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Clinical outcomes of PCI with rotational atherectomy: the European multicentre Euro4C registry
- Source :
- EuroIntervention, EuroIntervention, EuroPCR, 2020, 16 (4), pp.e305-e312. ⟨10.4244/EIJ-D-19-01129⟩
- Publication Year :
- 2020
- Publisher :
- Europa Digital & Publishing, 2020.
-
Abstract
- International audience; Aims: Despite the use of rotational atherectomy (RA) in interventional cardiology for over three decades, data regarding factors affecting the clinical outcomes of the RA procedure remain scarce. The aim of the present study was to describe the contemporary use and outcomes of RA in Europe.Methods and results: We conducted, for the first time, a prospective international registry in 8 European countries and 19 centres and included patients treated by percutaneous coronary intervention with RA. Between October 2016 and July 2018, 966 patients with complete data were recruited. Mean age was 74.5 years, 72.4% were male and 43.4% had diabetes. Initial presentation was an acute coronary syndrome (ACS) for 25.1% of the patients. Clinical success was observed in 91.9% of the procedures. The rate of in-hospital major adverse cardiac events (MACE) - defined as cardiovascular death, myocardial infarction, target lesion revascularisation, stroke and coronary artery bypass grafting - was 4.7%. At one year, the rate of MACE was 13.2%. Factors independently associated with the occurrence of MACE at one year were female gender, renal failure, ACS at admission, depressed left ventricular ejection fraction (LVEF) and presence of a significant left main coronary artery (LMCA) lesion.Conclusions: Despite the high level of complexity of the studied population, RA turned out to be an effective procedure with a low rate of in-hospital complications and demonstrated good immediate and midterm results.
- Subjects :
- Atherectomy, Coronary
Male
Registrie
Atherectomy
MESH: Registries
medicine.medical_treatment
Coronary Artery Disease
030204 cardiovascular system & hematology
MESH: Stroke Volume
Ventricular Function, Left
MESH: Aged, 80 and over
0302 clinical medicine
Retrospective Studie
Undilatable lesion
Prospective Studies
Registries
030212 general & internal medicine
Myocardial infarction
Stroke
MESH: Atherectomy, Coronary / instrumentation
MESH: Treatment Outcome
Aged, 80 and over
education.field_of_study
Ejection fraction
Calcified stenosi
Multiple vessel disease
3. Good health
Europe
Treatment Outcome
Cardiology
Female
Cardiology and Cardiovascular Medicine
MESH: Percutaneous Coronary Intervention
Rotablator
Human
MESH: Atherectomy, Coronary / methods
medicine.medical_specialty
Acute coronary syndrome
MESH: Coronary Artery Disease / diagnosis
Population
MESH: Ventricular Function, Left / physiology
03 medical and health sciences
Percutaneous Coronary Intervention
MESH: Coronary Artery Disease / surgery
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Internal medicine
Left main
medicine
Humans
education
Retrospective Studies
Aged
Interventional cardiology
business.industry
Percutaneous coronary intervention
Stroke Volume
MESH: Retrospective Studies
medicine.disease
MESH: Prospective Studies
Prospective Studie
MESH: Europe
business
Mace
Subjects
Details
- ISSN :
- 19696213 and 1774024X
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- EuroIntervention
- Accession number :
- edsair.doi.dedup.....798a346e2a4b62f82cdde7b8e66fab6f