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Sealing of coronary...
Sealing of coronary perforations with a second-generation covered stent graft - Results from the PAST-PERF registry
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- Birkemeyer, Ralf (författare)
- Herzklinik Ulm
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- Olivecrona, Göran K. (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Hellig, Farrel (författare)
- Sunninghill Hospital
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- Wöhrle, Jochen (författare)
- Clinical Center of Friedrichshafen,University Hospital of Ulm
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- Rottbauer, Wolfgang (författare)
- University Hospital of Ulm
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- Witkowski, Adam (författare)
- Cardinal Wyszynski National Institute of Cardiology
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- Kuliczkowski, Wiktor (författare)
- Wrocław Medical University
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- Bernhardt, Peter (författare)
- Herzklinik Ulm
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- Bettels, Nadine (författare)
- Herzklinik Ulm
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- Schrage, Benedikt (författare)
- University Medical Center Hamburg-Eppendorf
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- von zur Mühlen, Constantin (författare)
- University Heart Center Freiburg Bad Krozingen
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- Cook, Stephane (författare)
- Cantonal Hospital Fribourg
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- Miljak, Tomislav (författare)
- Sindelfingen-Boeblingen Medical Center
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- Eggbrecht, Holger (författare)
- Agaplesion Bethanien Hospital
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- Eeckhout, Eric (författare)
- Lausanne University Hospital
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- Westermann, Dirk (författare)
- University Medical Center Hamburg-Eppendorf
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- Monsegu, Jaques (författare)
- Hospital Group Mutual De Grenoble
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- Dumonteil, Nicolas (författare)
- Clinique Pasteur, Toulouse
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- Engelska 7 s.
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Ingår i: Cardiovascular Revascularization Medicine. - : Elsevier BV. - 1553-8389. ; 25, s. 20-26
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background: The PAST-PERF registry was initiated to collect data on the PK Papyrus covered stent, a second-generation device for the treatment of coronary artery perforations with enhanced mechanical properties, but with limited available data. Methods: Patients treated for coronary artery perforations with the PK Papyrus stent at 14 international centers were retrospectively identified. The primary effectiveness outcome was successful sealing of the perforation. The primary safety outcome was a composite of all-cause mortality, definite or probable stent thrombosis, myocardial infarction and target lesion revascularization. Results: Among the 94 included patients, 72.3% (68/94) had Ellis type III and cavity spilling perforations. Complete sealing was achieved in 93.6% (n = 88), and no sealing could be achieved in 3.2% (n = 3, including one patient with a geographical miss and one patient in whom the device could not be implanted). Pericardiocentesis was required in 25.0% (n = 23), emergency cardiac surgery was needed in 7.6% (n = 7), acute stent thrombosis was observed in 1.1% (n = 1), and in-hospital mortality occurred in 11.7% (n = 11). The median follow-up duration was 283 (IQR:40;670) days. At 6 and 12 months, the incidence of the primary safety endpoint was 26.6% [95%CI:18.6;37.1] and 32.0% [95%CI:22.8;43.4], mortality 15.0% [95%CI:9.0;24.6] and 19.0% [95%CI:11.3;30.0], and target lesion revascularization 5.5% [95%CI:2.0;14.6] and 7.7% [95%CI:3.1;18.2]. Two definite stent thrombosis occurred, one during the procedure and one on post-procedure day 233. Conclusions: The registry demonstrates favorably high rates of successful stent delivery and sealing of coronary perforations using a second-generation covered stent with low target lesion revascularization and stent thrombosis rates. Annotated table of content: The PAST-PERF registry demonstrates favorably high rates of successful stent delivery and sealing of coronary perforations using a second-generation covered stent with low target lesion revascularization and stent thrombosis rates. Specifically, complete sealing was achieved in 93.6% of patients (n = 88/94), and no sealing could be achieved in 3.2% (n = 3, including one patient with a geographical miss and one patient in whom the device could not be implanted). The 12-month mortality was 19.0% [95%CI:11.3;30.0], the rate of target lesion revascularization was 7.7% [95%CI:3.1;18.2], and two definite stent thromboses occurred (one during procedure and one on post-procedure day 233).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Coronary artery disease
- Coronary artery perforation
- Covered stent
- Percutaneous coronary intervention
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Birkemeyer, Ralf
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Olivecrona, Göra ...
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Hellig, Farrel
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Wöhrle, Jochen
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Rottbauer, Wolfg ...
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Witkowski, Adam
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Kuliczkowski, Wi ...
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Bernhardt, Peter
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Bettels, Nadine
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Schrage, Benedik ...
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von zur Mühlen, ...
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Cook, Stephane
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Miljak, Tomislav
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Eggbrecht, Holge ...
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Eeckhout, Eric
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Westermann, Dirk
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Monsegu, Jaques
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Dumonteil, Nicol ...
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