Intervencionismo coronario en lesiones severamente calcificadas mediante aterectomía rotacional y stent liberador de paclitaxel: resultados tras un año de seguimiento / Percutaneous coronary intervention in heavily calcified lesions using rotational atherectomy and paclitaxel-eluting stents: outcomes at one year
Rev. esp. cardiol. (Ed. impr.)
; 63(1): 107-110, ene. 2010. tab, ilus
Article
in Spanish
| IBECS
| ID: ibc-75500
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Las lesiones severamente calcificadas dificultan el intervencionismo coronario. La aterectomía rotacional permite tratar estas lesiones y los stents liberadores de paclitaxel (SLP) reducen la reestenosis a largo plazo. Se evaluó retrospectivamente el resultado de la aterectomía rotacional y los SLP en lesiones severamente calcificadas en 50 pacientes consecutivos. Se estudió la mortalidad y la revascularización de la lesión tratada tras 1 año (mediana, 14 meses; intervalo intercuartílico, 8,75-25,5). El 52% eran mayores de 70 años; el 68%, varones; el 52% tenía síndrome coronario agudo; el 80%, enfermedad multivaso y un 44% recibió abciximab. Hubo 2 muertes intrahospitalarias, 3 en el seguimiento (una cardiaca) y 3 (6%) casos de revascularización de la lesión tratada. A 1 año, la supervivencia libre de muerte cardiaca fue del 94% y la supervivencia libre de revascularización de la lesión tratada, del 94%; esto muestra que la estrategia de SLP y aterectomía rotacional en lesiones severamente calcificadas proporciona excelentes resultados (AU)
ABSTRACT
Heavily calcified lesions present a challenge for percutaneous coronary intervention. With rotational atherectomy, it is possible to treat these lesions and paclitaxel-eluting stents (PESs) reduce the risk of restenosis over the long term. This retrospective study investigated clinical outcomes with rotational atherectomy and PESs in 50 consecutive patients with heavily calcified lesions. Mortality and target lesion revascularization at 1 year (median, 14 months; interquartile range, 8.75-25.5 months) were recorded. Some 52% of patients were aged over 70 years, 68% were male, 52% had acute coronary syndrome, 80% had multivessel disease and 44% were receiving abciximab. Two patients died in hospital, three died during follow-up (one cardiac death) and 3 (6%) underwent target lesion revascularization. At 1 year, the survival rate free of cardiac death was 94% and the survival rate free of target lesion revascularization was 94%. These findings demonstrate that the combination of rotational atherectomy and PESs gives excellent results in heavily calcified lesions (AU)
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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
/
Ischemic Heart Disease
Database:
IBECS
Main subject:
Angiography
/
Risk Factors
/
Paclitaxel
/
Atherectomy, Coronary
/
Acute Coronary Syndrome
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Rev. esp. cardiol. (Ed. impr.)
Year:
2010
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Virgen de la Arrixaca/España