Short-term outcome of percutaneous coronary intervention with directional coronary atherectomy followed by drug-coated balloon: a preliminary report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-04

AUTHORS

Akihiko Sato, Mikihiro Kijima, Shohei Ichimura, Daiki Yaegashi, Fumiya Anzai, Takeshi Shimizu, Yuko Matsui, Hironori Kaneko, Keiji Sakamoto, Yoshitane Seino, Yukio Maruyama, Yasuchika Takeishi

ABSTRACT

Directional coronary atherectomy (DCA) is a unique technique used in percutaneous coronary intervention (PCI) which involves the removal of plaque from the coronary artery. Treatment with a drug-coated balloon (DCB) appears to be effective, especially when a predilatation of the lesion is performed appropriately. We hypothesize that the combination therapy of DCA with DCB is an effective strategy in PCI. PCI with DCA followed by DCB was performed for 23 patients from December 2014 to April 2017. All DCA procedures were performed under the guidance of intravascular ultrasound (IVUS) findings and all procedures were successfully performed without incurring major complications such as a coronary perforation. Plaque area (PA) was reduced from 77.3 ± 10.4% at baseline to 50.9 ± 9.2% after DCA and luminal cross-sectional area (CSA) after PCI was enlarged from 3.6 ± 1.8 to 9.3 ± 3.3 mm2. Follow-up coronary angiography (CAG) performed at 6-10 months showed no cases having incurred restenosis. Plaque area at follow-up CAG was 52.0 ± 8.5% and luminal CSA was 9.5 ± 2.1 mm2. There were no cases undergoing target vessel revascularization (TVR) and target lesion revascularization (TLR) during the follow-up periods. PCI with DCA followed by DCB might be an effective strategy for de novo lesions. More... »

PAGES

149-154

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12928-018-0537-6

DOI

http://dx.doi.org/10.1007/s12928-018-0537-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105428454

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29987653


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