RESUMEN
Coronary artery perforation (CAP) is a rare but potentially fatal complication of percutaneous coronary intervention. Polytetrafluoroethylene-covered stents prevent blood leakage between struts with a high rate of success. However, they lack elasticity and rapid and correct deployment is difficult. They have also a higher rate of stent restenosis and thrombosis. For these reasons, optimal deployment is essential. Although severe CAP needs an emergent solution, after stabilizing the patient, intracoronary imaging techniques may be useful to ensure correct expansion and reduce further adverse events. We present a case that shows the potential role of intravascular ultrasound in the resolution of a CAP.
Asunto(s)
Vasos Coronarios/diagnóstico por imagen , Vasos Coronarios/lesiones , Ultrasonografía Intervencional , Anciano , Humanos , MasculinoAsunto(s)
Accidentes de Tránsito , Aneurisma Falso/diagnóstico , Aneurisma Falso/etiología , Vasos Coronarios/lesiones , Heridas y Lesiones/complicaciones , Aneurisma Falso/terapia , Angiografía Coronaria , Vasos Coronarios/diagnóstico por imagen , Electrocardiografía , Procedimientos Endovasculares , Humanos , Masculino , Persona de Mediana Edad , Intervención Coronaria Percutánea , Stents , Resultado del TratamientoRESUMEN
OBJECTIVES: This study sought to investigate the clinical impact of the use of intravascular ultrasound (IVUS) during revascularization of patients with left main coronary artery (LM) disease with drug-eluting stents (DES). BACKGROUND: Whether the use of IVUS during the procedure adds a clinical benefit remains unclear. There is only 1 previous observational study, with relevant limitations, supporting the value of this strategy. METHODS: We performed a patient-level pooled analysis of 4 registries of patients with LM disease treated with DES in Spain. A propensity score-matching method was used to obtain matched pairs of patients with and without IVUS guidance. RESULTS: A total of 1,670 patients were included, and 505 patients (30.2%) underwent DES implantation under IVUS guidance (IVUS group). By means of the matching method, 505 patients without the use of IVUS during revascularization were selected (no-IVUS group). Survival free of cardiac death, myocardial infarction, and target lesion revascularization at 3 years was 88.7% in the IVUS group and 83.6% in the no-IVUS group (p = 0.04) for the overall population, and 90% and 80.7%, respectively (p = 0.03), for the subgroups with distal LM lesions. The incidence of definite and probable thrombosis was significantly lower in the IVUS group (0.6% vs. 2.2%; p = 0.04). Finally, IVUS-guided revascularization was identified as an independent predictor for major adverse events in the overall population (hazard ratio: 0.70, 95% confidence interval: 0.52 to 0.99; p = 0.04) and in the subgroup with distal lesions (hazard ratio: 0.54, 95% confidence interval: 0.34 to 0.90; p = 0.02). CONCLUSIONS: The results of this pooled analysis show an association of IVUS guidance during percutaneous coronary intervention with better outcomes in patients with LM disease undergoing revascularization with DES.
Asunto(s)
Implantación de Prótesis Vascular/métodos , Enfermedad de la Arteria Coronaria/cirugía , Stents Liberadores de Fármacos , Revascularización Miocárdica/métodos , Sistema de Registros , Cirugía Asistida por Computador/métodos , Ultrasonografía Intervencional , Anciano , Enfermedad de la Arteria Coronaria/diagnóstico , Enfermedad de la Arteria Coronaria/mortalidad , Femenino , Humanos , Masculino , Complicaciones Posoperatorias/epidemiología , Puntaje de Propensión , España/epidemiología , Tasa de Supervivencia/tendenciasAsunto(s)
Aneurisma Falso/etiología , Aneurisma Roto/etiología , Disección Aórtica/etiología , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Arteria Renal , Dolor Abdominal/etiología , Anciano , Válvula Aórtica , Estenosis de la Válvula Aórtica/cirugía , Cateterismo Cardíaco/efectos adversos , Prótesis Valvulares Cardíacas , Humanos , MasculinoRESUMEN
El diagnóstico final de hipertensión pulmonar se realizamediante cateterismo cardíaco derecho. Existe hipertensiónpulmonar cuando la presión media en la arteria pulmonarsupera los 25 mmHg en situación basal. Una adecuadaexploración hemodinámica permite encuadrar la hipertensiónpulmonar en algunos de los cinco grupos de la clasificaciónclínica actual. Se dan las recomendaciones para los diferentesespecialistas de cuándo efectuar el cateterismo derecho, quéparámetros se deben de registrar y como realizar e interpretaruna prueba aguda de vasorreactividad en la hipertensiónarterial pulmonar.
The final diagnosis of pulmonary hypertension is made byright heart catheterization. Pulmonary hypertension is presentwhen the average pressure in the pulmonary artery exceeds 25mm Hg at baseline. Proper hemodynamic assessment allowsclassification of pulmonary hypertension into one of five clinicalcategories. Recommendations are provided for specialists, whento conduct right heart catheterization, which parameters mustbe recorded and how to perform and interpret a test for acutevasoreactivity in pulmonary arterial hypertensio.