Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study
Introduction: In recent years, various specific techniques and materials have been developed for the treatment of coronary chronic total occlusions (CTO). Objective: To evaluate the current situation in the treatment of CTO (techniques and material) in our setting. Methods: We evaluated data on tech...
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| Format: | Article |
| Language: | English |
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Elsevier
2013-07-01
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| Series: | Revista Portuguesa de Cardiologia |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S087025511300125X |
| _version_ | 1811198182219055104 |
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| author | Raul Moreno Eulogio García Rui Teles Jose-Ramon Rumoroso Henrique Cyrne Carvalho Francisco Javier Goicolea José Moreu Fina Mauri Manel Sabaté Vicente Mainar Lino Patricio Mariano Valdés Carlos Cuellas Manuel Almeida Angel Sánchez-Recalde Guillermo Galeote Santiago Jimenez-Valero Luis Calvo Ignacio Plaza Jose-Luis Lopez-Sendón Jose-Luis R. Martín |
| author_facet | Raul Moreno Eulogio García Rui Teles Jose-Ramon Rumoroso Henrique Cyrne Carvalho Francisco Javier Goicolea José Moreu Fina Mauri Manel Sabaté Vicente Mainar Lino Patricio Mariano Valdés Carlos Cuellas Manuel Almeida Angel Sánchez-Recalde Guillermo Galeote Santiago Jimenez-Valero Luis Calvo Ignacio Plaza Jose-Luis Lopez-Sendón Jose-Luis R. Martín |
| author_sort | Raul Moreno |
| collection | DOAJ |
| description | Introduction: In recent years, various specific techniques and materials have been developed for the treatment of coronary chronic total occlusions (CTO). Objective: To evaluate the current situation in the treatment of CTO (techniques and material) in our setting. Methods: We evaluated data on techniques and material used in the CIBELES (ChronIc coronary occlusion treated By EveroLimus Eluting Stent) trial, a randomized comparison of sirolimus- and everolimus-eluting stents in 207 patients with CTO in 13 centers in Spain and Portugal. Results: A radial approach was used in 23% of patients, and retrograde techniques were used in only 5%. A high number of balloons were used (2.2 ± 0.9 per patient). Microcatheters were used in 33% of patients, and post-dilatation balloons in only 25%. The mean number of stents implanted per patient was 2.1 ± 1.0, with a mean total stent length of 49 ± 24 mm. Other devices and techniques used were: Tornus penetration catheter in 4% of patients, rotational atherectomy in 2%, and cutting balloon in 1%. Intracoronary ultrasound was used in only 6% of patients. In 34% of cases, operators used guidewires that were not specifically for CTO. Considerable variability between centers was detected in the use of different techniques, the highest and lowest variability being observed in the use of intracoronary ultrasound and the use of CTO guidewires, respectively. Conclusions: In the CIBELES trial, techniques and devices specifically designed for the treatment of CTO were used in a relatively low proportion of patients. Considerable variability between centers was detected. Resumo: Introdução: Durante os últimos anos foram desenvolvidos materiais e técnicas específicos para o tratamento de oclusões totais crónicas (OTC). Objetivo: Avaliar a situação atual no tratamento de OTC (técnicas e material) na nossa realidade. Métodos: Avaliámos os dados relacionados com as técnicas e material usados no estudo CIBELES (ChronIc coronary occlusion treated By EveroLimus Eluting Stent) que comparou de forma aleatororizada stents eluidores de sirolimus e everolimus em 207 doentes com OTC em 13 centros de Espanha e Portugal. Resultados: A abordagem radial foi usada em 23% dos doentes e as técnicas retrógradas foram usadas em apenas 5%. Foi usado um elevado número de balões (2,2 ± 0,9 por doente). Microcatéteres foram usados em 33% e balões de pós-dilatação apenas