Gabriele L Gasparini, Mario Bollati, Mauro Chiarito, Michele Cacia, Fausto Roccasalva, Claudiu Ungureanu, Giuseppe Colletti, Simone Muraglia, Pierluigi Merella, Fabrizio Ugo, Andrea Pacchioni, Salvatore Colangelo, Jorge Sanz Sanchez, Pier Pasquale Leone, Azeem Latib, Pietro Mazzarotto
{"title":"SUOH 03导丝用于冠状动脉夹层的治疗:来自多中心注册的见解。","authors":"Gabriele L Gasparini, Mario Bollati, Mauro Chiarito, Michele Cacia, Fausto Roccasalva, Claudiu Ungureanu, Giuseppe Colletti, Simone Muraglia, Pierluigi Merella, Fabrizio Ugo, Andrea Pacchioni, Salvatore Colangelo, Jorge Sanz Sanchez, Pier Pasquale Leone, Azeem Latib, Pietro Mazzarotto","doi":"10.1155/2023/7958808","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In the setting of coronary artery dissection, both spontaneous and iatrogenic, fixing the intimal tear, usually with stent implantation, can be extremely challenging if the distal wire position has been lost. Common complications are mainly related to the inadvertent subintimal tracking of the guidewire while attempting to gain the distal true lumen.</p><p><strong>Aims: </strong>To report the registry results of using the SUOH 0.3 guidewire for managing coronary artery dissection in a real-world multicenter setting.</p><p><strong>Methods: </strong>The study population in this retrospective, multicenter, international registry included 75 consecutive patients who underwent PCI and required an antegrade wiring of a dissected coronary artery.</p><p><strong>Results: </strong>Successful use of SUOH 0.3 was achieved in 69 (92%) patients. The use of a microcatheter was associated with a significantly higher rate of TIMI 3 flow at the end of the procedure (no microcatheter: <i>n</i> = 17, 81%; microcatheter: <i>n</i> = 52, 96.3%; <i>p</i> = 0.017). The first recanalization attempt was made with the SUOH 03 guidewire in 48 (64%) cases, and it was successful in 42 (87%). The overall PCI success rate was reported in 72 (96%) patients, with no significant differences among patients with different origins, mechanisms, and locations of dissection.</p><p><strong>Conclusions: </strong>In this setting, the SUOH 0.3 guidewire provides high procedural success without additional complex techniques.</p>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2023 ","pages":"7958808"},"PeriodicalIF":1.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10409579/pdf/","citationCount":"0","resultStr":"{\"title\":\"SUOH 03 Guidewire for the Management of Coronary Artery Dissection: Insights from a Multicenter Registry.\",\"authors\":\"Gabriele L Gasparini, Mario Bollati, Mauro Chiarito, Michele Cacia, Fausto Roccasalva, Claudiu Ungureanu, Giuseppe Colletti, Simone Muraglia, Pierluigi Merella, Fabrizio Ugo, Andrea Pacchioni, Salvatore Colangelo, Jorge Sanz Sanchez, Pier Pasquale Leone, Azeem Latib, Pietro Mazzarotto\",\"doi\":\"10.1155/2023/7958808\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In the setting of coronary artery dissection, both spontaneous and iatrogenic, fixing the intimal tear, usually with stent implantation, can be extremely challenging if the distal wire position has been lost. Common complications are mainly related to the inadvertent subintimal tracking of the guidewire while attempting to gain the distal true lumen.</p><p><strong>Aims: </strong>To report the registry results of using the SUOH 0.3 guidewire for managing coronary artery dissection in a real-world multicenter setting.</p><p><strong>Methods: </strong>The study population in this retrospective, multicenter, international registry included 75 consecutive patients who underwent PCI and required an antegrade wiring of a dissected coronary artery.</p><p><strong>Results: </strong>Successful use of SUOH 0.3 was achieved in 69 (92%) patients. The use of a microcatheter was associated with a significantly higher rate of TIMI 3 flow at the end of the procedure (no microcatheter: <i>n</i> = 17, 81%; microcatheter: <i>n</i> = 52, 96.3%; <i>p</i> = 0.017). The first recanalization attempt was made with the SUOH 03 guidewire in 48 (64%) cases, and it was successful in 42 (87%). The overall PCI success rate was reported in 72 (96%) patients, with no significant differences among patients with different origins, mechanisms, and locations of dissection.</p><p><strong>Conclusions: </strong>In this setting, the SUOH 0.3 guidewire provides high procedural success without additional complex techniques.</p>\",\"PeriodicalId\":16329,\"journal\":{\"name\":\"Journal of interventional cardiology\",\"volume\":\"2023 \",\"pages\":\"7958808\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10409579/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of interventional cardiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1155/2023/7958808\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of interventional cardiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/2023/7958808","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
SUOH 03 Guidewire for the Management of Coronary Artery Dissection: Insights from a Multicenter Registry.
Background: In the setting of coronary artery dissection, both spontaneous and iatrogenic, fixing the intimal tear, usually with stent implantation, can be extremely challenging if the distal wire position has been lost. Common complications are mainly related to the inadvertent subintimal tracking of the guidewire while attempting to gain the distal true lumen.
Aims: To report the registry results of using the SUOH 0.3 guidewire for managing coronary artery dissection in a real-world multicenter setting.
Methods: The study population in this retrospective, multicenter, international registry included 75 consecutive patients who underwent PCI and required an antegrade wiring of a dissected coronary artery.
Results: Successful use of SUOH 0.3 was achieved in 69 (92%) patients. The use of a microcatheter was associated with a significantly higher rate of TIMI 3 flow at the end of the procedure (no microcatheter: n = 17, 81%; microcatheter: n = 52, 96.3%; p = 0.017). The first recanalization attempt was made with the SUOH 03 guidewire in 48 (64%) cases, and it was successful in 42 (87%). The overall PCI success rate was reported in 72 (96%) patients, with no significant differences among patients with different origins, mechanisms, and locations of dissection.
Conclusions: In this setting, the SUOH 0.3 guidewire provides high procedural success without additional complex techniques.
期刊介绍：
Journal of Interventional Cardiology is a peer-reviewed, Open Access journal that provides a forum for cardiologists determined to stay current in the diagnosis, investigation, and management of patients with cardiovascular disease and its associated complications. The journal publishes original research articles, review articles, and clinical studies focusing on new procedures and techniques in all major subject areas in the field, including:
Acute coronary syndrome
Coronary disease
Congenital heart diseases
Myocardial infarction
Peripheral arterial disease
Valvular heart disease
Cardiac hemodynamics and physiology
Haemostasis and thrombosis
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