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IntravaScular Lithotripsy for the Management of UndILatable Coronary StEnt: The SMILE Registry.
Ielasi, Alfonso; Moscarella, Elisabetta; Testa, Luca; Gioffrè, Gaetano; Morabito, Gaetano; Cortese, Bernardo; Colangelo, Salvatore; Tomai, Fabrizio; Arioli, Francesco; Maioli, Mauro; Leoncini, Massimo; Tumminello, Gabriele; Benedetto, Stefano; Lucchina, Piergiuseppe Greco; Pennesi, Matteo; Ugo, Fabrizio; Viganò, Elena; Bollati, Mario; Missiroli, Bindo; Gaspardone, Achille; Calabrò, Paolo; Bedogni, Francesco; Tespili, Maurizio.
Afiliación
  • Ielasi A; Clinical and Interventional Cardiology Unit, Istituto Clinico S.Ambrogio, Milan, Italy. Electronic address: alielasi@hotmail.com.
  • Moscarella E; Division of Cardiology, A.O.R.N. "S.Anna e S.Sebastiano" Hospital, Caserta, Italy.
  • Testa L; Clinical and Interventional Cardiology Unit, IRCCS Policlinico S.Donato, San Donato Milanese, Italy.
  • Gioffrè G; Cardiology Division, S.Eugenio Hospital, Rome, Italy.
  • Morabito G; Cardiology Division, S.Anna Hospital, Catanzaro, Italy.
  • Cortese B; Cardiology Division, Clinica S. Carlo, Paderno Dugnano, Italy.
  • Colangelo S; S.Giovanni Bosco Hospital, Torino, Italy.
  • Tomai F; Department of Cardiovascular Sciences, European Hospital, Roma, Italy.
  • Arioli F; Department of Cardiology, Fatebenefratelli Hospital, Milan, Italy.
  • Maioli M; Division of Cardiology, S.Stefano Hospital, Prato, Italy.
  • Leoncini M; Catheterization Laboratory, Sanremo Hospital, Sanremo, Italy.
  • Tumminello G; Cardiology Division, S.Andrea Hospital, Vercelli, Italy.
  • Benedetto S; Cardiology Division, Galliera Hospital, Genova, Italy.
  • Lucchina PG; Division of Cardiology, S Croce Hospital, Moncalieri, Italy.
  • Pennesi M; Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy.
  • Ugo F; S.Giovanni Bosco Hospital, Torino, Italy.
  • Viganò E; Cardiology Division, Clinica S. Carlo, Paderno Dugnano, Italy.
  • Bollati M; Clinical and Interventional Cardiology Unit, IRCCS Policlinico S.Donato, San Donato Milanese, Italy.
  • Missiroli B; Cardiology Division, S.Anna Hospital, Catanzaro, Italy.
  • Gaspardone A; Cardiology Division, S.Eugenio Hospital, Rome, Italy.
  • Calabrò P; Division of Cardiology, A.O.R.N. "S.Anna e S.Sebastiano" Hospital, Caserta, Italy.
  • Bedogni F; Clinical and Interventional Cardiology Unit, IRCCS Policlinico S.Donato, San Donato Milanese, Italy.
  • Tespili M; Clinical and Interventional Cardiology Unit, Istituto Clinico S.Ambrogio, Milan, Italy.
Cardiovasc Revasc Med ; 21(12): 1555-1559, 2020 12.
Article en En | MEDLINE | ID: mdl-32580881
BACKGROUND: Intravascular lithotripsy (IVL) showed to be effective in dilating heavily calcified de novo coronary lesions but little is known about its performance in under-expanded stents management. Aim of this study was to assess the feasibility, effectiveness and safety of IVL for the treatment of stent underexpansion refractory to balloon dilatation. METHODS: A multicentre, retrospective cohort analysis was performed in patients undergoing IVL to treat under-expanded stents following non-compliant balloon expansion failure. Primary endpoint was successful IVL dilatation defined as IVL balloon delivery and application at the target site followed by an increase of at least 1 mm2 in minimal stent cross-sectional area (MSA) on intracoronary imaging or an increase of at least 20% in minimal stent diameter (MSD) by quantitative coronary analysis (QCA). RESULTS: Thirty-nine under-expanded stents (34 patients) were included. Two cases (5.1%) of multiple stent layers and one (2.5%) acutely under-expanded stent were treated. The median IVL balloon diameter was 3.1 mm (IQR: 2.5-3.5 mm) while the number of pulses emitted was 56.7 (IQR: 30-80). IVL was successful in 34 cases (87.1%), with significant improvement in MSD (post: 3.23 mm [IQR: 3-3.5 mm] vs. pre: 0.81 mm [IQR: 0.35-1.2], p < 0.00001) and MSA (post: 7.61mm2 [IQR: 6.43-7.79mm2] vs. pre: 3.35 [IQR: 2.8-4 mm2], p < 0.00001). Non-fatal peri-procedural ST-elevation myocardial infarction occurred in one case (2.5%) due to IVL balloon rupture. No cardiac death, target lesion revascularization and stent thrombosis occurred in-hospital and at 30-day follow-up. CONCLUSIONS: Bailout IVL was feasible, efficacious and safe to improve refractory stent under-expansion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Litotricia / Stents / Calcificación Vascular Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: Cardiovasc Revasc Med Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Litotricia / Stents / Calcificación Vascular Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: Cardiovasc Revasc Med Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos