Indications and immediate and long-term results of a novel pericardium covered stent graft: Consecutive 5 year single center experience
Background The use of covered stent grafts during percutaneous coronary intervention (PCI) is a life saving solution to seal acute iatrogenic vessel rupture. However, the presence of an impenetrable mechanical barrier is also appealing during treatment of friable coronary plaques but the synthetic P...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2016-03, Vol.87 (4), p.712-719 |
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| creator | Secco, Gioel Gabrio Serdoz, Roberta Kilic, Ismail Dogu Caiazzo, Gianluca Mattesini, Alessio Parisi, Rosario De Luca, Giuseppe Pistis, Gianfranco Marino, Paolo Nicola Di Mario, Carlo |
| description | Background
The use of covered stent grafts during percutaneous coronary intervention (PCI) is a life saving solution to seal acute iatrogenic vessel rupture. However, the presence of an impenetrable mechanical barrier is also appealing during treatment of friable coronary plaques but the synthetic PTFE‐membrane that might trigger excessive neointimal proliferation has limited its elective‐use. Pericardium tissue may offer an appealing “natural” alternative. Aim of our study is to report the consecutive 5‐year single center experience with the use of pericardium‐covered stents (PCS) (ITGI‐Medical, Israel) in a variety of emergency and elective applications.
Methods
Nineteen consecutive patients undergoing implantation of PCS at the Royal Brompton in the last 5‐years. Reasons for PCS implantation included treatment of degenerated vein grafts, large coronary aneurysms, and acute iatrogenic vessel rupture.
Results
Angiographic success, defined as the ability of the device to be deployed in the indexed lesion with no contrast extravasation with residual angiographic stenosis |
| doi_str_mv | 10.1002/ccd.26131 |
| format | Article |
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The use of covered stent grafts during percutaneous coronary intervention (PCI) is a life saving solution to seal acute iatrogenic vessel rupture. However, the presence of an impenetrable mechanical barrier is also appealing during treatment of friable coronary plaques but the synthetic PTFE‐membrane that might trigger excessive neointimal proliferation has limited its elective‐use. Pericardium tissue may offer an appealing “natural” alternative. Aim of our study is to report the consecutive 5‐year single center experience with the use of pericardium‐covered stents (PCS) (ITGI‐Medical, Israel) in a variety of emergency and elective applications.
Methods
Nineteen consecutive patients undergoing implantation of PCS at the Royal Brompton in the last 5‐years. Reasons for PCS implantation included treatment of degenerated vein grafts, large coronary aneurysms, and acute iatrogenic vessel rupture.
Results
Angiographic success, defined as the ability of the device to be deployed in the indexed lesion with no contrast extravasation with residual angiographic stenosis <30% and a final thrombolysis in myocardial infarction (TIMI)‐3 flow was achieved in all cases. Procedural success, defined as the achievement of angiographic success without any major adverse cardiovascular event (MACE) was achieved in 94.7% of patients. In‐stent restenosis (ISR) was observed in 26.3% and all patients underwent successful target vessel revascularization with DES (mean time to restenosis 9.0 ± 4.0 months). At a mean follow‐up of 32.5 ± 23.3 months no acute or late stent thrombosis was observed.
