Guidelines for percutaneous transluminal coronary angioplasty. A report of the American Heart Association/American College of Cardiology Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Committee on Percutaneous Transluminal Coronary Angioplasty).

Ryan, Thomas J.; Bauman, William B.; Kennedy, J. Ward; Kereiakes, Dean J.; King, Spencer B.; McCallister, Ben D.; Smith, Sidney C.; Ullyot, Daniel J.

doi:10.1161/01.cir.88.6.2987

Cited by 409 publications

(233 citation statements)

References 151 publications

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“…The safety and efficacy of PCI at hospitals without on-site surgical backup are controversial issues. In most PCI laboratories in European countries where the rate of surgical backup is lower compared with the United States and the United Kingdom, 12,16 the clinical outcomes of elective PCI were not poor. 17 Further, a recent study has confirmed that experienced operators can perform elective nonemergency PCI safely at hospitals without surgical backup, 18 and previous studies have shown that the absence of surgical backup on-site may not adversely affect the clinical outcomes of PCI even in patients with acute myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

“…First is the high number of PCI facilities in Japan (Fig 9), even higher than in the US (8.1 vs 4.2 laboratories per 10 6 population) and several-fold higher compared to the numbers in the other countries (0.4-1.3 laboratories per 10 6 population). The number of PCI laboratories in Japan is twice that of CABG facilities, which may be because, in contrast to the United States, there is no regulation of PCI facilities or physicians practicing PCI in Japan; 11,12 the decision to allow physicians to perform PCI is largely made at the hospital level.…”

Section: Discussionmentioning

confidence: 99%

“…Only 15% of laboratories (156 of 1,023) performed more than the minimum annual volume of 200 cases recommended by the American College of Cardiology and American Heart Association (ACC/AHA) for maintaining practice in interventional cardiology. 12 This is a critical issue because several previous studies have shown that the rates of adverse outcomes after PCI are higher in hospitals with lower caseloads. 13,14 The lower rate of mortality in hospitals that perform more procedures may be related to improved technique that results from greater experience, selective referral of patients to high-volume centers, or treatment of sicker patients by low-volume hospitals.…”

Section: Discussionmentioning

confidence: 99%

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Coronary Revascularization in Japan. Part 1: Survey of Facilities During 1997.

Shihara¹,

Tsutsui²,

Tsuchihashi³

et al. 2001

Jpn Circ J

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Coronary Revascularization in Japan. Part 1: Survey of Facilities During 1997.

Shihara¹,

Tsutsui²,

Tsuchihashi³

et al. 2001

Jpn Circ J

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“…Owing to their associated low angiographic and procedural success rates and their higher dissection and threatened or acute vessel closure rates, these lesions were considered a contraindication to balloon angioplasty 2. Nevertheless, promising results were obtained when using drug-eluting stents (DES), making these lesions inviting targets for percutaneous coronary intervention (PCI) 3-5…”

Section: Discussionmentioning

confidence: 99%

Outcomes of stenting with overlapping drug-eluting stents versus overlapping drug-eluting and bare-metal stents for the treatment of diffuse coronary lesions

Kassaian

Salarifar²,

Dehkordi³

et al. 2010

CardioVascular Journal of Africa

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IntroductionWe investigated the outcomes of stenting with overlapping drug-eluting stents (DES) versus overlapping stenting with a combination of drug-eluting and bare metal stents (BMS) in very long ≥(≥ 25 mm).Methods and ResultsFifty-two patients treated with either overlapping DES-DES (n = 22) or DES-BMS (n = 30) were selected from a registry of 588 patients with very long coronary lesions. Patients with acute myocardial infarction (MI) within the preceding 48 hours were excluded. The DES-DES combination was more frequently used for longer lesions compared with the DES-BMS group (47.95 ± 9.25 vs 39.98 ± 9.15 mm, p = 0.003). Left anterior descending artery lesions were also more frequently treated with the DES-DES combination (95.5 vs 66.7%, p = 0.02). In four patients in the DES-BMS group, overlapping stents were used for the coverage of dissections. Peri-procedural non-Q-wave MI occurred in one patient in the DES-BMS group. On follow up, only one case of non-fatal MI occurred in a patient with overlapping DES-DES.ConclusionOverlapping a BMS in the proximal part of a long DES instead of exclusive deployment of two or more overlapped DES seems to be a safe and feasible therapeutic strategy in our practice.

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“…Morphological classification of the lesion types were done according to ACC/AHA lesion classification system [11] . Lesions with morphological types of B2 and C were accepted as complicated lesions.…”

Section: Methodsmentioning

confidence: 99%

Comparison of the Effects of Bare Metal Stents and Drug Eluting Stents on C- Reactive Protein Levels

Özyüncü¹

2015

JHC

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Aim: It's suggested that drug eluting stents (DES) may have systemic anti inflammatory properties and this can play a role in decreased restenosis rates. We aimed to compare bare metal stents (BMS) and DES on their effects on C-reactive protein (CRP) levels, a good marker of systemic inflammation. We also aimed to investigate the relation between the inflammation levels and myonecrosis and adverse cardiac events. Methods: Patients undergoing elective stent implantation were grouped as BMS (n = 70) and DES (n = 42). Basal and 24th hour postprocedural CRP and CKMB levels were measured and the difference (Δ) was compared between the groups. The patients were followed up for adverse cardiac events for one year. Results: Mean age was 62 ± 11 and 75% were males. There was significant CRP rise in both groups at 24 th hour, but the ΔCRP was 2.1 (0.5-6.2) mg/L in BMS and 2.3 (0.2-5.2) mg/L in DES group, the difference wasn't statistically significant (p = 0.703). ΔCKMB and adverse cardiac event rates were similar between the two groups (p = 0.897 and p = 0.785). There was no correlation between ΔCRP and ΔCKMB (r = -0.090 and p = 0.459 for BMS, r = 0.158 and p = 0.318 for DES). The effect of ΔCRP on the incidence of adverse cardiac events was not significant (p = 0.349 for BMS, p = 0.135 for DES). Conclusion: Our findings reveal that patients with BMS and DES implantation exhibit similar grade of systemic inflammation after the procedure. At similar levels of systemic inflammation, the local anti-inflammatory properties of DES can play a role at decreased restenosis rates.

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Guidelines for percutaneous transluminal coronary angioplasty. A report of the American Heart Association/American College of Cardiology Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Committee on Percutaneous Transluminal Coronary Angioplasty).

Cited by 409 publications

References 151 publications

Coronary Revascularization in Japan. Part 1: Survey of Facilities During 1997.

Coronary Revascularization in Japan. Part 1: Survey of Facilities During 1997.

Outcomes of stenting with overlapping drug-eluting stents versus overlapping drug-eluting and bare-metal stents for the treatment of diffuse coronary lesions

Comparison of the Effects of Bare Metal Stents and Drug Eluting Stents on C- Reactive Protein Levels

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