em 25% dos doentes. O número médio de stents implantados por doente foi de 2,1 ± 1,0, com um comprimento total médio de 49 ± 24 mm. Outro material foi: tornus 4%, aterectomia rotacional 2% e cutting balloon em 1% dos doentes. Ecografia intra-coronária foi usada em apenas 6% dos doentes. Em 34% dos casos os operadores usaram fios-guia que não eram específicos de OTC. Uma alta variabilidade entre centros foi detetada no uso de diferentes técnicas, sendo a variabilidade observada mais alta e mais baixa no uso de ecografia intra-coronária e no uso de guias de OTC, respetivamente. Conclusões: No estudo CIBELES, técnicas e material especificamente desenvolvidos para o tratamento de OTC foram usados numa proporção relativamente baixa dos doentes. Foi detetada uma alta variabilidade entre centros. Keywords: Coronary stents, Coronary angioplasty, Chronic occlusion, Coronary artery disease, Palavras-chave: Stents coronários, Angioplastia coronária, Oclusões crónicas, Doença coronária |
| first_indexed | 2024-04-12T01:26:28Z |
| format | Article |
| id | doaj.art-98fecc5b460049639f176cda1a460d45 |
| institution | Directory Open Access Journal |
| issn | 0870-2551 |
| language | English |
| last_indexed | 2024-04-12T01:26:28Z |
| publishDate | 2013-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Portuguesa de Cardiologia |
| spelling | doaj.art-98fecc5b460049639f176cda1a460d452022-12-22T03:53:38ZengElsevierRevista Portuguesa de Cardiologia0870-25512013-07-01327593599Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES studyRaul Moreno0Eulogio García1Rui Teles2Jose-Ramon Rumoroso3Henrique Cyrne Carvalho4Francisco Javier Goicolea5José Moreu6Fina Mauri7Manel Sabaté8Vicente Mainar9Lino Patricio10Mariano Valdés11Carlos Cuellas12Manuel Almeida13Angel Sánchez-Recalde14Guillermo Galeote15Santiago Jimenez-Valero16Luis Calvo17Ignacio Plaza18Jose-Luis Lopez-Sendón19Jose-Luis R. Martín20Interventional cardiology, University Hospital La Paz, Madrid, Spain; Corresponding author.Interventional cardiology, Hospital Clínico, Madrid, SpainInterventional cardiology, Hospital de Santa Cruz, Lisbon, PortugalInterventional cardiology, Hospital de Galdakao, Bilbao, SpainInterventional cardiology, Hospital de Santo António, Porto, PortugalInterventional cardiology, Hospital Puerta de Hierro, Majadahonda, SpainInterventional cardiology, Hospital Virgen de la Salud, Toledo, SpainInterventional cardiology, Hospital German Trias i Pujol, Badalona, SpainInterventional cardiology, Hospital Santa Creu I Sant Pau, Barcelona, SpainInterventional cardiology, Hospital General, Alicante, SpainInterventional cardiology, Hospital de Santa Marta, Lisbon, PortugalInterventional cardiology, Hospital Virgen de la Arrixaca, Murcia, SpainInterventional cardiology, Complejo Hospitalario, León, SpainInterventional cardiology, Hospital de Santa Cruz, Lisbon, PortugalInterventional cardiology, University Hospital La Paz, Madrid, SpainInterventional cardiology, University Hospital La Paz, Madrid, SpainInterventional cardiology, University Hospital La Paz, Madrid, SpainInterventional cardiology, University Hospital La Paz, Madrid, SpainInterventional cardiology, University Hospital La Paz, Madrid, SpainInterventional cardiology, University Hospital La Paz, Madrid, SpainInterventional cardiology, School of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, SpainIntroduction: In recent years, various specific techniques and materials have been developed for the treatment of coronary chronic total occlusions (CTO). Objective: To evaluate the current situation in the treatment of CTO (techniques and material) in our setting. Methods: We evaluated data on techniques and material used in the CIBELES (ChronIc coronary occlusion treated By EveroLimus Eluting Stent) trial, a randomized comparison of sirolimus- and everolimus-eluting stents in 207 patients with CTO in 13 centers in Spain and Portugal. Results: A radial approach was used in 23% of patients, and retrograde techniques were used