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Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions

BACKGROUND: To compare outcomes of bailout and planned rotational atherectomy (RA) in the treatment of severe calcified coronary lesions. METHODS: Data of patients treated with RA from 2017 to 2018 at a single-center registry were retrospectively analyzed. All patients were divided into planned RA a...

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Autores principales: Cao, Cheng-fu, Ma, Yu-liang, Li, Qi, Liu, Jian, Zhao, Hong, Lu, Ming-yu, Wang, Wei-min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7429776/
https://www.ncbi.nlm.nih.gov/pubmed/32799806
http://dx.doi.org/10.1186/s12872-020-01645-4
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author Cao, Cheng-fu
Ma, Yu-liang
Li, Qi
Liu, Jian
Zhao, Hong
Lu, Ming-yu
Wang, Wei-min
author_facet Cao, Cheng-fu
Ma, Yu-liang
Li, Qi
Liu, Jian
Zhao, Hong
Lu, Ming-yu
Wang, Wei-min
author_sort Cao, Cheng-fu
collection PubMed
description BACKGROUND: To compare outcomes of bailout and planned rotational atherectomy (RA) in the treatment of severe calcified coronary lesions. METHODS: Data of patients treated with RA from 2017 to 2018 at a single-center registry were retrospectively analyzed. All patients were divided into planned RA and bailout RA groups, data between two groups were compared. RESULTS: A total of 190 patients were included in this study, 138 patients received planned RA and 52 patients received bailout RA. Baseline clinical characteristics had no significant differences between groups. The number of implanted stents and total stents length were similar. But the number of balloon (1.6 ± 0.8 vs. 2.7 ± 1.3, P < 0.001), procedure time (83.5 ± 26.2 vs. 100.8 ± 36.4 min, P = 0.007), fluoroscopy volume (941 ± 482 vs. 1227 ± 872 mGy, P = 0.012] and contrast amount (237 ± 62 vs. 275 ± 90 ml, P = 0.003) were all lower in planned RA group. Planned RA had a higher procedural success rate (99.3% vs. 92.3%, P = 0.007) and a lower complication incidence (4.3% vs. 17.3%, P = 0.009). But the primary outcomes at 3 years (9.2 and 16.6%, log rank p = 0.24) had no difference between groups. CONCLUSIONS: For severe coronary artery calcification, although planned RA did not improved the long term prognosis compared with bailout RA, but it can improve the immediate procedural success rate, reduce the incidence of complications, the procedure time and the volume of contrast.
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spelling pubmed-74297762020-08-18 Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions Cao, Cheng-fu Ma, Yu-liang Li, Qi Liu, Jian Zhao, Hong Lu, Ming-yu Wang, Wei-min BMC Cardiovasc Disord Research Article BACKGROUND: To compare outcomes of bailout and planned rotational atherectomy (RA) in the treatment of severe calcified coronary lesions. METHODS: Data of patients treated with RA from 2017 to 2018 at a single-center registry were retrospectively analyzed. All patients were divided into planned RA and bailout RA groups, data between two groups were compared. RESULTS: A total of 190 patients were included in this study, 138 patients received planned RA and 52 patients received bailout RA. Baseline clinical characteristics had no significant differences between groups. The number of implanted stents and total stents length were similar. But the number of balloon (1.6 ± 0.8 vs. 2.7 ± 1.3, P < 0.001), procedure time (83.5 ± 26.2 vs. 100.8 ± 36.4 min, P = 0.007), fluoroscopy volume (941 ± 482 vs. 1227 ± 872 mGy, P = 0.012] and contrast amount (237 ± 62 vs. 275 ± 90 ml, P = 0.003) were all lower in planned RA group. Planned RA had a higher procedural success rate (99.3% vs. 92.3%, P = 0.007) and a lower complication incidence (4.3% vs. 17.3%, P = 0.009). But the primary outcomes at 3 years (9.2 and 16.6%, log rank p = 0.24) had no difference between groups. CONCLUSIONS: For severe coronary artery calcification, although planned RA did not improved the long term prognosis compared with bailout RA, but it can improve the immediate procedural success rate, reduce the incidence of complications, the procedure time and the volume of contrast. BioMed Central 2020-08-15 /pmc/articles/PMC7429776/ /pubmed/32799806 http://dx.doi.org/10.1186/s12872-020-01645-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Cao, Cheng-fu
Ma, Yu-liang
Li, Qi
Liu, Jian
Zhao, Hong
Lu, Ming-yu
Wang, Wei-min
Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
title Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
title_full Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
title_fullStr Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
title_full_unstemmed Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
title_short Comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
title_sort comparison of bailout and planned rotational atherectomy for severe coronary calcified lesions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7429776/
https://www.ncbi.nlm.nih.gov/pubmed/32799806
http://dx.doi.org/10.1186/s12872-020-01645-4
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