Effect of the PercuSurge GuardWire device on the integrity of microvasculature and clinical outcomes during primary transradial coronary intervention in acute myocardial infarction

Yip, Hon‐Kan; Wu, Chiung‐Jen; Chang, Hsueh‐Wen; Fang, Chih-Yuan; Yang, Cheng‐Hsu; Chen, Shyh‐Ming; Hung, Wei‐Chin; Chen, Chien-Jen; Cheng, Cheng‐I; Hsieh, Yao‐Ching

doi:10.1016/j.amjcard.2003.08.019

Cited by 99 publications

(108 citation statements)

References 18 publications

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“…Therefore, the current study, in addition to being the first study to report the incidence of AMI in Chinese young-adult patients, presents interesting and important clinically relevant data for a future epidemiologic study in a young population. Prognostic outcomes of AMI in young patients following primary PCI: Although current data clearly demonstrate that the 30-day mortality rate varies from 2% to 0.0% in patients with ST-se AMI undergoing reperfusion therapy, 3,6,7,[0][1][2][3]24,25) the mortality rate in young patients with ST-se AMI undergoing reperfusion therapy has been seldom reported. 26) In the present study, we found that the overall 30-day mortality (4.9% versus 8.6%) and 6-month cumulative mortality (5.5% versus 9.7%) were lower in the young-adult patients than in the older patients.…”

Section: Discussionmentioning

confidence: 99%

“…The indications for PercuSurge GuardWire TM device therapy have been described in detail in our recent studies. 0,9) Ticlopidine (250 mg twice a day before 2002) or clopidogrel (600 mg loading dose in the emergency room before cardiac catheterization and then 75 mg/day for maintenance since 2002) was given to patients undergoing primary stenting. Aspirin (00 mg orally once daily) was given indefinitely to each patient.…”

Section: Methodsmentioning

confidence: 99%

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Prognostic Factors and Outcomes in Young Chinese Patients With Acute Myocardial Infarction Undergoing Primary Coronary Angioplasty

et al. 2009

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SummaryWe investigated the prognostic risk and the clinical outcome of young-adult patients with ST-segment elevation (ST-se) acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention (PCI). Between May 999 and September 2007, primary PCI was performed in 680 consecutive patients with AMI of onset < 2 hours (cardiogenic shock within 8 hours) at Kaohsiung Chang Gung Memorial Hospital. Of these patients, 63 (9.7%) young-age patients (defined as male of < 45 years old and female of < 55 years old) were enrolled into this study. A comparable number (n = 75) of patients ≥ 55 years old, who presented with AMI of < 2 hours duration having undergone primary PCI between November 2004 and May 2006, were retrospectively reviewed and enrolled as control subjects. The procedural success (defined as normal blood flow achieved in the infract-related artery) was similar between the young-age and old-age patients (P = .0). Additionally, the incidence of an advanced Killip score (defined as ≥ score 3 upon presentation), 30-day and 6-month cumulative mortality did not differ between these two groups of patients (P > 0.). However, the 30-day major adverse clinical outcome (MACO) (defined as New York Heart Association Functional Classification ≥ 3 or 30-day mortality) was significantly lower in the young-age than in the old-age patients (P < 0.00). Further, multiple stepwise logistic regression analysis showed that an advanced Killip score along with the peak level of CK-MB was independently predictive of 30-day MACO (P < 0.05) in young-age patients. In conclusion, the prognostic outcome is favorable in young-adult ST-se AMI undergoing primary PCI. Traditional risk factors remain effective for stratification of young-adult AMI patients into high-or low-risk subgroups. (Int Heart J 2009; 50: -)

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Prognostic Factors and Outcomes in Young Chinese Patients With Acute Myocardial Infarction Undergoing Primary Coronary Angioplasty

et al. 2009

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“…Due to the continuous development of new devices, [8][9][10][11][12] technical refinements, 11,12) and increasing operator experience, the TRA approach has become one of the most popular methods for either diagnostic cardiac catheterization or PCI in the real world. This is because the TRA approach can provide several additional benefits in comparison to the traditional femoral arterial approach, including less discomfort during and after the procedure, less bleeding and vascular complications, shorter hospitalization, ability to perform the procedure in outpatient departments without difficulty, and the ability of the patient to walk immediately following the procedure.…”

Section: Discussionmentioning

confidence: 99%

Utilization of a Double-Wire Technique to Treat Long Extended Spiral Dissection of the Right Coronary Artery: Evaluation of Incidence and Mechanisms

Chai

Yang

et al. 2005

Int. Heart J.

