Pubfacts - Scientific Publication Data
  • Categories
  • |
  • Journals
  • |
  • Authors
  • Login
  • Categories
  • Journals

Search Our Scientific Publications & Authors

Publications
  • Publications
  • Authors
find publications by category +
Translate page:

Thin strut bare metal stents in patients with atrial fibrillation: Is there still a need for BMS?

Authors:
Matthias Leschke Matthias Waliszewski Maxime Pons Stanislas Champin Lyassine Nait Saidi Tay Mok Heang Oteh Maskon Wan Azman Bin Wan Ahmad Denny Herberger Marc-Eric Moulichon Jérôme Rischner Christophe Robin Florence Leclercq Jean-Pascal Peyre Benjamin Faurie André Schneider

Catheter Cardiovasc Interv 2016 Sep 9;88(3):358-66. Epub 2015 Dec 9.

Klinik für Kardiologie, Angiologie und Pneumologie, Klinikum Esslingen, Esslingen, Germany.

Objectives: This observational study assessed the 9-month clinical outcomes in an « all comers » population with a focus on patients with atrial fibrillation (AF) after thin strut bare metal stenting.

Background: Drug eluting stent (DES) implantation is the treatment of choice for coronary artery disease (CAD) leaving only marginal indications for the use of bare metal stents (BMS). However, selected treatment populations with DES contraindications such as patients who cannot sustain 6-12 months of dual antiplatelet therapy (DAPT) remain candidates for BMS implantations.

Methods: Thin strut bare metal stenting in a priori defined subgroups were investigated in a non-randomized, international, multicenter «all comers» observational study. Primary endpoint was the 9-month TLR rate whereas secondary endpoints included the 9-month MACE and procedural success rates.

Results: A total of 783 patients of whom 98 patients had AF underwent BMS implantation. Patient age was 70.4 ± 12.8 years. Cardiovascular risk factors in the overall population were male gender (78.2%, 612/783), diabetes (25.2%, 197/783), hypertension (64.1%, 502/783), cardiogenic shock (4.9%, 38/783) and end stage renal disease (4.9%, 38/783). In-hospital MACE was 4.1% (30/783) in the overall population. The 9-month TLR rate was 4.5% (29/645) in the non-AF group and 3.3% (3/90) in the AF group (P = 0.613). At 9 months, the MACE rate in the AF-group and non-AF group was not significantly different either (10.7%, 69/645 vs. 6.7%, 6/90; P = 0.237). Accumulated stroke rates were 0.3% (2/645) in the non-AF subgroup at baseline and 1.1% (1/90) in the AF subgroup (P = 0.264).

Conclusion: Bare metal stenting in AF patients delivered acceptably low TLR and MACE rates while having the benefit of a significantly shorter DAPT duration in a DES dominated clinical practice. © 2015 Wiley Periodicals, Inc.

Download full-text PDF

Source
http://dx.doi.org/10.1002/ccd.26261DOI Listing
September 2016

Publication Analysis

Top Keywords

bare metal
20
strut bare
12
thin strut
12
observational study
8
atrial fibrillation
8
49% 38/783
8
9-month tlr
8
tlr rate
8
patients atrial
8
metal stenting
8
metal stents
8
non-af group
8
patients
6
metal
5
bare
5
mace procedural
4
procedural success
4
rates 03%
4
9-month mace
4
included 9-month
4

Similar Publications

Meta-analysis and critical review of observational studies comparing drug eluting and bare metal stents for revascularization of large coronary arteries.

Authors:
Khalid Changal Chandramohan Meenakshisundaram F N U Zafarullah Salik Nazir Mujeeb A Sheikh

Cardiovasc Revasc Med 2020 Nov 4. Epub 2020 Nov 4.

Cardiovascular Medicine and Interventional Cardiology, Promedica Toledo Hospital, OH, USA. Electronic address:

View Article and Full-Text PDF
November 2020
Similar Publications

Supported FeNi catalysts for the co-activation of CO and small alkanes.