in only 5%. A high number of balloons were used (2.2 ± 0.9 per patient). Microcatheters were used in 33% of patients, and post-dilatation balloons in only 25%. The mean number of stents implanted per patient was 2.1 ± 1.0, with a mean total stent length of 49 ± 24 mm. Other devices and techniques used were: Tornus penetration catheter in 4% of patients, rotational atherectomy in 2%, and cutting balloon in 1%. Intracoronary ultrasound was used in only 6% of patients. In 34% of cases, operators used guidewires that were not specifically for CTO. Considerable variability between centers was detected in the use of different techniques, the highest and lowest variability being observed in the use of intracoronary ultrasound and the use of CTO guidewires, respectively. Conclusions: In the CIBELES trial, techniques and devices specifically designed for the treatment of CTO were used in a relatively low proportion of patients. Considerable variability between centers was detected. Resumo: Introdução: Durante os últimos anos foram desenvolvidos materiais e técnicas específicos para o tratamento de oclusões totais crónicas (OTC). Objetivo: Avaliar a situação atual no tratamento de OTC (técnicas e material) na nossa realidade. Métodos: Avaliámos os dados relacionados com as técnicas e material usados no estudo CIBELES (ChronIc coronary occlusion treated By EveroLimus Eluting Stent) que comparou de forma aleatororizada stents eluidores de sirolimus e everolimus em 207 doentes com OTC em 13 centros de Espanha e Portugal. Resultados: A abordagem radial foi usada em 23% dos doentes e as técnicas retrógradas foram usadas em apenas 5%. Foi usado um elevado número de balões (2,2 ± 0,9 por doente). Microcatéteres foram usados em 33% e balões de pós-dilatação apenas em 25% dos doentes. O número médio de stents implantados por doente foi de 2,1 ± 1,0, com um comprimento total médio de 49 ± 24 mm. Outro material foi: tornus 4%, aterectomia rotacional 2% e cutting balloon em 1% dos doentes. Ecografia intra-coronária foi usada em apenas 6% dos doentes. Em 34% dos casos os operadores usaram fios-guia que não eram específicos de OTC. Uma alta variabilidade entre centros foi detetada no uso de diferentes técnicas, sendo a variabilidade observada mais alta e mais baixa no uso de ecografia intra-coronária e no uso de guias de OTC, respetivamente. Conclusões: No estudo CIBELES, técnicas e material especificamente desenvolvidos para o tratamento de OTC foram usados numa proporção relativamente baixa dos doentes. Foi detetada uma alta variabilidade entre centros. Keywords: Coronary stents, Coronary angioplasty, Chronic occlusion, Coronary artery disease, Palavras-chave: Stents coronários, Angioplastia coronária, Oclusões crónicas, Doença coronáriahttp://www.sciencedirect.com/science/article/pii/S087025511300125X |
| spellingShingle | Raul Moreno Eulogio García Rui Teles Jose-Ramon Rumoroso Henrique Cyrne Carvalho Francisco Javier Goicolea José Moreu Fina Mauri Manel Sabaté Vicente Mainar Lino Patricio Mariano Valdés Carlos Cuellas Manuel Almeida Angel Sánchez-Recalde Guillermo Galeote Santiago Jimenez-Valero Luis Calvo Ignacio Plaza Jose-Luis Lopez-Sendón Jose-Luis R. Martín Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study Revista Portuguesa de Cardiologia |
| title | Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study |
| title_full | Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study |
| title_fullStr | Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study |
| title_full_unstemmed | Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study |
| title_short | Techniques and material used in the percutaneous treatment of chronic coronary occlusions. Data from the CIBELES study |
| title_sort | techniques and material used in the percutaneous treatment of chronic coronary occlusions data from the cibeles study |
| url | http://www.sciencedirect.com/science/article/pii/S087025511300125X |
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