Academic Journal
Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study
| العنوان: | Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study |
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| المؤلفون: | Raul Moreno, Eulogio García, Rui Teles, Jose-Ramon Rumoroso, Henrique Cyrne Carvalho, Francisco Javier Goicolea, José Moreu, Fina Mauri, Manel Sabaté, Vicente Mainar, Lino Patricio, Mariano Valdés, Carlos Cuellas, Manuel Almeida, Angel Sánchez-Recalde, Guillermo Galeote, Santiago Jimenez-Valero, Luis Calvo, Ignacio Plaza, Jose-Luis Lopez-Sendón, Jose-Luis R. Martín |
| المصدر: | Revista Portuguesa de Cardiologia (English Edition), Vol 32, Iss 7, Pp 593-599 (2013) |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2013 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Introduction: In recent years, various specific techniques and materials have been developed for the treatment of coronary chronic total occlusions (CTO). Objective: To evaluate the current situation in the treatment of CTO (techniques and material) in our setting. Methods: We evaluated data on techniques and material used in the CIBELES (ChronIc coronary occlusion treated By EveroLimus Eluting Stent) trial, a randomized comparison of sirolimus- and everolimus-eluting stents in 207 patients with CTO in 13 centers in Spain and Portugal. Results: A radial approach was used in 23% of patients, and retrograde techniques were used in only 5%. A high number of balloons were used (2.2 ± 0.9 per patient). Microcatheters were used in 33% of patients, and post-dilatation balloons in only 25%. The mean number of stents implanted per patient was 2.1 ± 1.0, with a mean total stent length of 49 ± 24 mm. Other devices and techniques used were: Tornus penetration catheter in 4% of patients, rotational atherectomy in 2%, and cutting balloon in 1%. Intracoronary ultrasound was used in only 6% of patients. In 34% of cases, operators used guidewires that were not specifically for CTO. Considerable variability between centers was detected in the use of different techniques, the highest and lowest variability being observed in the use of intracoronary ultrasound and the use of CTO guidewires, respectively. Conclusions: In the CIBELES trial, techniques and devices specifically designed for the treatment of CTO were used in a relatively low proportion of patients. Considerable variability between centers was detected. Resumo: Introdução: Durante os últimos anos foram desenvolvidos materiais e técnicas específicos para o tratamento de oclusões totais crónicas (OTC). Objetivo: Avaliar a situação atual no tratamento de OTC (técnicas e material) na nossa realidade. Métodos: Avaliámos os dados relacionados com as técnicas e material usados no estudo CIBELES (ChronIc coronary occlusion treated By EveroLimus Eluting Stent) que comparou de ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2174-2049 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S217420491300161X; https://doaj.org/toc/2174-2049; https://doaj.org/article/499fb03bac0b4e1882c1889b434c5428 |
| DOI: | 10.1016/j.repce.2013.10.006 |
| الاتاحة: | https://doi.org/10.1016/j.repce.2013.10.006 https://doaj.org/article/499fb03bac0b4e1882c1889b434c5428 |
| رقم الانضمام: | edsbas.75E14E4F |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 21742049 |
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| DOI: | 10.1016/j.repce.2013.10.006 |