Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/9678
Title: Indications and immediate and long-term results of a novel pericardium covered stent graft: Consecutive 5 year single center experience
Authors: Secco, G.G.
Serdoz, R.
Kılıç, İsmail Doğu
Caiazzo, G.
Mattesini, A.
Parisi, R.
De Luca, G.
Keywords: coronary rupture
covered stent
pericardium covered stent
saphenous vein graft
aged
artery rupture
Article
blood clot lysis
clinical article
coronary artery aneurysm
coronary artery bypass graft
coronary artery recanalization
coronary stent
coronary stenting
female
follow up
heart infarction
human
in-stent restenosis
male
pericardium covered stent graft
treatment indication
adverse effects
animal
Coronary Aneurysm
coronary angiography
coronary artery blood flow
coronary artery disease
coronary blood vessel
Coronary Restenosis
Coronary Thrombosis
devices
diagnostic imaging
England
horse
iatrogenic disease
interventional ultrasonography
middle aged
mortality
pathophysiology
pericardium
prosthesis design
retrospective study
risk factor
saphenous vein
stent
surgery
time factor
transluminal coronary angioplasty
transplantation
treatment outcome
Vascular System Injuries
very elderly
xenograft
biocompatible coated material
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary
Animals
Coated Materials, Biocompatible
Coronary Angiography
Coronary Artery Disease
Coronary Circulation
Coronary Vessels
Female
Heterografts
Horses
Humans
Iatrogenic Disease
London
Male
Middle Aged
Pericardium
Prosthesis Design
Retrospective Studies
Risk Factors
Saphenous Vein
Stents
Time Factors
Treatment Outcome
Ultrasonography, Interventional
Publisher: John Wiley and Sons Inc.
Abstract: Background The use of covered stent grafts during percutaneous coronary intervention (PCI) is a life saving solution to seal acute iatrogenic vessel rupture. However, the presence of an impenetrable mechanical barrier is also appealing during treatment of friable coronary plaques but the synthetic PTFE-membrane that might trigger excessive neointimal proliferation has limited its elective-use. Pericardium tissue may offer an appealing "natural" alternative. Aim of our study is to report the consecutive 5-year single center experience with the use of pericardium-covered stents (PCS) (ITGI-Medical, Israel) in a variety of emergency and elective applications. Methods Nineteen consecutive patients undergoing implantation of PCS at the Royal Brompton in the last 5-years. Reasons for PCS implantation included treatment of degenerated vein grafts, large coronary aneurysms, and acute iatrogenic vessel rupture. Results Angiographic success, defined as the ability of the device to be deployed in the indexed lesion with no contrast extravasation with residual angiographic stenosis <30% and a final thrombolysis in myocardial infarction (TIMI)-3 flow was achieved in all cases. Procedural success, defined as the achievement of angiographic success without any major adverse cardiovascular event (MACE) was achieved in 94.7% of patients. In-stent restenosis (ISR) was observed in 26.3% and all patients underwent successful target vessel revascularization with DES (mean time to restenosis 9.0 ± 4.0 months). At a mean follow-up of 32.5 ± 23.3 months no acute or late stent thrombosis was observed. Conclusion PCSs were effective in the treatment of friable embolization-prone coronary plaques, sealing of acute iatrogenic vessel rupture and exclusion of large aneurysms with no thrombosis but high target lesion revascularization. © 2015 Wiley Periodicals, Inc.
URI: https://hdl.handle.net/11499/9678
https://doi.org/10.1002/ccd.26131
ISSN: 1522-1946
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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