Clinical, angiographic, and procedural determinants of major and minor coronary dissection during angioplasty
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Procedural Effectiveness With a Focused Force Scoring Angioplasty Catheter: Procedural and Clinical Outcomes From the Scoreflex NC Trial
2022, Cardiovascular Revascularization MedicinePredictive Factors of Severe Dissection after Balloon Angioplasty for Femoropopliteal Artery Disease
2021, Annals of Vascular SurgeryCitation Excerpt :Despite the efforts to reduce arterial dissection during endovascular treatment of PAD, it is not easy to predict the occurrence of arterial dissection. In a study conducted on coronary arteries, balloon oversizing and calcification of the vessel wall were reported to be associated with an increased risk of coronary dissection.8 Recently, some studies carried out on dissection of femoropopliteal arteries have proposed that chronic total occlusion, long lesion, and small reference vessel diameter (RVD) are predictive factors of severe dissection.4,7,9
Paclitaxel-Coated Balloon Angioplasty Versus Drug-Eluting Stent in Acute Myocardial Infarction: The REVELATION Randomized Trial
2019, JACC: Cardiovascular InterventionsCitation Excerpt :Despite a nonsignificant higher reference vessel diameter in the DCB group, the minimum lumen diameter after PPCI is significantly lower in patients treated with DCB versus DES, as could be determined by the treatment allocation itself (38). The incidence of bailout stenting in our study was 18%, mainly because of coronary artery dissection type greater than or equal to C. Iatrogenic coronary dissection occurs inevitably as a result of balloon angioplasty, especially in case of a balloon-to-artery ratio >1:1 (44,45). It is possible that the relatively high rate of coronary dissections, and related bailout stenting, was the consequence of slightly oversizing the balloons both for pre-dilatation (13.2 ± 3.0 atm) and drug delivery (10.2 ± 2.7 atm) in the DCB group.
Outcomes of rotational atherectomy in patients with severe left ventricular dysfunction without hemodynamic support
2018, Cardiovascular Revascularization MedicineCitation Excerpt :Severely calcified coronary lesions exist in 5.9% to 20% of patients receiving percutaneous coronary intervention (PCI) [6,7]. Such lesions increase the intricacy of PCI and are associated with additional procedural risk and adverse clinical outcomes [8–13]. These lesions can be resistant to adequate predilatation, impair stent delivery and expansion, and lead to an increased rate of stent thrombosis and/or restenosis [1,14].
Rational use of rotational atherectomy in calcified lesions in the drug-eluting stent era: Review of the evidence and current practice
2015, Cardiovascular Revascularization MedicineCitation Excerpt :Coronary calcified lesions are associated with a higher procedural risk and worse clinical outcomes compared with noncalcified lesions [1–3].
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From the Department of Medicine, Division of Cardiology, Mount Sinai Medical Center.