Clinical Outcomes Following Covered Stent for the Treatment of Coronary Artery Perforation
Background This study aimed to evaluate short‐ and long‐term outcomes of polytetrafluoroethylene covered stent for patients with coronary artery perforation. Methods During April 2004 and February 2016, a total 48 patients underwent implantation using polytetrafluoroethylene‐covered JOSTENT GraftMas...
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| Veröffentlicht in: | Journal of interventional cardiology 2016-12, Vol.29 (6), p.569-575 |
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| container_title | Journal of interventional cardiology |
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| creator | Lee, Wei-Chieh Hsueh, Shu-Kai Fang, Chih-Yuan Wu, Chiung-Jen Hang, Chi-Ling Fang, Hsiu-Yu |
| description | Background
This study aimed to evaluate short‐ and long‐term outcomes of polytetrafluoroethylene covered stent for patients with coronary artery perforation.
Methods
During April 2004 and February 2016, a total 48 patients underwent implantation using polytetrafluoroethylene‐covered JOSTENT GraftMaster stents (Abbott Vascular, Santa Clara, CA) in the native coronary arteries implantation for coronary artery perforation. Clinical outcomes such as target lesion revascularization (TLR), myocardial infarction (MI), definite or possible stent thrombosis, cardiovascular mortality, and all‐cause mortality were analyzed.
Results
The average age of study patients was 68.02 ± 13.49 years, and the majorities were men (76.6%). The most frequent devices cause of perforation were stents (37.5%). Eighteen patients (37.5%) experienced cardiac tamponade and 20 patients (41.7%) underwent emergent pericardiocentesis. Only 1 patient (2.1%) experienced emergent surgical repair after covered stent. At the 30‐day follow‐up, the rate of all‐cause mortality was 16.7% and cardiovascular mortality was 13.0%. At the 1‐year follow‐up, the rate of MI was 6.1%, the rate of TLR was 21.9%, the rate of definite or possible stent thrombosis was 15.6%, the rate of cardiovascular mortality was 22.0%, and the rate of all‐cause mortality was 26.2%. Between the patients with and without cardiac tamponade, patients with cardiac tamponade had higher cardiovascular mortality in 30‐day and also higher all‐cause mortality in 30‐day and 1‐year follow‐up.
Conclusion
The covered stent could solve emergent condition for patients with coronary artery perforation with high TLR and stent thrombosis rate at long‐term follow‐up. The patients with cardiac tamponade had worse clinical outcomes in 30‐day and 1‐year follow‐up. |
| doi_str_mv | 10.1111/joic.12347 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835685627</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835685627</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4697-ab6b69258b14fd2627a024c0db48f1075d88f1646d53845b4aacd96407d1fa633</originalsourceid><addsrcrecordid>eNp9kMtKxDAUhoMoOo5ufADpUoRq7skspeh4wxG84iakbarRttEko87bm3HUpWfzw-E7P4cPgC0E91Ca_Wdnqz2ECRVLYIAYhblEkiyDAZQjnlOCxRpYD-EZQgwZw6tgDQshEYFyAB6K1va20m02mcbKdSZkR65t3YftH7PCvRtv6uwqmj5mjfNZfDLZtTc6dvONaxLiXa_9LDvw0aS4ND5xOlrXb4CVRrfBbP7kENwcHV4Xx_n5ZHxSHJznFeUjkeuSl3yEmSwRbWrMsdAQ0wrWJZUNgoLVMiWnvGZEUlZSrat6xCkUNWo0J2QIdha9r969TU2IqrOhMm2re-OmQSUXjEuWihO6u0Ar70LwplGv3nbpfYWgmrtUc5fq22WCt396p2Vn6j_0V14C0AL4sK2Z_VOlTicnxW9pvrixIZrPvxvtXxQXRDB1dzFWt6dIHN9fnKkx-QJHSY3z</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835685627</pqid></control><display><type>article</type><title>Clinical Outcomes Following Covered Stent for the Treatment of Coronary Artery Perforation</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>EZB Electronic Journals Library</source><creator>Lee, Wei-Chieh ; Hsueh, Shu-Kai ; Fang, Chih-Yuan ; Wu, Chiung-Jen ; Hang, Chi-Ling ; Fang, Hsiu-Yu</creator><creatorcontrib>Lee, Wei-Chieh ; Hsueh, Shu-Kai ; Fang, Chih-Yuan ; Wu, Chiung-Jen ; Hang, Chi-Ling ; Fang, Hsiu-Yu</creatorcontrib><description>Background
This study aimed to evaluate short‐ and long‐term outcomes of polytetrafluoroethylene covered stent for patients with coronary artery perforation.
Methods
During April 2004 and February 2016, a total 48 patients underwent implantation using polytetrafluoroethylene‐covered JOSTENT GraftMaster stents (Abbott Vascular, Santa Clara, CA) in the native coronary arteries implantation for coronary artery perforation. Clinical outcomes such as target lesion revascularization (TLR), myocardial infarction (MI), definite or possible stent thrombosis, cardiovascular mortality, and all‐cause mortality were analyzed.
Results
The average age of study patients was 68.02 ± 13.49 years, and the majorities were men (76.6%). The most frequent devices cause of perforation were stents (37.5%). Eighteen patients (37.5%) experienced cardiac tamponade and 20 patients (41.7%) underwent emergent pericardiocentesis. Only 1 patient (2.1%) experienced emergent surgical repair after covered stent. At the 30‐day follow‐up, the rate of all‐cause mortality was 16.7% and cardiovascular mortality was 13.0%. At the 1‐year follow‐up, the rate of MI was 6.1%, the rate of TLR was 21.9%, the rate of definite or possible stent thrombosis was 15.6%, the rate of cardiovascular mortality was 22.0%, and the rate of all‐cause mortality was 26.2%. Between the patients with and without cardiac tamponade, patients with cardiac tamponade had higher cardiovascular mortality in 30‐day and also higher all‐cause mortality in 30‐day and 1‐year follow‐up.
Conclusion
The covered stent could solve emergent condition for patients with coronary artery perforation with high TLR and stent thrombosis rate at long‐term follow‐up. The patients with cardiac tamponade had worse clinical outcomes in 30‐day and 1‐year follow‐up.</description><identifier>ISSN: 0896-4327</identifier><identifier>EISSN: 1540-8183</identifier><identifier>DOI: 10.1111/joic.12347</identifier><identifier>PMID: 27781308</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; China - epidemiology ; Coronary Angiography - methods ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - mortality ; Coronary Artery Disease - surgery ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - injuries ; Drug-Eluting Stents - adverse effects ; Female ; Follow-Up Studies ; Humans ; Long Term Adverse Effects - diagnosis ; Long Term Adverse Effects - epidemiology ; Male ; Middle Aged ; Outcome and Process Assessment (Health Care) ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - instrumentation ; Percutaneous Coronary Intervention - methods ; Polytetrafluoroethylene - therapeutic use ; Vascular System Injuries - diagnosis ; Vascular System Injuries - etiology ; Vascular System Injuries - surgery</subject><ispartof>Journal of interventional cardiology, 2016-12, Vol.29 (6), p.569-575</ispartof><rights>2016, Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4697-ab6b69258b14fd2627a024c0db48f1075d88f1646d53845b4aacd96407d1fa633</citedby><cites>FETCH-LOGICAL-c4697-ab6b69258b14fd2627a024c0db48f1075d88f1646d53845b4aacd96407d1fa633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27781308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Wei-Chieh</creatorcontrib><creatorcontrib>Hsueh, Shu-Kai</creatorcontrib><creatorcontrib>Fang, Chih-Yuan</creatorcontrib><creatorcontrib>Wu, Chiung-Jen</creatorcontrib><creatorcontrib>Hang, Chi-Ling</creatorcontrib><creatorcontrib>Fang, Hsiu-Yu</creatorcontrib><title>Clinical Outcomes Following Covered Stent for the Treatment of Coronary Artery Perforation</title><title>Journal of interventional cardiology</title><addtitle>J Interv Cardiol</addtitle><description>Background
This study aimed to evaluate short‐ and long‐term outcomes of polytetrafluoroethylene covered stent for patients with coronary artery perforation.
