Risk Stratification for Percutaneous Coronary Intervention

Capodanno, Davide

doi:10.1016/j.iccl.2015.12.009

Cited by 5 publications

(2 citation statements)

References 106 publications

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“…The long-term prognosis of LMCA patients undergoing revascularization can be meaningfully stratified by means of anatomical and clinical variables collectively integrated into risk scores. 32 This information is useful to inform patients and their families, as well as to guide decision-making for PCI or CABG within the Heart Team. The SYNTAX score is a purely anatomical scoring system that grades the coronary vasculature based on the extent of CAD and lesion complexity.…”

Section: Risk Stratificationmentioning

confidence: 99%

Management of left main disease: an update

Fajadet

Capodanno

Stone

2018

European Heart Journal

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A severe narrowing of the left main coronary artery (LMCA), usually due to atherosclerosis, jeopardizes a large area of myocardium and increases the risk of major adverse cardiac events. Management strategies for LMCA disease include coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). In general, PCI offers more rapid recovery and a lower early adverse event rate, whereas CABG offers a more durable procedure. The largest of six LMCA trials comparing PCI with CABG recently reported that in patients with site-reported low or intermediate anatomical complexity PCI was non-inferior to CABG with respect to the composite of death, stroke, or myocardial infarction at 3 years. This result was obtained on a background of contemporary PCI standards, including safer and more effective stents, intravascular imaging and physiology assessment. This review updates on the current management of LMCA disease, with an emphasis on clinical data and procedural knowledge supporting the use of PCI in a growing proportion of patients.

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Section: Risk Stratificationmentioning

confidence: 99%

Management of left main disease: an update

Fajadet

Capodanno

Stone

2018

European Heart Journal

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“…The traditional path of coronary interventional therapy (CIT) is the femoral artery, but the radial artery method is getting more popular for its advantages as unrestricted patient activity, quick recovery, convenient hemostasis, etc. [4]. Meanwhile, after an acute cardiac event, many patients experience emotional disturbance, which is a normal response to the acute heart event and to hospitalization, but, if not treated with emotive and social support, the symptoms can evolve, resulting in emotional and behavioral disorders [5].…”

Section: Introductionmentioning

confidence: 99%

Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways

He¹,

Luan²,

Fu³

et al. 2019

JBM

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Purpose: To compare the surgical indicators, perioperative complications and postoperative psychological status of patients with coronary interventional therapy (CIT) by radical artery and femoral artery puncture approaches. Methods: 120 patients with CIT were divided into femoral artery group (FAG) and radial artery group (RAG) according to the operation ways. The interventional operation was performed by the same surgeon team and methods. Data of surgical indicators and perioperative complications were recorded and collected. The psychological questionare survey was made within 48 hours the after surgery by the hospital anxiety and depression scale (HAD), and the results were scored by the psychiatrist. Results: The age, sex, ethnicity, education level, disease type, and combined diseases of the two groups had homogeneity without statistical difference. There was no obvious difference in X-ray exposure time, contrast agent usage and operation time in two ways (P > 0.05). The success rate of one-time catheterization was higher in FAG than in RAG (P < 0.05). However, the incidence of vascular complications such as subcutaneous hematoma, puncture site bleeding in RAG were significantly lower than those in FAG (P < 0.05). Complications of vascular and puncture site bleeding, the operative limb braking time and hospitalization time were longer in FAG than those in the RAG (P < 0.05).The postoperative anxiety and depression question are data analysis showed patients in both groups had obvious higher anxiety and depression scores compare to Chinese norm. Even though there was no difference on anxiety scores of the patients in two groups, but the depression scores showed that patients in the FAG were more prone to psychological depression than patients in the RAG. Combined with the clinical nursing requirements, the postoperative nursing record charts of patients with CIT were established according to general patient data and physical discomfort with high incidence in the above survey

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The ACEF score in patients undergoing percutaneous coronary intervention: “Keep it simple and focus on what matters”

Pelliccia

Gaudio

2019

International Journal of Cardiology

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Risk Stratification for Percutaneous Coronary Intervention

Cited by 5 publications

References 106 publications

Management of left main disease: an update

Management of left main disease: an update

Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways

The ACEF score in patients undergoing percutaneous coronary intervention: “Keep it simple and focus on what matters”

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