The first clinical experience with a novel directional coronary atherectomy catheter: Preliminary Japanese multicenter experience
Aims Despite development of drug eluting stents (DES), percutaneous coronary intervention (PCI) for bifurcation lesions using DES alone remains challenging. The aim of this study was to report on the initial clinical experience with a novel directional coronary atherectomy (DCA) catheter. Methods an...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2017-04, Vol.89 (5), p.880-887 |
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| creator | Habara, Maoto Tsuchikane, Etsuo Nasu, Kenya Kinoshita, Yoshihisa Yaguchi, Tomonori Suzuki, Yoriyasu Matsuo, Hitoshi Terashima, Mitsuyasu Matsubara, Tetsuo Suzuki, Takahiko |
| description | Aims
Despite development of drug eluting stents (DES), percutaneous coronary intervention (PCI) for bifurcation lesions using DES alone remains challenging. The aim of this study was to report on the initial clinical experience with a novel directional coronary atherectomy (DCA) catheter.
Methods and Results
Patients with de novo bifurcation lesions were entered into a prospective registry and a novel DCA catheter was used. Device, procedural success and in‐hospital outcomes were evaluated. A total of 14 patients with bifurcation lesions were enrolled. DCA was performed successfully in all cases without any major procedure‐related events (device success rate: 100%, procedural success rate: 100%). Four patients (29%) were treated without stent implantation and simple stenting was achieved in the other 10 patients. No in‐hospital major adverse cardiac event was observed.
Conclusions
PCI with a novel DCA catheter for bifurcation lesions may be safe and effective. The clinical significance of these findings needs to be determined in future studies. This study was performed to evaluate the safety and efficacy of a novel directional coronary atherectomy catheter for bifurcation lesions. Both the device and procedural success rates were 100%. Complex stenting could be avoided in all cases. No inhospital major adverse cardiac event was observed. The novel directional coronary atherectomy catheter may be safe and effective for bifurcation lesions, even in this drug eluting stent era. © 2016 Wiley Periodicals, Inc. |
| doi_str_mv | 10.1002/ccd.26627 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826716781</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4321727535</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3537-deda1364410d34b42bfbf0c08e79ffcff6faa40d71f625978609c10ca3802e933</originalsourceid><addsrcrecordid>eNp10ctKxDAUBuAgio6XhS8gATe6GCdJ06R1J-OdAV0ouCuZ9ISJpO2YtI6z9M3NXBQRXOXCx58cfoQOKTmjhLCB1uUZE4LJDdSjKWN9ycTL5npPcy520G4Ir4SQXLB8G-0wyQkXqeihz6cJYGN9aLF2trZaOQwfU_AWag14ZtsJVrhu3sHh0nrQrW3qaHTj4-rnWLUTWFw31RzrxaEFf44fPThb2aW4V1NVQwBcda61Guoofr2xj7aMcgEO1useer6-ehre9kcPN3fDi1FfJ2ki-yWUiiaCc0rKhI85G5uxIZpkIHNjtDHCKMVJKakRLM1lJkiuKdEqyQiDPEn20Mkqd-qbtw5CW1Q2aHAufq7pQkEzJiQVMqORHv-hr03n49gLlWWp5ELkUZ2ulPZNCB5MMfW2ihMXlBSLXorYS7HsJdqjdWI3rqD8kd9FRDBYgZl1MP8_qRgOL1eRXxoLmXs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1888574669</pqid></control><display><type>article</type><title>The first clinical experience with a novel directional coronary atherectomy catheter: Preliminary Japanese multicenter experience</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Habara, Maoto ; Tsuchikane, Etsuo ; Nasu, Kenya ; Kinoshita, Yoshihisa ; Yaguchi, Tomonori ; Suzuki, Yoriyasu ; Matsuo, Hitoshi ; Terashima, Mitsuyasu ; Matsubara, Tetsuo ; Suzuki, Takahiko</creator><creatorcontrib>Habara, Maoto ; Tsuchikane, Etsuo ; Nasu, Kenya ; Kinoshita, Yoshihisa ; Yaguchi, Tomonori ; Suzuki, Yoriyasu ; Matsuo, Hitoshi ; Terashima, Mitsuyasu ; Matsubara, Tetsuo ; Suzuki, Takahiko</creatorcontrib><description>Aims
Despite development of drug eluting stents (DES), percutaneous coronary intervention (PCI) for bifurcation lesions using DES alone remains challenging. The aim of this study was to report on the initial clinical experience with a novel directional coronary atherectomy (DCA) catheter.
Methods and Results
Patients with de novo bifurcation lesions were entered into a prospective registry and a novel DCA catheter was used. Device, procedural success and in‐hospital outcomes were evaluated. A total of 14 patients with bifurcation lesions were enrolled. DCA was performed successfully in all cases without any major procedure‐related events (device success rate: 100%, procedural success rate: 100%). Four patients (29%) were treated without stent implantation and simple stenting was achieved in the other 10 patients. No in‐hospital major adverse cardiac event was observed.
