Combined use of rotational and excimer lASER coronary atherectomy (RASER) during complex coronary angioplasty-An analysis of cases (2006-2016) from the British Cardiovascular Intervention Society database.
| Title: | Combined use of rotational and excimer lASER coronary atherectomy (RASER) during complex coronary angioplasty-An analysis of cases (2006-2016) from the British Cardiovascular Intervention Society database. |
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| Authors: | Protty MB; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Systems Immunity University Research Institute, Cardiff University, Cardiff, UK.; Gallagher S; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Farooq V; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Sharp ASP; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; University of Exeter, Exeter, UK.; Egred M; Cardiothoracic Department, Freeman Hospital, Newcastle University, Newcastle-Upon-Tyne, UK.; O'Kane P; Department of Cardiology, Bournemouth Hospital, Bournemouth, UK.; Kinnaird T; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Keele Cardiovascular Research Group, Institute of Applied Clinical Sciences, University of Keele, Stoke-on-Trent, UK. |
| Source: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2021 Jun 01; Vol. 97 (7), pp. E911-E918. Date of Electronic Publication: 2020 Nov 17. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Wiley-Liss, c1999- |
| MeSH Terms: | Atherectomy, Coronary*/adverse effects ; Coronary Artery Disease*/diagnostic imaging ; Coronary Artery Disease*/surgery ; Percutaneous Coronary Intervention*/adverse effects; Lasers, Excimer/adverse effects ; Humans ; Treatment Outcome |
| Abstract: | Introduction: Combining rotational (RA) and excimer laser coronary atherectomy (ELCA)-RASER atherectomy-is technique utilized in the percutaneous management of calcific coronary disease. The evidence base examining its safety and utility is sparse and limited to small case-series. This study examines the patterns and outcomes of RASER atherectomy use in the largest cohort to date.; Methods: Using the British Cardiac Intervention Society database, data were analyzed on all PCI procedures in the UK between 2006 and 2016. Descriptive statistics and multivariate logistic regressions were used to examine baseline, procedural, and outcome associations with RASER.; Results: We identified 153 (0.02%) RASER atherectomy cases out of 686,358 PCI procedures. Baseline covariates associated with RASER use were age, BMI, diabetes, stable coronary disease, and previous CABG. Procedural co-variates associated with RASER were CTO-PCI, the use of more/longer stents, intravascular imaging, cutting balloons, and microcatheters. Adjusted rates of in-hospital major adverse cardiac/cerebrovascular events (MACCE) were not significantly different with RASER. However, there were higher odds of arterial complications (OR 3.23, 95% CI: 1.58-6.61), slow flow (OR 3.50, 95% CI: 1.29-9.55), and shock induction (OR 9.66, 95% CI: 3.44-27.06).; Conclusions: RASER atherectomy use in complex PCI is associated with higher risk baseline and procedural characteristics. Although increased rates of shock induction, slow flow, and arterial complications were observed, RASER does not increase the likelihood of in-hospital MACCE, major bleeding, or death.; (© 2020 Wiley Periodicals LLC.) |
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| Contributed Indexing: | Keywords: RASER; complications; excimer laser atherectomy; outcomes; percutaneous coronary intervention; rotational atherectomy |
| Entry Date(s): | Date Created: 20201117 Date Completed: 20211011 Latest Revision: 20211011 |
| Update Code: | 20260130 |
| DOI: | 10.1002/ccd.29377 |
| PMID: | 33201601 |
| Database: | MEDLINE |
Journal Article