Shuangbo Liu, Christopher Parr, Hannah Zhang, Basem Elbarouni, Ashish Shah, Malek Kass, Amir Ravandi
{"title":"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。","authors":"Shuangbo Liu, Christopher Parr, Hannah Zhang, Basem Elbarouni, Ashish Shah, Malek Kass, Amir Ravandi","doi":"10.1177/2048004019835449","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To determine patient outcomes in GuideLiner facilitated percutaneous coronary intervention stratified by the SYNTAX score.</p><p><strong>Design: </strong>Single centre retrospective cohort analysis.</p><p><strong>Participants: </strong>A total of 540 consecutive cases facilitated by GuideLiner at a single center.</p><p><strong>Main outcome measures: </strong>Successful stent delivery, in-hospital, 30 day and 1 year mortality rates stratified by SYNTAX score.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":30457,"journal":{"name":"JRSM Cardiovascular Disease","volume":"8 ","pages":"2048004019835449"},"PeriodicalIF":1.4000,"publicationDate":"2019-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2048004019835449","citationCount":"2","resultStr":"{\"title\":\"Patient outcomes in GuideLiner facilitated percutaneous coronary intervention stratified by the SYNTAX score: A retrospective analysis.\",\"authors\":\"Shuangbo Liu, Christopher Parr, Hannah Zhang, Basem Elbarouni, Ashish Shah, Malek Kass, Amir Ravandi\",\"doi\":\"10.1177/2048004019835449\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To determine patient outcomes in GuideLiner facilitated percutaneous coronary intervention stratified by the SYNTAX score.</p><p><strong>Design: </strong>Single centre retrospective cohort analysis.</p><p><strong>Participants: </strong>A total of 540 consecutive cases facilitated by GuideLiner at a single center.</p><p><strong>Main outcome measures: </strong>Successful stent delivery, in-hospital, 30 day and 1 year mortality rates stratified by SYNTAX score.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":30457,\"journal\":{\"name\":\"JRSM Cardiovascular Disease\",\"volume\":\"8 \",\"pages\":\"2048004019835449\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2019-03-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1177/2048004019835449\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JRSM Cardiovascular Disease\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/2048004019835449\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2019/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JRSM Cardiovascular Disease","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2048004019835449","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Patient outcomes in GuideLiner facilitated percutaneous coronary intervention stratified by the SYNTAX score: A retrospective analysis.
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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