Predictors of bail‐out stenting in patients with small vessel disease treated with drug‐coated balloon percutaneous coronary intervention

医学 传统PCI 经皮冠状动脉介入治疗 心脏病学 内科学 心肌梗塞 支架 冠状动脉疾病 冠状动脉 药物洗脱支架 优势比 血管成形术 部分流量储备 置信区间 扬抑 放射科 动脉 冠状动脉造影
作者
Gabriele Ghetti,Francesco Bendandi,Francesco Donati,Leonardo Ciurlanti,Elena Nardi,Antonio Giulio Bruno,Mateusz Orzałkiewicz,Tullio Palmerini,Francesco Saia,Cinzia Marrozzini,Nazzareno Galiè,Nevio Taglieri
出处
期刊:Catheterization and Cardiovascular Interventions [Wiley]
卷期号:102 (1): 18-24 被引量:2
标识
DOI:10.1002/ccd.30688
摘要

Drug-coated balloons (DCBs) have shown comparable results with drug-eluting stents in small vessel disease (SVD) percutaneous coronary intervention (PCI) in terms of target vessel revascularization and a reduced incidence of myocardial infarction. However, the relatively high rate of bail-out stenting (BOS) still represents a major drawback of DCB PCI.The aim of the study was to investigate the clinical, anatomic, and procedural features predictive of BOS after DCB PCI in SVD.We included all consecutive patients undergoing PCI at our institution between January 2020 and May 2022 who were treated with DCB PCI of a de novo lesion in a coronary vessel with a reference vessel diameter (RVD) between 2.0 and 2.5 mm. Angiographic success was defined as a residual stenosis <30% without flow-limiting dissection. Patients who did not meet these criteria underwent BOS.A total of 168 consecutive patients and 216 coronary stenoses were included. The rate of bail-out stent was 13.9%. On multivariate analysis, DCB/RVD ratio (odds ratio [OR]: 4.39, 95% confidence interval [CI]: 1.71-11.29, p < 0.01), vessel tortuosity (OR: 7.00, 95% CI: 1.66-29.62, p < 0.01), distal vessel disease (OR: 5.66, 95% CI: 2.02-15.83, p < 0.01), and high complexity (Grade C of ACC/AHA classification) coronary stenoses (OR: 6.31, 95% CI: 1.53-26.04, p = 0.01) were independent predictors of BOS.BOS is not an infrequent occurrence in DCB PCI of small vessels and is correlated with vessel tortuosity, distal diffuse vessel disease, higher lesion complexity, and balloon diameter oversizing.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
耶嘿完成签到,获得积分10
刚刚
刚刚
刚刚
皮蛋s周发布了新的文献求助30
1秒前
所所应助Tony12采纳,获得10
1秒前
1秒前
花鳥院夕月完成签到,获得积分10
1秒前
鲤鱼寻菡完成签到,获得积分10
1秒前
2秒前
3秒前
jiajia发布了新的文献求助10
3秒前
15关闭了15文献求助
3秒前
3秒前
3秒前
pluto应助踏实乌冬面采纳,获得10
3秒前
空山新雨完成签到,获得积分10
3秒前
干净月亮完成签到,获得积分10
4秒前
ommphey发布了新的文献求助10
4秒前
小羊发布了新的文献求助10
5秒前
李慧发布了新的文献求助10
5秒前
科研小白发布了新的文献求助30
5秒前
LL完成签到 ,获得积分10
5秒前
6秒前
6秒前
6秒前
迷路世立完成签到,获得积分10
6秒前
汉堡小屁发布了新的文献求助20
7秒前
今后应助研友_LjDyNZ采纳,获得10
7秒前
7秒前
Orange应助ygng_uua采纳,获得10
8秒前
小章鱼完成签到,获得积分20
8秒前
值得发布了新的文献求助10
9秒前
ZXY完成签到,获得积分10
9秒前
在水一方应助myn1990采纳,获得10
10秒前
无能版完成签到 ,获得积分10
11秒前
公孙世往发布了新的文献求助10
11秒前
宛拗发布了新的文献求助10
11秒前
cnas发布了新的文献求助10
11秒前
KunWang发布了新的文献求助10
11秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974712
求助须知:如何正确求助?哪些是违规求助? 3519159
关于积分的说明 11197254
捐赠科研通 3255257
什么是DOI,文献DOI怎么找? 1797724
邀请新用户注册赠送积分活动 877130
科研通“疑难数据库(出版商)”最低求助积分说明 806132