Comparison of mid-term clinical outcomes between “complete full-metal jacket strategy” versus “incomplete full-metal jacket strategy” for diffuse right coronary artery stenosis with drug-eluting stents

Yamamoto, Kei; Sakakura, Kenichi; Adachi, Yusuke; Taniguchi, Yousuke; Wada, Hiroshi; Momomura, Shin‐ichi; Fujita, Hideo

doi:10.1016/j.jjcc.2016.09.014

Cited by 6 publications

(2 citation statements)

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“…This method is termed “full-metal jacket” in revascularization for chronic total occlusion of the coronary artery. 15) The possibility that atherosclerotic plaque remains is lower than the intermittent protection of a dissected or stenotic site alone with a stent. Favorable long-term vascular patency may be achieved and ischemic complications can be prevented.…”

Section: Discussionmentioning

confidence: 99%

Mid-/Long-Term Outcome of Neuroendovascular Treatment for Chronic Carotid Artery Total Occlusion

Fujii

Miki

Aizawa

et al. 2021

JNET

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The natural course of chronic carotid artery total occlusion (CTO) is poor. Previous reports suggested that carotid artery stenting (CAS) improves the clinical outcome of CTO. However, its long-term efficacy has not been established. This study assessed the mid-and long-term clinical outcome of CAS for CTO. Methods: We evaluated the clinical outcome of 15 patients who underwent CAS for CTO between September 2010 and October 2019. Results: The technical success rate of recanalization was 93.3% (14 of 15 patients). Eight patients were treated using selfexpanding stents, and six were treated using self-expanding coronary stents. Symptomatic procedure-related complications developed in two patients (13.3%). During the follow-up period (mean 34.9 months), symptomatic ipsilateral stroke was not noted. One patient (7.1%) developed asymptomatic re-occlusion, but stent patency was preserved in 13 patients (92.9%). Conclusion: CAS for CTO may be safe and feasible based on the mid-and long-term outcome. Keywords▶ chronic carotid artery total occlusion, carotid artery stenting, ischemic stroke, long and mid-term outcome However, the COSS trial 4) denied the usefulness of EC-IC bypass. Furthermore, another study reported the success rate of CEA for CTO to be 34%. 5) Revascularization for chronic total occlusion of the coronary or iliac arteries using a stent leads to a high recanalization rate with a low incidence of complications, resulting in a favorable vascular patency rate and ischemic symptom prevention during long-term follow-up. 6,7) Recent studies, including one conducted by Terada et al., 1) reported revascularization by percutaneous carotid artery stenting (CAS) for CTO, and suggested favorable treatment results from the viewpoint of stroke prevention. 1,2,8-10). However, its long-term outcome remains to be clarified. In this study, we report the mid-/long-term postoperative outcome of treatment in 15 patients in whom CAS for CTO was performed at our institution. Materials and Methods CAS was performed at our institution on 15 patients of 27 patients diagnosed with CTO between September 2010 and October 2019 (Table 1). Their ages ranged from 37 to 83 years, with a mean of 66.6 years. They consisted of 12 males and 3 females. Left lesions were present in six patients, internal carotid artery-localized This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.

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Section: Discussionmentioning

confidence: 99%

Mid-/Long-Term Outcome of Neuroendovascular Treatment for Chronic Carotid Artery Total Occlusion

Fujii

Miki

Aizawa

et al. 2021

JNET

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“…In fact, because the retrograde coronary artery dissection is the most catastrophic complication in PCI [ 19 ], we might take a conservative strategy to avoid the retrograde coronary-aorta dissection. Moreover, complete full-metal jacket strategy is known to be better than incomplete full-metal jacket strategy in PCI for diffuse RCA stenosis [ 20 ]. Yano et al reported that the length of stent was not associated with long-term adverse events in IVUS-guided PCI using everolimus-eluting stents [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with aorto-ostial stent coverage during intravascular ultrasound-guided percutaneous coronary intervention to severely narrowed non-ostial right coronary artery lesions

Narita¹,

Sakakura²,

Taniguchi³

et al. 2021

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Introduction: In percutaneous coronary intervention (PCI) to atherosclerotic lesions in the right coronary artery (RCA), coronary artery dissection in the ostium of the RCA is a rare but fatal complication. Stent implantation to the ostium of RCA may be selected for the prevention of aorto-ostial dissection.Aim: To find factors associated with aorto-ostial stent coverage to mild to moderate ostial stenosis during the treatment of severely narrowed non-ostial RCA lesions.Material and methods: The primary interest was to find factors associated with ostial stent coverage using multivariate regression analysis. We included 236 patients who underwent intravascular ultrasound (IVUS)-guided PCI to severely narrowed RCA lesions with mild to moderate ostial stenosis, and divided those into the ostial-coverage group (n = 52) and the non-coverage group (n = 184).Results: The prevalence of continuous ostial plaque detected by intravascular ultrasound (IVUS) was significantly greater in the ostial-coverage group (84.6%) than in the non-coverage group (52.9%) (p < 0.001). Multivariate logistic regression analysis revealed that continuous ostial plaque detected by IVUS (OR = 5.398, 95% CI: 2.322-12.553, p < 0.001) was significantly associated with ostial stent coverage after controlling confounding factors. Ischaemia-driven target vessel revascularization was less frequently observed in the ostial-coverage group than in the non-coverage group, without reaching statistical significance (p = 0.069).Conclusions: Continuous ostial plaque detected by IVUS was significantly associated with ostial stent coverage to the mild to moderate stenosis when PCI to non-ostial, severely narrowed RCA lesions was performed. The use of IVUS may enhance the safety but may increase the total stent length in PCI to RCA.

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Comparison of clinical outcomes between sufficient versus insufficient diagonal branch flow in anterior acute myocardial infarction

et al. 2019

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Comparison of mid-term clinical outcomes between “complete full-metal jacket strategy” versus “incomplete full-metal jacket strategy” for diffuse right coronary artery stenosis with drug-eluting stents

Abstract: The mid-term MACE was significantly less in the c-FMJ group than in the i-FMJ group, indicating that c-FMJ stenting was a favorable strategy for the diffuse long RCA lesion.

Cited by 6 publications

References 24 publications

Mid-/Long-Term Outcome of Neuroendovascular Treatment for Chronic Carotid Artery Total Occlusion

Mid-/Long-Term Outcome of Neuroendovascular Treatment for Chronic Carotid Artery Total Occlusion

Factors associated with aorto-ostial stent coverage during intravascular ultrasound-guided percutaneous coronary intervention to severely narrowed non-ostial right coronary artery lesions

Comparison of clinical outcomes between sufficient versus insufficient diagonal branch flow in anterior acute myocardial infarction

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