Incidence and Mechanisms of Coronary Perforations during Rotational Atherectomy in Modern Practice
المؤلفون المشاركون
Liu, Tsun-Jui
Chang, Wei-Chun
Su, Chieh-Shou
Lai, Chih-Hung
Chen, Yu-Wei
Wang, Yen-Hsiang
Chen, Wei-Jhong
Wang, Chi-Yen
Lee, Wen-Lieng
Liang, Kae-Woei
المصدر
Journal of Interventional Cardiology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-11-11
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Objective.
Heavy calcifications remain formidable challenges to PCI, even for well-experienced operators.
However, rotational atherectomy (RA)-induced coronary perforations (CPs) still could not be obviated.
This study was to explore incidence and mechanisms of RA-induced CP in real-world practice.
Knowing why CPs occur in RA should help operators avert such mishaps.
Method.
Patients who received coronary RA from April 2010 to December 2019 with keywords related to perforations were retrieved from database.
The procedure details, angiography, and clinical information were reviewed in detail.
Results.
A total of 479 RAs were performed with 11 perforations in 10 procedures among 9 patients documented.
The incidence of RA-induced CP was 2.1%.
The RA vessels were distributed in different territories, including first diagonal branch.
Most CPs could be treated conservatively, but prolonged profound shock predisposed to poor outcome.
CPs caused by rotawire tip occurred in 18.2% of cases, inappropriately sized burrs in 18.2% of cases, and rotawire damage with subsequent transection and perforation in another 18.2% of cases.
A total of 5 (45.5%) perforations were caused by unintended and unnoticed bias cutting into noncalcified plaques (4, 36.4%) or through calcified vessel wall (1, 9.1%).
The mechanisms for certain CPs were unique and illustrated in diagrams.
Conclusion.
CPs due to RA occur in certain percentage of patients.
The mechanisms for CPs are diverse.
Wire damage with subsequent transection could occur due to inappropriately repetitive burr stress on the wire body.
A significant portion was due to unintended and unnoticed bias cutting into noncalcified plaque or through calcified vessel wall.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wang, Yen-Hsiang& Chen, Wei-Jhong& Chen, Yu-Wei& Lai, Chih-Hung& Su, Chieh-Shou& Chang, Wei-Chun…[et al.]. 2020. Incidence and Mechanisms of Coronary Perforations during Rotational Atherectomy in Modern Practice. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1187757
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wang, Yen-Hsiang…[et al.]. Incidence and Mechanisms of Coronary Perforations during Rotational Atherectomy in Modern Practice. Journal of Interventional Cardiology No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1187757
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wang, Yen-Hsiang& Chen, Wei-Jhong& Chen, Yu-Wei& Lai, Chih-Hung& Su, Chieh-Shou& Chang, Wei-Chun…[et al.]. Incidence and Mechanisms of Coronary Perforations during Rotational Atherectomy in Modern Practice. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1187757
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1187757
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر