Patient outcomes in GuideLiner facilitated percutaneous coronary intervention stratified by the SYNTAX score: A retrospective analysis.

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JRSM Cardiovascular Disease Pub Date : 2019-03-20 eCollection Date: 2019-01-01 DOI:10.1177/2048004019835449

Shuangbo Liu, Christopher Parr, Hannah Zhang, Basem Elbarouni, Ashish Shah, Malek Kass, Amir Ravandi

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引用次数: 2

Abstract

Objectives: To determine patient outcomes in GuideLiner facilitated percutaneous coronary intervention stratified by the SYNTAX score.

Design: Single centre retrospective cohort analysis.

Participants: A total of 540 consecutive cases facilitated by GuideLiner at a single center.

Main outcome measures: Successful stent delivery, in-hospital, 30 day and 1 year mortality rates stratified by SYNTAX score.

Results: The most common indication for GuideLiner was need for increased support for balloon or stent delivery (82%), 6% for non-coaxial guide, 9% for chronic total occlusion and 3% for selective vessel engagement. Successful stent delivery was achieved in 91% of all cases, with no complications occurred due to GuideLiner use. In-hospital, 30 day and 1 year mortality rates were 2.8%, 2.1% and 4.5%, respectively. The high SYNTAX group was associated with higher rates of initial TIMI score of 0-1; however, the final TIMI score rate of successful delivery and complications did not differ between groups. In-hospital and 1 year mortality rates were higher in the higher SYNTAX groups.

Conclusions: The GuideLiner is an easy to use guide catheter extension system with high rates of success and low rates of complications, across all SYNTAX groups.

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通过SYNTAX评分对GuideLiner中经皮冠状动脉介入治疗的患者结果进行分层:一项回顾性分析。

目的:通过SYNTAX评分确定GuideLiner促进经皮冠状动脉介入治疗的患者结果。设计:单中心回顾性队列分析。参与者:GuideLiner在一个中心连续协助了540个病例。主要结局指标:按SYNTAX评分分层的支架置入成功、住院、30天和1年死亡率。结果:GuideLiner最常见的适应症是需要增加球囊或支架输送的支持(82%)，非同轴导轨6%，慢性全闭塞9%，选择性血管介入3%。91%的病例支架置入成功，未发生GuideLiner导致的并发症。住院、30天和1年死亡率分别为2.8%、2.1%和4.5%。SYNTAX高组初始TIMI评分0-1的发生率较高;然而，最终TIMI评分的成功分娩率和并发症在两组之间没有差异。高SYNTAX组的住院死亡率和1年死亡率较高。结论:GuideLiner是一种易于使用的导管延伸系统，在所有SYNTAX组中成功率高，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JRSM Cardiovascular Disease CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

6.20%

发文量

审稿时长

12 weeks