Methods
During April 2004 and February 2016, a total 48 patients underwent implantation using polytetrafluoroethylene‐covered JOSTENT GraftMaster stents (Abbott Vascular, Santa Clara, CA) in the native coronary arteries implantation for coronary artery perforation. Clinical outcomes such as target lesion revascularization (TLR), myocardial infarction (MI), definite or possible stent thrombosis, cardiovascular mortality, and all‐cause mortality were analyzed.
Results
The average age of study patients was 68.02 ± 13.49 years, and the majorities were men (76.6%). The most frequent devices cause of perforation were stents (37.5%). Eighteen patients (37.5%) experienced cardiac tamponade and 20 patients (41.7%) underwent emergent pericardiocentesis. Only 1 patient (2.1%) experienced emergent surgical repair after covered stent. At the 30‐day follow‐up, the rate of all‐cause mortality was 16.7% and cardiovascular mortality was 13.0%. At the 1‐year follow‐up, the rate of MI was 6.1%, the rate of TLR was 21.9%, the rate of definite or possible stent thrombosis was 15.6%, the rate of cardiovascular mortality was 22.0%, and the rate of all‐cause mortality was 26.2%. Between the patients with and without cardiac tamponade, patients with cardiac tamponade had higher cardiovascular mortality in 30‐day and also higher all‐cause mortality in 30‐day and 1‐year follow‐up.
Conclusion
The covered stent could solve emergent condition for patients with coronary artery perforation with high TLR and stent thrombosis rate at long‐term follow‐up. The patients with cardiac tamponade had worse clinical outcomes in 30‐day and 1‐year follow‐up.</description><subject>Aged</subject><subject>China - epidemiology</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - mortality</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - injuries</subject><subject>Drug-Eluting Stents - adverse effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Long Term Adverse Effects - diagnosis</subject><subject>Long Term Adverse Effects - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - instrumentation</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>Polytetrafluoroethylene - therapeutic use</subject><subject>Vascular System Injuries - diagnosis</subject><subject>Vascular System Injuries - etiology</subject><subject>Vascular System Injuries - surgery</subject><issn>0896-4327</issn><issn>1540-8183</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMoOo5ufADpUoRq7skspeh4wxG84iakbarRttEko87bm3HUpWfzw-E7P4cPgC0E91Ca_Wdnqz2ECRVLYIAYhblEkiyDAZQjnlOCxRpYD-EZQgwZw6tgDQshEYFyAB6K1va20m02mcbKdSZkR65t3YftH7PCvRtv6uwqmj5mjfNZfDLZtTc6dvONaxLiXa_9LDvw0aS4ND5xOlrXb4CVRrfBbP7kENwcHV4Xx_n5ZHxSHJznFeUjkeuSl3yEmSwRbWrMsdAQ0wrWJZUNgoLVMiWnvGZEUlZSrat6xCkUNWo0J2QIdha9r969TU2IqrOhMm2re-OmQSUXjEuWihO6u0Ar70LwplGv3nbpfYWgmrtUc5fq22WCt396p2Vn6j_0V14C0AL4sK2Z_VOlTicnxW9pvrixIZrPvxvtXxQXRDB1dzFWt6dIHN9fnKkx-QJHSY3z</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Lee, Wei-Chieh</creator><creator>Hsueh, Shu-Kai</creator><creator>Fang, Chih-Yuan</creator><creator>Wu, Chiung-Jen</creator><creator>Hang, Chi-Ling</creator><creator>Fang, Hsiu-Yu</creator><general>Blackwell Publishing Ltd</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>7X8</scope></search><sort><creationdate>201612</creationdate><title>Clinical Outcomes Following Covered Stent for the Treatment of Coronary Artery Perforation</title><author>Lee, Wei-Chieh ; Hsueh, Shu-Kai ; Fang, Chih-Yuan ; Wu, Chiung-Jen ; Hang, Chi-Ling ; Fang, Hsiu-Yu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4697-ab6b69258b14fd2627a024c0db48f1075d88f1646d53845b4aacd96407d1fa633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>China - epidemiology</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - mortality</topic><topic>Coronary Artery Disease - surgery</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - injuries</topic><topic>Drug-Eluting Stents - adverse effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Long Term Adverse Effects - diagnosis</topic><topic>Long Term Adverse Effects - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - instrumentation</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Polytetrafluoroethylene - therapeutic use</topic><topic>Vascular System Injuries - diagnosis</topic><topic>Vascular System Injuries - etiology</topic><topic>Vascular System Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Wei-Chieh</creatorcontrib><creatorcontrib>Hsueh, Shu-Kai</creatorcontrib><creatorcontrib>Fang, Chih-Yuan</creatorcontrib><creatorcontrib>Wu, Chiung-Jen</creatorcontrib><creatorcontrib>Hang, Chi-Ling</creatorcontrib><creatorcontrib>Fang, Hsiu-Yu</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>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Wei-Chieh</au><au>Hsueh, Shu-Kai</au><au>Fang, Chih-Yuan</au><au>Wu, Chiung-Jen</au><au>Hang, Chi-Ling</au><au>Fang, Hsiu-Yu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Outcomes Following Covered Stent for the Treatment of Coronary Artery Perforation</atitle><jtitle>Journal of interventional cardiology</jtitle><addtitle>J Interv Cardiol</addtitle><date>2016-12</date><risdate>2016</risdate><volume>29</volume><issue>6</issue><spage>569</spage><epage>575</epage><pages>569-575</pages><issn>0896-4327</issn><eissn>1540-8183</eissn><abstract>Background
This study aimed to evaluate short‐ and long‐term outcomes of polytetrafluoroethylene covered stent for patients with coronary artery perforation.
Methods
During April 2004 and February 2016, a total 48 patients underwent implantation using polytetrafluoroethylene‐covered JOSTENT GraftMaster stents (Abbott Vascular, Santa Clara, CA) in the native coronary arteries implantation for coronary artery perforation. Clinical outcomes such as target lesion revascularization (TLR), myocardial infarction (MI), definite or possible stent thrombosis, cardiovascular mortality, and all‐cause mortality were analyzed.
Results
The average age of study patients was 68.02 ± 13.49 years, and the majorities were men (76.6%). The most frequent devices cause of perforation were stents (37.5%). Eighteen patients (37.5%) experienced cardiac tamponade and 20 patients (41.7%) underwent emergent pericardiocentesis. Only 1 patient (2.1%) experienced emergent surgical repair after covered stent. At the 30‐day follow‐up, the rate of all‐cause mortality was 16.7% and cardiovascular mortality was 13.0%. At the 1‐year follow‐up, the rate of MI was 6.1%, the rate of TLR was 21.9%, the rate of definite or possible stent thrombosis was 15.6%, the rate of cardiovascular mortality was 22.0%, and the rate of all‐cause mortality was 26.2%. Between the patients with and without cardiac tamponade, patients with cardiac tamponade had higher cardiovascular mortality in 30‐day and also higher all‐cause mortality in 30‐day and 1‐year follow‐up.
Conclusion
The covered stent could solve emergent condition for patients with coronary artery perforation with high TLR and stent thrombosis rate at long‐term follow‐up. The patients with cardiac tamponade had worse clinical outcomes in 30‐day and 1‐year follow‐up.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27781308</pmid><doi>10.1111/joic.12347</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of interventional cardiology, 2016-12, Vol.29 (6), p.569-575 |
| issn | 0896-4327 1540-8183 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Aged China - epidemiology Coronary Angiography - methods Coronary Artery Disease - diagnosis Coronary Artery Disease - mortality Coronary Artery Disease - surgery Coronary Vessels - diagnostic imaging Coronary Vessels - injuries Drug-Eluting Stents - adverse effects Female Follow-Up Studies Humans Long Term Adverse Effects - diagnosis Long Term Adverse Effects - epidemiology Male Middle Aged Outcome and Process Assessment (Health Care) Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - instrumentation Percutaneous Coronary Intervention - methods Polytetrafluoroethylene - therapeutic use Vascular System Injuries - diagnosis Vascular System Injuries - etiology Vascular System Injuries - surgery |
| title | Clinical Outcomes Following Covered Stent for the Treatment of Coronary Artery Perforation |
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