000 nab a22 7a 4500
999 _c17080
_d17080
003 PC17080
005 20221121125019.0
008 221121b xxu||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _91233
_aHernández Hernández, Felipe
_eCardiología
245 0 0 _aImmediate and Long-Term Results of Drug-Eluting Stents in Mammary Artery Grafts.
_h[artículo]
260 _bThe American journal of cardiology,
_c2015
300 _a116(11):1695-9.
500 _aFormato Vancouver: Lozano I, Serrador A, López Palop R, Lasa G, Moreu J, Pinar E et al. Immediate and Long-Term Results of Drug-Eluting Stents in Mammary Artery Grafts. Am J Cardiol. 2015 Dec 1;116(11):1695-9.
501 _a PMID: 26433270
504 _aContiene 20 referencias
520 _aPercutaneous intervention of a coronary graft is the treatment of choice when the graft fails. The objective is to report the long-term results of drug-eluting stents (DES) in mammary artery grafts (MAG). Patients who had been treated with DES for MAG in 27 centers were selected. The baseline and procedural clinical data were included prospectively, and the follow-up was performed with the patients, families, and medical records. Two hundred and sixty-eight patients were included: age 65.5 ± 10.1 years, diabetes 47.8%, ejection fraction 55.5 ± 14.9%. Indication: stable angina 28.4%, unstable angina 38.1%, non-ST-elevation myocardial infarction 21.6%, ST-elevation myocardial infarction 5.3%, and heart failure 6.7%; 1.19 ± 0.59 stents/patient were implanted measuring 18.8 ± 8.8 mm in length and 2.68 ± 0.35 mm in diameter. Rapamycin was used in 78 cases (29.1%), paclitaxel in 77 (28.7%), everolimus in 70 (26.1%), zotarolimus in 34 (12.7%), and biolimus in 9 (3.4%). All cases were successful except for 1 in which the patient died 30 minutes after the procedure. There were no other inhospital events. After a follow-up of 41 months (Q25: 23.7 to Q75: 57.8), 24 patients (9%) died of heart-related causes and 20 (7.5%) of noncardiac causes. Repeat revascularization was necessary in 31 cases, and in 1 additional patient, there was total occlusion, which was not treated. These 32 patients represented 11.9% of the total. In conclusion, the implantation of DES in MAG shows very high procedural success and also low long-term event rates.
710 _9119
_aServicio de Cardiología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17080.pdf
_ySolicitar documento
942 _2ddc
_cART
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