Guidelines for Percutaneous Coronary Interventions: The Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology

Silber, Sigmund; Albertsson, Per; Francisco, F.

doi:10.1016/j.accreview.2005.08.063

Cited by 463 publications

(704 citation statements)

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“…After PCI, patients were maintained on aspirin indefinitely and on clopidogrel according to current guidelines for bare metal stents and drug-eluting stents (13). Other cardiac medications were continued as clinically indicated.…”

Section: Pharmacological Treatmentmentioning

confidence: 99%

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Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Corvoisier

Gellen

Lesault

et al. 2012

Cathet Cardio Intervent

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Objectives: The aim of this prospective, multicenter study was to assess the safety, feasibility, acceptance, and cost of ambulatory transradial percutaneous coronary intervention (PCI) under the conditions of everyday practice. Background: Major advances in PCI techniques have considerably reduced the incidence of post‐procedure complications. However, overnight admission still constitutes the standard of care in most interventional cardiology centers. Methods: Eligibility for ambulatory management was assessed in 370 patients with stable angina referred to three high‐volume angioplasty centers. On the basis of pre‐specified clinical and PCI‐linked criteria, 220 patients were selected for ambulatory PCI. Results: The study population included a substantial proportion of patients with complex procedures: 115 (52.3%) patients with multivessel coronary artery disease, 50 (22.7%) patients with multilesion procedures, and 60 (21.5%) bifurcation lesions. After 4‐6 hr observation period, 213 of the 220 patients (96.8%) were cleared for discharge. The remaining seven (3.2%) patients were kept overnight for unstable angina (n = 1), atypical chest discomfort (n = 2), puncture site hematoma (n = 1), or non‐cardiovascular reasons (n = 3). Within 24 hr after discharge, no patients experienced readmission, stent occlusion, recurrent ischemia, or local complications. Furthermore, 99% of patients were satisfied with ambulatory management and 85% reported no anxiety. The average non‐procedural cost was lower for ambulatory PCI than conventional PCI (1,230 ± 98 Euros vs. 2,304 ± 1814 Euros, P < 10−6). Conclusions: Ambulatory PCI in patients with stable coronary artery disease is safe, effective, and well accepted by the patients. It may both significantly reduce costs and optimize hospital resource utilization. © 2012 Wiley Periodicals, Inc.

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Section: Pharmacological Treatmentmentioning

confidence: 99%

“…A vasodilating mixture of verapamil (2.5 mg) and isosorbide dinitrate (1 mg) was administered intra-arterially to prevent radial artery spasm. Coronary stenting was performed using standard techniques and according to international guidelines (13). The choice of the PCI strategy was at the operator"s discretion.…”

Section: Pci Proceduresmentioning

confidence: 99%

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Corvoisier

Gellen

Lesault

et al. 2012

Cathet Cardio Intervent

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“…The 2004 coronary artery bypass graft surgery (CABG) guidelines [15] use 50%, and the 2005 PCI guidelines [16] state only that a lesion <50% is not significant. The European Society of Cardiology 2005 stable angina guidelines [17] do not provide a specific definition [16], whereas the European Society of Cardiology PCI guidelines define 50-70% stenosis as ''borderline'' significant [18]. More recent guidelines define significant coronary disease as lesions >70% by angiography, or lesions that are hemodynamically significant by stress testing, fractional flow reserve (FFR), or intravascular ultrasound [19,20].…”

Section: Identification Of Multivessel Coronary Disease Definitions Omentioning

confidence: 99%

Staging of multivessel percutaneous coronary interventions: An expert consensus statement from the Society for Cardiovascular Angiography and Interventions

Blankenship

Moussa

Chambers

et al. 2011

Cathet Cardio Intervent

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Percutaneous coronary interventions (PCIs) to treat multivessel coronary artery disease (MVCAD) may involve single-vessel or multivessel interventions, performed in one or more stages. This consensus statement reviews factors that may influence choice of strategy and includes six recommendations to guide decisions regarding staging of PCI [1]. Every patient who undergoes PCI should receive optimal therapy for coronary disease, ideally before starting the procedure [2]. Multivessel PCI at the time of diagnostic catheterization should be considered only if informed consent included the risks and benefits of multivessel PCI and the risks and benefits of alternative treatments [3]. When considering multivessel PCI, the interventionist should develop a strategy regarding which stenoses to treat or evaluate, and their order, method, and timing. This strategy should maximize patient benefits, minimize patient risk, and consider the factors described in this article [4]. For planned multivessel PCI, additional vessel(s) should be treated only if the first vessel is treated successfully and if anticipated contrast and radiation doses and patient and operator conditions are favorable [5]. After the first stage of the planned multistage PCI, the need for subsequent PCI should be reviewed before it is performed [6]. Third party payers and quality auditors should recognize that multistage PCI for MVCAD is neither an indication of poor quality nor an attempt to increase reimbursement when performed according to recommendations in this article.V C 2011 Wiley Periodicals, Inc.

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“…Percutenous coronary intervention is indicated for the diabetes patients with multivessel disease and in the patients with unprotected left main stenosis. The use of drug-eluting stents might change this situation [69,70]. For myocardial rupture, conservative treatment is not recommended as many patients develop congestive heart failure, cardiogenic shock, and death.…”

Section: Treatmentmentioning

confidence: 99%

Cardiac surgery and hypertension: a dangerous association that must be well known

Yuan¹,

Hua²

2011

Rev Bras Cir Cardiovasc

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It is well-known that hypertension is a very common disease, and severe cerebrovascular accidents might occur if the blood pressure is not properly controlled. However, conditions associated with uncontrolled hypertension may be overlooked, and may become critical and eventually require a surgical intervention on an urgent basis. Coronary artery disease, acute aortic syndrome, congenital and valvular heart disease, and arrhythmias are under this topic of discussion. Of them, coronary artery disease including myocardial infarction and especially postinfarction myocardial rupture, and aortic dissection are major critical situations that physicians may encounter in clinical practice. The role that hypertension plays in these conditions can be complex, including hemodynamic, electrophysiological and biomolecular factors, where the latter may prevail in the current era. Coronary artery disease may be associated with a reduced nitric oxide synthesis. Transforming growth factor and matrix metalloproteinases have been observed in relation to aortic syndrome. Wnt, p38 and JNK signaling pathway may be involved in the development of ventricular hypertrophy responsible for cardiac arrythmias. Various gene phynotypes may present in different congenital heart defects. This article is to present these conditions, and to Cardiac surgery and hypertension: a dangerous association that must be well knownCirurgia cardíaca e hipertensão: uma associação perigosa que deve ser bem conhecida Resumo É sabido que a hipertensão é uma doença muito comum, e que os acidentes cerebrovasculares graves podem ocorrer se a pressão sanguínea não for apropriadamente controlada. Contudo, as condições associadas à hipertensão não controlada podem ser negligenciadas, e tornarem-se críticas, necessitando, eventualmente, uma intervenção cirúrgica urgente. Doença coronariana, síndrome aórtica aguda, cardiopatias congênitas, valvopatias e arritmias são sob este tópico de discussão. Dentre eles, a doença corornariana, inclusive o infarto do miocárdio e especialmente a ruptura cardíaca pós-infarto e a dissecção aórtica, são as situações críticas principais que os médicos podem encontrar na prática clínica. O papel que a hipertensão desempenha nessas condições pode ser complexo, incluindo fatores further discuss the possible etiologies and the potential treatment strategies so as to highlight the relevance at a prognostic level.Descriptors: Cardiac Surgical Procedures. Heart Diseases. Hypertension. YUAN, SM & JING, H -Cardiac surgery and hypertension: a dangerous association that must be well knownRev Bras Cir Cardiovasc 2011;26(2):273-81 vascular tissue associated with increased endocrine and local paracrine effects; 2) the impact of the common risk factors, such as high blood pressure, that exaggerate and accelerate atherosclerotic process; and 3) hemodynamic factors, which may destabilize vascular lesions and precipitate acute events [3].A modest short-term reduction in blood pressure confers a reduction in coronary artery disease events of abou...

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Guidelines for Percutaneous Coronary Interventions: The Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology

Cited by 463 publications

References 0 publications

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Staging of multivessel percutaneous coronary interventions: An expert consensus statement from the Society for Cardiovascular Angiography and Interventions

Cardiac surgery and hypertension: a dangerous association that must be well known

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