Role of embolic protection devices in ostial saphenous vein graft lesions
Background Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study. Methods The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 11...
Gespeichert in:
| Veröffentlicht in: | Catheterization and cardiovascular interventions 2012-12, Vol.80 (7), p.1120-1126 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1126 |
|---|---|
| container_issue | 7 |
| container_start_page | 1120 |
| container_title | Catheterization and cardiovascular interventions |
| container_volume | 80 |
| creator | Abdel-Karim, Abdul-Rahman R. Papayannis, Aristotelis C. Mahmood, Arif Michael, Tesfaldet T. Rangan, Bavana V. Makke, Lorenza Banerjee, Subhash Brilakis, Emmanouil S. |
| description | Background
Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study.
Methods
The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 113 ostial SVG lesions were retrospectively reviewed to determine the frequency of EPD use and the periprocedural outcomes.
Results
Ninety‐eight (87%) of the 113 lesions were suitable for EPD use, that was used in 70 lesions (71%). A Filterwire (Boston Scientific) or a SPIDER (ev3) filter were used in 54 (77%) and 16 (23%) of lesions, respectively. Difficulty retrieving the filter post stenting was encountered in eight lesions (11%) and led to stent thrombosis causing cardiac arrest in one patient (1%). Angiographic success was achieved in 111 (98%) of 113 lesions.
Conclusions
EPDs can be utilized in the majority of ostial SVG lesions, but in 11% of cases filter retrieval can be challenging and may rarely (in approximately 1%) lead to a significant complication. © 2012 Wiley Periodicals, Inc. |
| doi_str_mv | 10.1002/ccd.23471 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1237092217</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1237092217</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3911-40a5a43cf7b9b6933bf5134cf6a5e616b67c39d08db6c9e8dd707fc4c78c550a3</originalsourceid><addsrcrecordid>eNp10MtKAzEUBuAgipfqwheQgBtdTJvLTNIspWoVqqIouguZzBlNnU7qZFrt2xttdSG4Sgjf-Tn5EdqnpEsJYT1riy7jqaRraJtmjCWSiaf11Z2qVGyhnRDGhBAlmNpEW4yljEmittHlna8A-xLDJPeVs3ja-BZs63yNC5g7CwG7GvvQOlPhYKYvUPtZwHOIr8-NKVtcQYg67KKN0lQB9lZnBz2cn90PLpLRzfBycDJKLFeUJikxmUm5LWWucqE4z8uM8tSWwmQgqMiFjLAg_SIXVkG_KCSRpU2t7NssI4Z30NEyN276NoPQ6okLFqrK1BA305Tx-DPGqIz08A8d-1lTx-2iYlQpIVkW1fFS2caH0ECpp42bmGahKdFf_erYr_7uN9qDVeIsn0DxK38KjaC3BO-ugsX_SXowOP2JTJYTLrTw8TthmlctJJeZfrweajV6UrcjwfUV_wTsv5Jj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1221996725</pqid></control><display><type>article</type><title>Role of embolic protection devices in ostial saphenous vein graft lesions</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Abdel-Karim, Abdul-Rahman R. ; Papayannis, Aristotelis C. ; Mahmood, Arif ; Michael, Tesfaldet T. ; Rangan, Bavana V. ; Makke, Lorenza ; Banerjee, Subhash ; Brilakis, Emmanouil S.</creator><creatorcontrib>Abdel-Karim, Abdul-Rahman R. ; Papayannis, Aristotelis C. ; Mahmood, Arif ; Michael, Tesfaldet T. ; Rangan, Bavana V. ; Makke, Lorenza ; Banerjee, Subhash ; Brilakis, Emmanouil S.</creatorcontrib><description>Background
Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study.
Methods
The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 113 ostial SVG lesions were retrospectively reviewed to determine the frequency of EPD use and the periprocedural outcomes.
Results
Ninety‐eight (87%) of the 113 lesions were suitable for EPD use, that was used in 70 lesions (71%). A Filterwire (Boston Scientific) or a SPIDER (ev3) filter were used in 54 (77%) and 16 (23%) of lesions, respectively. Difficulty retrieving the filter post stenting was encountered in eight lesions (11%) and led to stent thrombosis causing cardiac arrest in one patient (1%). Angiographic success was achieved in 111 (98%) of 113 lesions.
Conclusions
EPDs can be utilized in the majority of ostial SVG lesions, but in 11% of cases filter retrieval can be challenging and may rarely (in approximately 1%) lead to a significant complication. © 2012 Wiley Periodicals, Inc.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.23471</identifier><identifier>PMID: 22422709</identifier><identifier>CODEN: CARIF2</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; bypass grafts coronary (GRFT) ; Chi-Square Distribution ; Coronary Angiography ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - mortality ; Device Removal ; Embolic Protection Devices ; embolization (EMBO) ; Female ; Graft Occlusion, Vascular - diagnostic imaging ; Graft Occlusion, Vascular - etiology ; Graft Occlusion, Vascular - mortality ; Graft Occlusion, Vascular - therapy ; Heart Arrest - etiology ; Humans ; Male ; Middle Aged ; percutaneous coronary intervention (PCI) ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - instrumentation ; Percutaneous Coronary Intervention - mortality ; Prosthesis Design ; Retrospective Studies ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - transplantation ; Stents ; Thrombosis - etiology ; Time Factors ; Treatment Outcome</subject><ispartof>Catheterization and cardiovascular interventions, 2012-12, Vol.80 (7), p.1120-1126</ispartof><rights>Copyright © 2012 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3911-40a5a43cf7b9b6933bf5134cf6a5e616b67c39d08db6c9e8dd707fc4c78c550a3</citedby><cites>FETCH-LOGICAL-c3911-40a5a43cf7b9b6933bf5134cf6a5e616b67c39d08db6c9e8dd707fc4c78c550a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.23471$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.23471$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22422709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdel-Karim, Abdul-Rahman R.</creatorcontrib><creatorcontrib>Papayannis, Aristotelis C.</creatorcontrib><creatorcontrib>Mahmood, Arif</creatorcontrib><creatorcontrib>Michael, Tesfaldet T.</creatorcontrib><creatorcontrib>Rangan, Bavana V.</creatorcontrib><creatorcontrib>Makke, Lorenza</creatorcontrib><creatorcontrib>Banerjee, Subhash</creatorcontrib><creatorcontrib>Brilakis, Emmanouil S.</creatorcontrib><title>Role of embolic protection devices in ostial saphenous vein graft lesions</title><title>Catheterization and cardiovascular interventions</title><addtitle>Cathet. Cardiovasc. Intervent</addtitle><description>Background
Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study.
Methods
The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 113 ostial SVG lesions were retrospectively reviewed to determine the frequency of EPD use and the periprocedural outcomes.
Results
Ninety‐eight (87%) of the 113 lesions were suitable for EPD use, that was used in 70 lesions (71%). A Filterwire (Boston Scientific) or a SPIDER (ev3) filter were used in 54 (77%) and 16 (23%) of lesions, respectively. Difficulty retrieving the filter post stenting was encountered in eight lesions (11%) and led to stent thrombosis causing cardiac arrest in one patient (1%). Angiographic success was achieved in 111 (98%) of 113 lesions.
Conclusions
EPDs can be utilized in the majority of ostial SVG lesions, but in 11% of cases filter retrieval can be challenging and may rarely (in approximately 1%) lead to a significant complication. © 2012 Wiley Periodicals, Inc.</description><subject>Aged</subject><subject>bypass grafts coronary (GRFT)</subject><subject>Chi-Square Distribution</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Device Removal</subject><subject>Embolic Protection Devices</subject><subject>embolization (EMBO)</subject><subject>Female</subject><subject>Graft Occlusion, Vascular - diagnostic imaging</subject><subject>Graft Occlusion, Vascular - etiology</subject><subject>Graft Occlusion, Vascular - mortality</subject><subject>Graft Occlusion, Vascular - therapy</subject><subject>Heart Arrest - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>percutaneous coronary intervention (PCI)</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - instrumentation</subject><subject>Percutaneous Coronary Intervention - mortality</subject><subject>Prosthesis Design</subject><subject>Retrospective Studies</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - transplantation</subject><subject>Stents</subject><subject>Thrombosis - etiology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MtKAzEUBuAgipfqwheQgBtdTJvLTNIspWoVqqIouguZzBlNnU7qZFrt2xttdSG4Sgjf-Tn5EdqnpEsJYT1riy7jqaRraJtmjCWSiaf11Z2qVGyhnRDGhBAlmNpEW4yljEmittHlna8A-xLDJPeVs3ja-BZs63yNC5g7CwG7GvvQOlPhYKYvUPtZwHOIr8-NKVtcQYg67KKN0lQB9lZnBz2cn90PLpLRzfBycDJKLFeUJikxmUm5LWWucqE4z8uM8tSWwmQgqMiFjLAg_SIXVkG_KCSRpU2t7NssI4Z30NEyN276NoPQ6okLFqrK1BA305Tx-DPGqIz08A8d-1lTx-2iYlQpIVkW1fFS2caH0ECpp42bmGahKdFf_erYr_7uN9qDVeIsn0DxK38KjaC3BO-ugsX_SXowOP2JTJYTLrTw8TthmlctJJeZfrweajV6UrcjwfUV_wTsv5Jj</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Abdel-Karim, Abdul-Rahman R.</creator><creator>Papayannis, Aristotelis C.</creator><creator>Mahmood, Arif</creator><creator>Michael, Tesfaldet T.</creator><creator>Rangan, Bavana V.</creator><creator>Makke, Lorenza</creator><creator>Banerjee, Subhash</creator><creator>Brilakis, Emmanouil S.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Role of embolic protection devices in ostial saphenous vein graft lesions</title><author>Abdel-Karim, Abdul-Rahman R. ; Papayannis, Aristotelis C. ; Mahmood, Arif ; Michael, Tesfaldet T. ; Rangan, Bavana V. ; Makke, Lorenza ; Banerjee, Subhash ; Brilakis, Emmanouil S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3911-40a5a43cf7b9b6933bf5134cf6a5e616b67c39d08db6c9e8dd707fc4c78c550a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>bypass grafts coronary (GRFT)</topic><topic>Chi-Square Distribution</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Device Removal</topic><topic>Embolic Protection Devices</topic><topic>embolization (EMBO)</topic><topic>Female</topic><topic>Graft Occlusion, Vascular - diagnostic imaging</topic><topic>Graft Occlusion, Vascular - etiology</topic><topic>Graft Occlusion, Vascular - mortality</topic><topic>Graft Occlusion, Vascular - therapy</topic><topic>Heart Arrest - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>percutaneous coronary intervention (PCI)</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - instrumentation</topic><topic>Percutaneous Coronary Intervention - mortality</topic><topic>Prosthesis Design</topic><topic>Retrospective Studies</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - transplantation</topic><topic>Stents</topic><topic>Thrombosis - etiology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdel-Karim, Abdul-Rahman R.</creatorcontrib><creatorcontrib>Papayannis, Aristotelis C.</creatorcontrib><creatorcontrib>Mahmood, Arif</creatorcontrib><creatorcontrib>Michael, Tesfaldet T.</creatorcontrib><creatorcontrib>Rangan, Bavana V.</creatorcontrib><creatorcontrib>Makke, Lorenza</creatorcontrib><creatorcontrib>Banerjee, Subhash</creatorcontrib><creatorcontrib>Brilakis, Emmanouil S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdel-Karim, Abdul-Rahman R.</au><au>Papayannis, Aristotelis C.</au><au>Mahmood, Arif</au><au>Michael, Tesfaldet T.</au><au>Rangan, Bavana V.</au><au>Makke, Lorenza</au><au>Banerjee, Subhash</au><au>Brilakis, Emmanouil S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of embolic protection devices in ostial saphenous vein graft lesions</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Cathet. Cardiovasc. Intervent</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>80</volume><issue>7</issue><spage>1120</spage><epage>1126</epage><pages>1120-1126</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><coden>CARIF2</coden><abstract>Background
Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study.
Methods
The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 113 ostial SVG lesions were retrospectively reviewed to determine the frequency of EPD use and the periprocedural outcomes.
Results
Ninety‐eight (87%) of the 113 lesions were suitable for EPD use, that was used in 70 lesions (71%). A Filterwire (Boston Scientific) or a SPIDER (ev3) filter were used in 54 (77%) and 16 (23%) of lesions, respectively. Difficulty retrieving the filter post stenting was encountered in eight lesions (11%) and led to stent thrombosis causing cardiac arrest in one patient (1%). Angiographic success was achieved in 111 (98%) of 113 lesions.
Conclusions
EPDs can be utilized in the majority of ostial SVG lesions, but in 11% of cases filter retrieval can be challenging and may rarely (in approximately 1%) lead to a significant complication. © 2012 Wiley Periodicals, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22422709</pmid><doi>10.1002/ccd.23471</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1522-1946 |
| ispartof | Catheterization and cardiovascular interventions, 2012-12, Vol.80 (7), p.1120-1126 |
| issn | 1522-1946 1522-726X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1237092217 |
| source | MEDLINE; Wiley Journals |
| subjects | Aged bypass grafts coronary (GRFT) Chi-Square Distribution Coronary Angiography Coronary Artery Bypass - adverse effects Coronary Artery Bypass - mortality Device Removal Embolic Protection Devices embolization (EMBO) Female Graft Occlusion, Vascular - diagnostic imaging Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - mortality Graft Occlusion, Vascular - therapy Heart Arrest - etiology Humans Male Middle Aged percutaneous coronary intervention (PCI) Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - instrumentation Percutaneous Coronary Intervention - mortality Prosthesis Design Retrospective Studies Saphenous Vein - diagnostic imaging Saphenous Vein - transplantation Stents Thrombosis - etiology Time Factors Treatment Outcome |
| title | Role of embolic protection devices in ostial saphenous vein graft lesions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T10%3A57%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Role%20of%20embolic%20protection%20devices%20in%20ostial%20saphenous%20vein%20graft%20lesions&rft.jtitle=Catheterization%20and%20cardiovascular%20interventions&rft.au=Abdel-Karim,%20Abdul-Rahman%20R.&rft.date=2012-12-01&rft.volume=80&rft.issue=7&rft.spage=1120&rft.epage=1126&rft.pages=1120-1126&rft.issn=1522-1946&rft.eissn=1522-726X&rft.coden=CARIF2&rft_id=info:doi/10.1002/ccd.23471&rft_dat=%3Cproquest_cross%3E1237092217%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1221996725&rft_id=info:pmid/22422709&rfr_iscdi=true |