Conclusion
PCSs were effective in the treatment of friable embolization‐prone coronary plaques, sealing of acute iatrogenic vessel rupture and exclusion of large aneurysms with no thrombosis but high target lesion revascularization. © 2015 Wiley Periodicals, Inc.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.26131</identifier><identifier>PMID: 26541909</identifier><identifier>CODEN: CARIF2</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty, Balloon, Coronary - adverse effects ; Angioplasty, Balloon, Coronary - instrumentation ; Angioplasty, Balloon, Coronary - mortality ; Animals ; Coated Materials, Biocompatible ; Coronary Aneurysm - diagnostic imaging ; Coronary Aneurysm - mortality ; Coronary Aneurysm - physiopathology ; Coronary Aneurysm - therapy ; Coronary Angiography ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - mortality ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - therapy ; Coronary Circulation ; Coronary Restenosis - etiology ; coronary rupture ; Coronary Thrombosis - etiology ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - physiopathology ; Coronary Vessels - surgery ; covered stent ; Female ; Heterografts ; Horses ; Humans ; Iatrogenic Disease ; London ; Male ; Middle Aged ; Pericardium - transplantation ; pericardium covered stent ; Prosthesis Design ; Retrospective Studies ; Risk Factors ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - physiopathology ; Saphenous Vein - transplantation ; saphenous vein graft ; Stents ; Time Factors ; Treatment Outcome ; Ultrasonography, Interventional ; Vascular System Injuries - diagnostic imaging ; Vascular System Injuries - mortality ; Vascular System Injuries - physiopathology ; Vascular System Injuries - therapy</subject><ispartof>Catheterization and cardiovascular interventions, 2016-03, Vol.87 (4), p.712-719</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4571-8fec26c460d5733398d7de9323667a27c7d9afa36b0e04a5c4e82fb8b0791cab3</citedby><cites>FETCH-LOGICAL-c4571-8fec26c460d5733398d7de9323667a27c7d9afa36b0e04a5c4e82fb8b0791cab3</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.26131$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.26131$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26541909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Secco, Gioel Gabrio</creatorcontrib><creatorcontrib>Serdoz, Roberta</creatorcontrib><creatorcontrib>Kilic, Ismail Dogu</creatorcontrib><creatorcontrib>Caiazzo, Gianluca</creatorcontrib><creatorcontrib>Mattesini, Alessio</creatorcontrib><creatorcontrib>Parisi, Rosario</creatorcontrib><creatorcontrib>De Luca, Giuseppe</creatorcontrib><creatorcontrib>Pistis, Gianfranco</creatorcontrib><creatorcontrib>Marino, Paolo Nicola</creatorcontrib><creatorcontrib>Di Mario, Carlo</creatorcontrib><title>Indications and immediate and long-term results of a novel pericardium covered stent graft: Consecutive 5 year single center experience</title><title>Catheterization and cardiovascular interventions</title><addtitle>Cathet. Cardiovasc. Intervent</addtitle><description>Background
The use of covered stent grafts during percutaneous coronary intervention (PCI) is a life saving solution to seal acute iatrogenic vessel rupture. However, the presence of an impenetrable mechanical barrier is also appealing during treatment of friable coronary plaques but the synthetic PTFE‐membrane that might trigger excessive neointimal proliferation has limited its elective‐use. Pericardium tissue may offer an appealing “natural” alternative. Aim of our study is to report the consecutive 5‐year single center experience with the use of pericardium‐covered stents (PCS) (ITGI‐Medical, Israel) in a variety of emergency and elective applications.
Methods
Nineteen consecutive patients undergoing implantation of PCS at the Royal Brompton in the last 5‐years. Reasons for PCS implantation included treatment of degenerated vein grafts, large coronary aneurysms, and acute iatrogenic vessel rupture.
Results
Angiographic success, defined as the ability of the device to be deployed in the indexed lesion with no contrast extravasation with residual angiographic stenosis <30% and a final thrombolysis in myocardial infarction (TIMI)‐3 flow was achieved in all cases. Procedural success, defined as the achievement of angiographic success without any major adverse cardiovascular event (MACE) was achieved in 94.7% of patients. In‐stent restenosis (ISR) was observed in 26.3% and all patients underwent successful target vessel revascularization with DES (mean time to restenosis 9.0 ± 4.0 months). At a mean follow‐up of 32.5 ± 23.3 months no acute or late stent thrombosis was observed.