Authors:
Shaine Raseale Wijnand Marquart Kai Jeske Gonzalo Prieto Michael Claeys Nico Fischer

Faraday Discuss 2021 Feb 25. Epub 2021 Feb 25.

Catalysis Institute and c*change (DST-NRF Centre of Excellence in Catalysis), Department of Chemical Engineering, University of Cape Town, Private Bag X3, Rondebosch 7701, South Africa.

The effect of both the Fe : Ni ratio (5 to 1 : 1) and the relative Lewis acidity of a metal oxide support on catalytic activity, selectivity and stability was investigated in the CO2 mediated oxidative dehydrogenation of ethane (CO2-ODH). To avoid effects of varying pore sizes, shapes and volumes of the supports, chromia and zirconia overlayers were coated onto a common γ-Al2O3 carrier (CrOx@Al2O3 and ZrOx@Al2O3). Separately, oxidic FexNiy alloy precursor nanoparticles were prepared using a nonaqueous surfactant-free method and deposited by sonication onto the carrier. Read More

View Article and Full-Text PDF
February 2021
Similar Publications

Endovascular Treatment for Vascular Access Venous Hypertension with Complicated Venous Drainage Routes in a Hemodialysis Patient: A Case Report.

Authors:
Yusuke Hori Tetsuya Nomura Issei Ota Satoshi Tasaka Kenshi Ono Yu Sakaue Naotoshi Wada Natsuya Keira Tetsuya Tatsumi

Am J Case Rep 2021 Feb 25;22:e927625. Epub 2021 Feb 25.

Department of Cardiovascular Medicine, Kyoto Chubu Medical Center, Nantan, Kyoto, Japan.

BACKGROUND Vascular access (VA) venous hypertension is a major complication for patients with long-term arteriovenous access in the upper extremities. Endovascular treatment (EVT) is the first option for treating it. A possible cause of VA venous hypertension is stenosis at a site downstream of the arteriovenous fistula. Read More

View Article and Full-Text PDF
February 2021
Similar Publications

Citric acid functionalized nitinol stent surface promotes endothelial cell healing.

Authors:
Miriama Ceresnakova David Murray Kieran D McGourty James Butler John Neilan Tewfik Soulimane Sarah P Hudson

J Biomed Mater Res A 2021 Feb 24. Epub 2021 Feb 24.

Department of Chemical Sciences, Bernal Institute, University of Limerick, Limerick, Ireland.

While drug-eluting stents containing anti-proliferative agents inhibit proliferation of smooth muscle cells (SMCs), they also delay the regrowth of the endothelial cells which can result in subsequent development of restenosis. Acidic extracellular environments promote cell anchorage and migration by inducing conformational change in integrins, the main cell adhesion proteins. This study addresses the feasibility of a citric acid (CA) functionalized nitinol stent for improving vascular biocompatibility, specifically enhancing endothelialization. Read More

View Article and Full-Text PDF
February 2021
Similar Publications

Comparison of Endothelial Dysfunction in Coronary Arteries with Bare Metal and 2-Generation Drug-Eluting Stents.

Authors:
Yusuke Akiyama Tetsuya Matoba Shunsuke Katsuki Susumu Takase Soichi Nakashiro Yasuhiro Nakano Kensuke Noma Hiroyuki Tsutsui

J Atheroscler Thromb 2021 Feb 19. Epub 2021 Feb 19.

Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University.

Aims: Previous studies suggested that implantation with a 1st-generation DES was associated with coronary endothelial dysfunction, which was associated with Rho-kinase activation. Second-generation drug-eluting stents (DESs) may preserve coronary endothelial function in stented coronary arteries; however, because of methodological limitations, further study is needed to clarify the association between 2-generation DESs and coronary endothelial dysfunction.

Methods: We retrospectively analysed the CuVIC trial database, where we identified 112 patients who underwent coronary stenting in the left coronary arteries with either a bare metal stent (BMS, n=53) or 2-generation DES (n=59). Read More

View Article and Full-Text PDF
February 2021
Similar Publications
© 2021 PubFacts.
  • About PubFacts
  • Privacy Policy
  • Sitemap