1. Rationale and design of a multicenter, international and collaborative Coronary Artery Aneurysm Registry (CAAR)
- Author
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Gisela Feltes, Ramón Rodríguez-Olivares, Luis Nombela-Franco, Benjamín Camacho, Enrico Cerrato, Rodrigo Bagur, José M. de la Torre Hernández, Víctor Alfonso Jiménez Díaz, Jesus Jimenez Mazuecos, Pedro A. Villablanca, Antonio Fernández-Ortiz, Fernando Alfonso, Emilio Alfonso, Rafael Mila, Fabrizio Ugo, Alfonso Ielasi, Boshra Louka, Jose A. Linares, Iñigo Lozano, Alejandro Sánchez-Grande Flecha, Marco Pavani, Davide Piraino, Pierluigi Omedè, Iván J. Núñez-Gil, Mario Bollati, Christoph Liebetrau, Ignacio J. Amat-Santos, Santiago Jesús Camacho Freire, Agustín Fernández Cisnal, Massimo Mancone, and Roberto Latini
- Subjects
Coronary artery aneurysm ,medicine.medical_specialty ,business.industry ,Ischemia ,Vasospasm ,General Medicine ,030204 cardiovascular system & hematology ,medicine.disease ,Thrombosis ,Clinical trial ,Natural history ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Right coronary artery ,medicine.artery ,Coronary vessel ,Cardiology ,Medicine ,030212 general & internal medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
Coronary artery aneurysm is defined as a coronary dilation that exceeds the diameter of adjacent segments or the diameter of the patient's largest normal coronary vessel by 1.5×. It is an uncommon disease that has been diagnosed with increasing frequency since the widespread appearance of coronary angiography. The published incidence varies from 1.5% to 5%, suggesting male dominance and a predilection for the right coronary artery. Although several causes have been described, atherosclerosis accounts for ≥50% of coronary aneurysms in adults. Reported complications include thrombosis and distal embolization, rupture, and vasospasm, causing ischemia, heart failure, or arrhythmias. The natural history and prognosis remain unknown, as definitive data are scarce. Controversies persist regarding the use of medical management (antithrombotic therapy) or interventional/surgical procedures. Only some case reports or small case series are available about this condition. The Coronary Artery Aneurysm Registry (CAAR; http://www.ClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT02563626","term_id":"NCT02563626"}}NCT02563626) is a multicenter international ambispective registry that aims to provide insights on anatomic, epidemiologic, and clinical aspects of this substantially unknown entity. In addition, the registry will assess management strategies (conservative, interventional, or surgical) and their short‐ and long‐term results in a large cohort of patients. Clinical Trial registration: ClinicalTrials.gov. Unique identifier: {"type":"clinical-trial","attrs":{"text":"NCT02563626","term_id":"NCT02563626"}}NCT02563626.
- Published
- 2017