Conclusion
PCSs were effective in the treatment of friable embolization‐prone coronary plaques, sealing of acute iatrogenic vessel rupture and exclusion of large aneurysms with no thrombosis but high target lesion revascularization. © 2015 Wiley Periodicals, Inc.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - instrumentation</subject><subject>Angioplasty, Balloon, Coronary - mortality</subject><subject>Animals</subject><subject>Coated Materials, Biocompatible</subject><subject>Coronary Aneurysm - diagnostic imaging</subject><subject>Coronary Aneurysm - mortality</subject><subject>Coronary Aneurysm - physiopathology</subject><subject>Coronary Aneurysm - therapy</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - mortality</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Circulation</subject><subject>Coronary Restenosis - etiology</subject><subject>coronary rupture</subject><subject>Coronary Thrombosis - etiology</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - physiopathology</subject><subject>Coronary Vessels - surgery</subject><subject>covered stent</subject><subject>Female</subject><subject>Heterografts</subject><subject>Horses</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>London</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pericardium - transplantation</subject><subject>pericardium covered stent</subject><subject>Prosthesis Design</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - physiopathology</subject><subject>Saphenous Vein - transplantation</subject><subject>saphenous vein graft</subject><subject>Stents</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><subject>Vascular System Injuries - diagnostic imaging</subject><subject>Vascular System Injuries - mortality</subject><subject>Vascular System Injuries - physiopathology</subject><subject>Vascular System Injuries - therapy</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAYRSMEoqWw4AWQJTawSOufxI7ZtQGGilHZgKjYWI79ZeSSOFPbKZ0n4LXxdKZdIHVh-UfnHlnfLYrXBB8TjOmJMfaYcsLIk-KQ1JSWgvLLp_szkRU_KF7EeIUxlpzK58UB5XVFJJaHxd9zb53RyU0-Iu0tcuMI1ukEd7dh8qsyQRhRgDgPKaKpRxr56QYGtIaQo8G6eUQmvwSwKCbwCa2C7tMH1GYpmDm5G0A12oAOKDq_GgCZTEFAcLt1gDfwsnjW6yHCq_1-VPz4_Ol7-6Vcfluct6fL0lS1IGXTg6HcVBzbWjDGZGOFBcko41xoKoywUvea8Q4DrnRtKmho3zUdFpIY3bGj4t3Ouw7T9QwxqdFFA8OgPUxzVESIertkldG3_6FX0xx8_t2WqlgjcdNk6v2OMmGKMUCv1sGNOmwUwWrbjsrtqLt2Mvtmb5y7POUH8r6ODJzsgD9ugM3jJtW2H--V5S7h8uRvHxI6_FZcMFGrnxcLRZeXZ_Wi-aW-sn-mnKlM</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Secco, Gioel Gabrio</creator><creator>Serdoz, Roberta</creator><creator>Kilic, Ismail Dogu</creator><creator>Caiazzo, Gianluca</creator><creator>Mattesini, Alessio</creator><creator>Parisi, Rosario</creator><creator>De Luca, Giuseppe</creator><creator>Pistis, Gianfranco</creator><creator>Marino, Paolo Nicola</creator><creator>Di Mario, Carlo</creator><general>Blackwell Publishing Ltd</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>201603</creationdate><title>Indications and immediate and long-term results of a novel pericardium covered stent graft: Consecutive 5 year single center experience</title><author>Secco, Gioel Gabrio ; Serdoz, Roberta ; Kilic, Ismail Dogu ; Caiazzo, Gianluca ; Mattesini, Alessio ; Parisi, Rosario ; De Luca, Giuseppe ; Pistis, Gianfranco ; Marino, Paolo Nicola ; Di Mario, Carlo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4571-8fec26c460d5733398d7de9323667a27c7d9afa36b0e04a5c4e82fb8b0791cab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon, Coronary - adverse effects</topic><topic>Angioplasty, Balloon, Coronary - instrumentation</topic><topic>Angioplasty, Balloon, Coronary - mortality</topic><topic>Animals</topic><topic>Coated Materials, Biocompatible</topic><topic>Coronary Aneurysm - diagnostic imaging</topic><topic>Coronary Aneurysm - mortality</topic><topic>Coronary Aneurysm - physiopathology</topic><topic>Coronary Aneurysm - therapy</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - mortality</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary Circulation</topic><topic>Coronary Restenosis - etiology</topic><topic>coronary rupture</topic><topic>Coronary Thrombosis - etiology</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - physiopathology</topic><topic>Coronary Vessels - surgery</topic><topic>covered stent</topic><topic>Female</topic><topic>Heterografts</topic><topic>Horses</topic><topic>Humans</topic><topic>Iatrogenic Disease</topic><topic>London</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pericardium - transplantation</topic><topic>pericardium covered stent</topic><topic>Prosthesis Design</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - physiopathology</topic><topic>Saphenous Vein - transplantation</topic><topic>saphenous vein graft</topic><topic>Stents</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><topic>Vascular System Injuries - diagnostic imaging</topic><topic>Vascular System Injuries - mortality</topic><topic>Vascular System Injuries - physiopathology</topic><topic>Vascular System Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Secco, Gioel Gabrio</creatorcontrib><creatorcontrib>Serdoz, Roberta</creatorcontrib><creatorcontrib>Kilic, Ismail Dogu</creatorcontrib><creatorcontrib>Caiazzo, Gianluca</creatorcontrib><creatorcontrib>Mattesini, Alessio</creatorcontrib><creatorcontrib>Parisi, Rosario</creatorcontrib><creatorcontrib>De Luca, Giuseppe</creatorcontrib><creatorcontrib>Pistis, Gianfranco</creatorcontrib><creatorcontrib>Marino, Paolo Nicola</creatorcontrib><creatorcontrib>Di Mario, Carlo</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>Secco, Gioel Gabrio</au><au>Serdoz, Roberta</au><au>Kilic, Ismail Dogu</au><au>Caiazzo, Gianluca</au><au>Mattesini, Alessio</au><au>Parisi, Rosario</au><au>De Luca, Giuseppe</au><au>Pistis, Gianfranco</au><au>Marino, Paolo Nicola</au><au>Di Mario, Carlo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indications and immediate and long-term results of a novel pericardium covered stent graft: Consecutive 5 year single center experience</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Cathet. Cardiovasc. Intervent</addtitle><date>2016-03</date><risdate>2016</risdate><volume>87</volume><issue>4</issue><spage>712</spage><epage>719</epage><pages>712-719</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><coden>CARIF2</coden><abstract>Background
The use of covered stent grafts during percutaneous coronary intervention (PCI) is a life saving solution to seal acute iatrogenic vessel rupture. However, the presence of an impenetrable mechanical barrier is also appealing during treatment of friable coronary plaques but the synthetic PTFE‐membrane that might trigger excessive neointimal proliferation has limited its elective‐use. Pericardium tissue may offer an appealing “natural” alternative. Aim of our study is to report the consecutive 5‐year single center experience with the use of pericardium‐covered stents (PCS) (ITGI‐Medical, Israel) in a variety of emergency and elective applications.
Methods
Nineteen consecutive patients undergoing implantation of PCS at the Royal Brompton in the last 5‐years. Reasons for PCS implantation included treatment of degenerated vein grafts, large coronary aneurysms, and acute iatrogenic vessel rupture.
Results
Angiographic success, defined as the ability of the device to be deployed in the indexed lesion with no contrast extravasation with residual angiographic stenosis <30% and a final thrombolysis in myocardial infarction (TIMI)‐3 flow was achieved in all cases. Procedural success, defined as the achievement of angiographic success without any major adverse cardiovascular event (MACE) was achieved in 94.7% of patients. In‐stent restenosis (ISR) was observed in 26.3% and all patients underwent successful target vessel revascularization with DES (mean time to restenosis 9.0 ± 4.0 months). At a mean follow‐up of 32.5 ± 23.3 months no acute or late stent thrombosis was observed.
Conclusion
PCSs were effective in the treatment of friable embolization‐prone coronary plaques, sealing of acute iatrogenic vessel rupture and exclusion of large aneurysms with no thrombosis but high target lesion revascularization. © 2015 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26541909</pmid><doi>10.1002/ccd.26131</doi><tpages>8</tpages></addata></record> |
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| ispartof | Catheterization and cardiovascular interventions, 2016-03, Vol.87 (4), p.712-719 |
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| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Aged Aged, 80 and over Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - instrumentation Angioplasty, Balloon, Coronary - mortality Animals Coated Materials, Biocompatible Coronary Aneurysm - diagnostic imaging Coronary Aneurysm - mortality Coronary Aneurysm - physiopathology Coronary Aneurysm - therapy Coronary Angiography Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - mortality Coronary Artery Disease - physiopathology Coronary Artery Disease - therapy Coronary Circulation Coronary Restenosis - etiology coronary rupture Coronary Thrombosis - etiology Coronary Vessels - diagnostic imaging Coronary Vessels - physiopathology Coronary Vessels - surgery covered stent Female Heterografts Horses Humans Iatrogenic Disease London Male Middle Aged Pericardium - transplantation pericardium covered stent Prosthesis Design Retrospective Studies Risk Factors Saphenous Vein - diagnostic imaging Saphenous Vein - physiopathology Saphenous Vein - transplantation saphenous vein graft Stents Time Factors Treatment Outcome Ultrasonography, Interventional Vascular System Injuries - diagnostic imaging Vascular System Injuries - mortality Vascular System Injuries - physiopathology Vascular System Injuries - therapy |
| title | Indications and immediate and long-term results of a novel pericardium covered stent graft: Consecutive 5 year single center experience |
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