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Procedural and 1-year outcomes following large vessel coronary artery perforation treated by covered stents implantation: Multicentre CRACK registry.
Wanha, Wojciech; Januszek, Rafal; Kolodziejczak, Michalina; Kuzma, Lukasz; Tajstra, Mateusz; Figatowski, Tomasz; Smolarek-Nicpon, Malwina; Gruz-Kwapisz, Monika; Tomasiewicz, Brunon; Bartus, Jerzy; Los, Andrzej; Jagielak, Dariusz; Roleder, Tomasz; Wlodarczak, Adrian; Kulczycki, Jan; Kowalewski, Mariusz; Hudziak, Damian; Stachowiak, Pawel; Goracy, Jaroslaw; Sierakowska, Katarzyna; Reczuch, Krzysztof; Jaguszewski, Milosz; Dobrzycki, Slawomir; Smolka, Grzegorz; Bartus, Stanislaw; Ochala, Andrzej; Gasior, Mariusz; Wojakowski, Wojciech.
Afiliación
  • Wanha W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Januszek R; Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
  • Kolodziejczak M; Department of Anaesthesiology and Intensive Care, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Antoni Jurasz University Hospital No. 1, Bydgoszcz, Poland.
  • Kuzma L; Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland.
  • Tajstra M; Third Department of Cardiology, Medical University of Silesia, Zabrze, Poland.
  • Figatowski T; First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.
  • Smolarek-Nicpon M; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Gruz-Kwapisz M; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Tomasiewicz B; Department of Heart Disease, Wroclaw Medical University, Poland.
  • Bartus J; Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
  • Los A; Department of Cardiac and Vascular Surgery, Medical University of Gdansk, Gdansk, Poland.
  • Jagielak D; Department of Cardiac and Vascular Surgery, Medical University of Gdansk, Gdansk, Poland.
  • Roleder T; Regional Specialist Hospital, Research and Development Center, Wroclaw, Poland.
  • Wlodarczak A; Department of Cardiology, Miedziowe Centrum Zdrowia, Lubin, Poland.
  • Kulczycki J; Department of Cardiology, Miedziowe Centrum Zdrowia, Lubin, Poland.
  • Kowalewski M; Department of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Centre of Postgraduate Medical Education, Warsaw, Poland.
  • Hudziak D; Thoracic Research Centre, Collegium Medicum, Nicolaus Copernicus University, Innovative Medical Forum, Bydgoszcz, Poland.
  • Stachowiak P; Department of Cardiac Surgery, Medical University of Silesia, Katowice, Poland.
  • Goracy J; Regional Specialist Hospital, Research and Development Center, Wroclaw, Poland.
  • Sierakowska K; Department of Cardiology, Pomeranian Medical University, Szczecin, Poland.
  • Reczuch K; Department of Cardiology, Pomeranian Medical University, Szczecin, Poland.
  • Jaguszewski M; Department of Anaesthesiology and Intensive Care, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Antoni Jurasz University Hospital No. 1, Bydgoszcz, Poland.
  • Dobrzycki S; Department of Heart Disease, Wroclaw Medical University, Poland.
  • Smolka G; First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.
  • Bartus S; Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland.
  • Ochala A; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Gasior M; Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
  • Wojakowski W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
PLoS One ; 16(5): e0249698, 2021.
Article en En | MEDLINE | ID: mdl-33979357
BACKGROUND: Data regarding the clinical outcomes of covered stents (CSs) used to seal coronary artery perforations (CAPs) in the all-comer population are scarce. The aim of the CRACK Registry was to evaluate the procedural, 30-days and 1-year outcomes after CAP treated by CS implantation. METHODS: This multicenter all-comer registry included data of consecutive patients with CAP treated by CS implantation. The primary endpoint was the composite of major adverse cardiac events (MACEs), defined as cardiac death, target lesion revascularization (TLR), and myocardial infarction (MI). RESULTS: The registry included 119 patients (mean age: 68.9 ± 9.7 years, 55.5% men). Acute coronary syndrome, including: unstable angina 21 (17.6%), NSTEMI 26 (21.8%), and STEMI 26 (21.8%), was the presenting diagnosis in 61.3%, and chronic coronary syndromes in 38.7% of patients. The most common lesion type, according to ACC/AHA classification, was type C lesion in 47 (39.5%) of cases. A total of 52 patients (43.7%) had type 3 Ellis classification, 28 patients (23.5%) had type 2 followed by 39 patients (32.8%) with type 1 perforation. Complex PCI was performed in 73 (61.3%) of patients. Periprocedural death occurred in eight patients (6.7%), of which two patients had emergency cardiac surgery. Those patients were excluded from the one-year analysis. Successful sealing of the perforation was achieved in 99 (83.2%) patients. During the follow-up, 26 (26.2%) patients experienced MACE [7 (7.1%) cardiac deaths, 13 (13.1%) TLR, 11 (11.0%) MIs]. Stent thrombosis (ST) occurred in 6 (6.1%) patients [4(4.0%) acute ST, 1(1.0%) subacute ST and 1(1.0%) late ST]. CONCLUSIONS: The use of covered stents is an effective treatment of CAP. The procedural and 1-year outcomes of CAP treated by CS implantation showed that such patients should remain under follow-up due to relatively high risk of MACE.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vasos Coronarios Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vasos Coronarios Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Estados Unidos