuzzi GG, Garbo R. TCT-226 Impact of baseline renal failure on long-term clinical outcomes after primary angioplasty for acute myocardial infarction. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Meliga E, Boccuzzi GG, Conte MR, De Benedictis M, Gagnor A, Latib A, Lombardi P, Lupi A, Scrocca I, Sticchi A, Varbella F. TCT-190 Biolimus Eluting StenT For de novo coRonary artery dIsease in patiENts with Diabetes mellituS: the BESTFRIENDS multicentre registry. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Meliga E, Boccuzzi GG, Conte MR, De Benedictis M, Gaetano P, Garbo R, Garcia Garcia HM, Lombardi P, Scrocca I. TCT-590 Plaque modifications after drug eluting balloon assessed by virtual histology. The PATRIOTS trial. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Boccuzzi GG, Di Maggio L, Massara C, Garbo R, Savio D. Intravascular ultrasound-guided rotational atherectomy for heavily calcified renal artery stenosis. J Cardiovasc Med (Hagerstown) 2010; 13:338-42. [PMID: 20186070 DOI: 10.2459/jcm.0b013e328334341a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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