Conclusions
PCI with a novel DCA catheter for bifurcation lesions may be safe and effective. The clinical significance of these findings needs to be determined in future studies. This study was performed to evaluate the safety and efficacy of a novel directional coronary atherectomy catheter for bifurcation lesions. Both the device and procedural success rates were 100%. Complex stenting could be avoided in all cases. No inhospital major adverse cardiac event was observed. The novel directional coronary atherectomy catheter may be safe and effective for bifurcation lesions, even in this drug eluting stent era. © 2016 Wiley Periodicals, Inc.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.26627</identifier><identifier>PMID: 27404656</identifier><identifier>CODEN: CARIF2</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Atherectomy, Coronary - instrumentation ; Catheters ; Coronary Angiography ; Coronary Stenosis - diagnosis ; Coronary Stenosis - surgery ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - surgery ; directional coronary atherectomy ; Equipment Design ; Female ; Follow-Up Studies ; Humans ; interventional devices ; Japan ; left main coronary disease ; Male ; Retrospective Studies ; Treatment Outcome ; Ultrasonography, Interventional</subject><ispartof>Catheterization and cardiovascular interventions, 2017-04, Vol.89 (5), p.880-887</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-deda1364410d34b42bfbf0c08e79ffcff6faa40d71f625978609c10ca3802e933</citedby><cites>FETCH-LOGICAL-c3537-deda1364410d34b42bfbf0c08e79ffcff6faa40d71f625978609c10ca3802e933</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.26627$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.26627$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27404656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Habara, Maoto</creatorcontrib><creatorcontrib>Tsuchikane, Etsuo</creatorcontrib><creatorcontrib>Nasu, Kenya</creatorcontrib><creatorcontrib>Kinoshita, Yoshihisa</creatorcontrib><creatorcontrib>Yaguchi, Tomonori</creatorcontrib><creatorcontrib>Suzuki, Yoriyasu</creatorcontrib><creatorcontrib>Matsuo, Hitoshi</creatorcontrib><creatorcontrib>Terashima, Mitsuyasu</creatorcontrib><creatorcontrib>Matsubara, Tetsuo</creatorcontrib><creatorcontrib>Suzuki, Takahiko</creatorcontrib><title>The first clinical experience with a novel directional coronary atherectomy catheter: Preliminary Japanese multicenter experience</title><title>Catheterization and cardiovascular interventions</title><addtitle>Catheter Cardiovasc Interv</addtitle><description>Aims
Despite development of drug eluting stents (DES), percutaneous coronary intervention (PCI) for bifurcation lesions using DES alone remains challenging. The aim of this study was to report on the initial clinical experience with a novel directional coronary atherectomy (DCA) catheter.
Methods and Results
Patients with de novo bifurcation lesions were entered into a prospective registry and a novel DCA catheter was used. Device, procedural success and in‐hospital outcomes were evaluated. A total of 14 patients with bifurcation lesions were enrolled. DCA was performed successfully in all cases without any major procedure‐related events (device success rate: 100%, procedural success rate: 100%). Four patients (29%) were treated without stent implantation and simple stenting was achieved in the other 10 patients. No in‐hospital major adverse cardiac event was observed.
Conclusions
PCI with a novel DCA catheter for bifurcation lesions may be safe and effective. The clinical significance of these findings needs to be determined in future studies. This study was performed to evaluate the safety and efficacy of a novel directional coronary atherectomy catheter for bifurcation lesions. Both the device and procedural success rates were 100%. Complex stenting could be avoided in all cases. No inhospital major adverse cardiac event was observed. The novel directional coronary atherectomy catheter may be safe and effective for bifurcation lesions, even in this drug eluting stent era. © 2016 Wiley Periodicals, Inc.</description><subject>Aged</subject><subject>Atherectomy, Coronary - instrumentation</subject><subject>Catheters</subject><subject>Coronary Angiography</subject><subject>Coronary Stenosis - diagnosis</subject><subject>Coronary Stenosis - surgery</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - surgery</subject><subject>directional coronary atherectomy</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>interventional devices</subject><subject>Japan</subject><subject>left main coronary disease</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10ctKxDAUBuAgio6XhS8gATe6GCdJ06R1J-OdAV0ouCuZ9ISJpO2YtI6z9M3NXBQRXOXCx58cfoQOKTmjhLCB1uUZE4LJDdSjKWN9ycTL5npPcy520G4Ir4SQXLB8G-0wyQkXqeihz6cJYGN9aLF2trZaOQwfU_AWag14ZtsJVrhu3sHh0nrQrW3qaHTj4-rnWLUTWFw31RzrxaEFf44fPThb2aW4V1NVQwBcda61Guoofr2xj7aMcgEO1useer6-ehre9kcPN3fDi1FfJ2ki-yWUiiaCc0rKhI85G5uxIZpkIHNjtDHCKMVJKakRLM1lJkiuKdEqyQiDPEn20Mkqd-qbtw5CW1Q2aHAufq7pQkEzJiQVMqORHv-hr03n49gLlWWp5ELkUZ2ulPZNCB5MMfW2ihMXlBSLXorYS7HsJdqjdWI3rqD8kd9FRDBYgZl1MP8_qRgOL1eRXxoLmXs</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Habara, Maoto</creator><creator>Tsuchikane, Etsuo</creator><creator>Nasu, Kenya</creator><creator>Kinoshita, Yoshihisa</creator><creator>Yaguchi, Tomonori</creator><creator>Suzuki, Yoriyasu</creator><creator>Matsuo, Hitoshi</creator><creator>Terashima, Mitsuyasu</creator><creator>Matsubara, Tetsuo</creator><creator>Suzuki, Takahiko</creator><general>Wiley Subscription Services, Inc</general><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>201704</creationdate><title>The first clinical experience with a novel directional coronary atherectomy catheter: Preliminary Japanese multicenter experience</title><author>Habara, Maoto ; Tsuchikane, Etsuo ; Nasu, Kenya ; Kinoshita, Yoshihisa ; Yaguchi, Tomonori ; Suzuki, Yoriyasu ; Matsuo, Hitoshi ; Terashima, Mitsuyasu ; Matsubara, Tetsuo ; Suzuki, Takahiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-deda1364410d34b42bfbf0c08e79ffcff6faa40d71f625978609c10ca3802e933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Atherectomy, Coronary - instrumentation</topic><topic>Catheters</topic><topic>Coronary Angiography</topic><topic>Coronary Stenosis - diagnosis</topic><topic>Coronary Stenosis - surgery</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - surgery</topic><topic>directional coronary atherectomy</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>interventional devices</topic><topic>Japan</topic><topic>left main coronary disease</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Habara, Maoto</creatorcontrib><creatorcontrib>Tsuchikane, Etsuo</creatorcontrib><creatorcontrib>Nasu, Kenya</creatorcontrib><creatorcontrib>Kinoshita, Yoshihisa</creatorcontrib><creatorcontrib>Yaguchi, Tomonori</creatorcontrib><creatorcontrib>Suzuki, Yoriyasu</creatorcontrib><creatorcontrib>Matsuo, Hitoshi</creatorcontrib><creatorcontrib>Terashima, Mitsuyasu</creatorcontrib><creatorcontrib>Matsubara, Tetsuo</creatorcontrib><creatorcontrib>Suzuki, Takahiko</creatorcontrib><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>Habara, Maoto</au><au>Tsuchikane, Etsuo</au><au>Nasu, Kenya</au><au>Kinoshita, Yoshihisa</au><au>Yaguchi, Tomonori</au><au>Suzuki, Yoriyasu</au><au>Matsuo, Hitoshi</au><au>Terashima, Mitsuyasu</au><au>Matsubara, Tetsuo</au><au>Suzuki, Takahiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The first clinical experience with a novel directional coronary atherectomy catheter: Preliminary Japanese multicenter experience</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2017-04</date><risdate>2017</risdate><volume>89</volume><issue>5</issue><spage>880</spage><epage>887</epage><pages>880-887</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><coden>CARIF2</coden><abstract>Aims
Despite development of drug eluting stents (DES), percutaneous coronary intervention (PCI) for bifurcation lesions using DES alone remains challenging. The aim of this study was to report on the initial clinical experience with a novel directional coronary atherectomy (DCA) catheter.
Methods and Results
Patients with de novo bifurcation lesions were entered into a prospective registry and a novel DCA catheter was used. Device, procedural success and in‐hospital outcomes were evaluated. A total of 14 patients with bifurcation lesions were enrolled. DCA was performed successfully in all cases without any major procedure‐related events (device success rate: 100%, procedural success rate: 100%). Four patients (29%) were treated without stent implantation and simple stenting was achieved in the other 10 patients. No in‐hospital major adverse cardiac event was observed.
Conclusions
PCI with a novel DCA catheter for bifurcation lesions may be safe and effective. The clinical significance of these findings needs to be determined in future studies. This study was performed to evaluate the safety and efficacy of a novel directional coronary atherectomy catheter for bifurcation lesions. Both the device and procedural success rates were 100%. Complex stenting could be avoided in all cases. No inhospital major adverse cardiac event was observed. The novel directional coronary atherectomy catheter may be safe and effective for bifurcation lesions, even in this drug eluting stent era. © 2016 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27404656</pmid><doi>10.1002/ccd.26627</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Atherectomy, Coronary - instrumentation Catheters Coronary Angiography Coronary Stenosis - diagnosis Coronary Stenosis - surgery Coronary Vessels - diagnostic imaging Coronary Vessels - surgery directional coronary atherectomy Equipment Design Female Follow-Up Studies Humans interventional devices Japan left main coronary disease Male Retrospective Studies Treatment Outcome Ultrasonography, Interventional |
| title | The first clinical experience with a novel directional coronary atherectomy catheter: Preliminary Japanese multicenter experience |
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