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SUMMARYWhile coronary artery dissection caused by a guiding catheter, which is one of the most commonly occurring complications during diagnostic cardiac catheterization or coronary intervention, has various forms, extensive antegrade and retrograde dissections of the right coronary artery (RCA) are rarely observed during these procedures.Within the last three years, we retrospectively reviewed our experience with 12,600 consecutive patients who underwent either diagnostic cardiac catheterization or coronary angioplasty, and found that 17 (0.14%) of the patients displayed extensive antegrade and retrograde RCA dissection. The antegrade dissection always propagated to the distal RCA either on bifurcation of the posterior descending artery and posterolateral artery (PLA) or to the proximal PLA. The retrograde dissection was always observed close to the ostium of the RCA or extending to the ostium of the RCA. TIMI-0 flow in the RCA was immediately observed in all the patients. Chest pain associated with an electrocardiogram showing ST-segment elevation was soon observed in most of the patients. The true lumen could be entered successfully using a single wire in 8 of 17 patients. However, a doublewire technique was required for 7 patients. This technique involved first advancing a wire along to the false lumen and then pulling back the guiding catheter away from the ostium of the RCA for a few millimeters followed by anchoring with the wire. Another wire was then gently inserted into the true lumen from the dissection entrance point, which was located near or at the ostium of RCA, and carefully advanced to the distal RCA. Coronary stenting was successfully deployed in 15 patients. However, the procedure failed in 2 patients. Furthermore, this complication caused 7 patients to have acute myocardial infarctions, 2 patients to develop atrial fibrillation, and 1 to die from ischemic enterocolitis due to cardiac embolism after 7 months of follow-up. In conclusion, with an increase in experience, we now better understand this complication. However, this complication, which is a formidable challenge for coronary intervention, may be a life-threatening complication, and patients with this complication may face the potential risk of a nonfatal From the

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“…The indications and procedure protocol were based on our previous report. 17) Definitions: STEMI was defined as 1) typical chest pain lasting for more than 30 minutes with ST-segment elevation > 1 mm in two consecutive precordial or inferior leads, and 2) typical chest pain lasting for more than 30 minutes with a new onset of CLBBB. Procedural success was defined as a reduction to residual stenosis of < 20% by balloon angioplasty or successful stent deployment at the desired position with a residual stenosis < 10% followed by thrombolysis in myocardial infarction (TIMI) grade 3 flow in the infarct-related artery.…”

Section: Methodsmentioning

confidence: 99%

The Prognostic Value of Atrial Fibrillation on 30-Day Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

et al. 2011

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SummaryThis study evaluated the association between atrial fibrillation (AF) and 30-day clinical outcome in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). Between January 2005 and October 2009, 783 consecutive patients with acute STEMI undergoing primary PCI were enrolled. Of these patients, 85 (10.9%) with AF during admission were categorized into group 1, while the remaining 698 (89.1%) with sinus rhythm during admission served as group 2. The results demonstrated that the incidence of advanced Killip score (defined as ≥ score 3) and advanced congestive heart failure (defined as ≥ NYHA class 3) were significantly higher, whereas the left ventricular ejection fraction (LVEF) was notably lower in group 1 than in group 2 (all P < 0.003). Additionally, the normal blood flow in the infarct-related artery was notably lower in group 1 than in group 2 (P = 0.003). Moreover, the incidences of new-onset stroke and 30-day mortality were remarkably higher in group 1 than in group 2 (all P < 0.003). Furthermore, Kaplan-Meier analysis demonstrated that the 30-day survival rate was markedly lower in AF patients than in those with sinus rhythm. However, multivariate stepwise Cox regression analysis demonstrated that the advanced Killip score and low LVEF were significantly and independently predictive of 30-day mortality (all P < 0.004). In conclusion, AF was significantly associated with 30-day mortality. (Int Heart J 2011; 52: 153-158)

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Effect of the PercuSurge GuardWire device on the integrity of microvasculature and clinical outcomes during primary transradial coronary intervention in acute myocardial infarction

Cited by 99 publications

References 18 publications

Prognostic Factors and Outcomes in Young Chinese Patients With Acute Myocardial Infarction Undergoing Primary Coronary Angioplasty

Prognostic Factors and Outcomes in Young Chinese Patients With Acute Myocardial Infarction Undergoing Primary Coronary Angioplasty

Utilization of a Double-Wire Technique to Treat Long Extended Spiral Dissection of the Right Coronary Artery: Evaluation of Incidence and Mechanisms

The Prognostic Value of Atrial Fibrillation on 30-Day Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

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