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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
11
|
| pubmed:dateCreated |
1997-12-30
|
| pubmed:abstractText |
The success rates of coronary angioplasty for the treatment of chronic total occlusions are less favorable than for coronary stenosis. Therefore, a new laser guidewire (LW) was designed to facilitate the crossing of chronic total occlusions. We report on the results of a European multicenter surveillance study, evaluating the laser guidewire performance. Between May 1994 and July 1996, 345 patients (age 59 +/- 10 years, 291 men) with chronic total occlusions were enrolled in 28 European centers. The median age of occlusion was 29 weeks (range 2 to 884), the occlusion length 19 +/- 10 mm. LW recanalization was successful in 205 patients (59%/). LW perforation occurred in 73 patients (21%), with hemodynamic consequences in 4 (1%). There were no deaths, emergency coronary artery bypass graft surgery, or Q-wave myocardial infarctions. In a multivariate regression analysis an occlusion age of <40 weeks (p = 0.001, RR = 1.34) and an occlusion length <30 mm (p = 0.01, RR = 1.59) were independent predictors of success. Results indicate that the LW is an effective and safe tool in the treatment of chronic total occlusion refractory to conventional guidewires.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0002-9149
|
| pubmed:author |
pubmed-author:Al-KasabS MSM,
pubmed-author:BuchwaldAA,
pubmed-author:CorcosTT,
pubmed-author:FleckEE,
pubmed-author:HamburgerJ NJN,
pubmed-author:HammCC,
pubmed-author:HanrathPP,
pubmed-author:KoolenJ JJJ,
pubmed-author:MarchCC,
pubmed-author:MathewBB,
pubmed-author:PizulliLL,
pubmed-author:ReifartNN,
pubmed-author:RutschWW,
pubmed-author:Scabra-GomesRR,
pubmed-author:SerruysP WPW,
pubmed-author:SievertHH,
pubmed-author:SimonRR,
pubmed-author:TaeymansYY
|
| pubmed:issnType |
Print
|
| pubmed:day |
1
|
| pubmed:volume |
80
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1419-23
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:9399714-Chronic Disease,
pubmed-meshheading:9399714-Coronary Angiography,
pubmed-meshheading:9399714-Coronary Disease,
pubmed-meshheading:9399714-Europe,
pubmed-meshheading:9399714-Female,
pubmed-meshheading:9399714-Follow-Up Studies,
pubmed-meshheading:9399714-Humans,
pubmed-meshheading:9399714-Laser Therapy,
pubmed-meshheading:9399714-Male,
pubmed-meshheading:9399714-Middle Aged,
pubmed-meshheading:9399714-Multivariate Analysis,
pubmed-meshheading:9399714-Myocardial Revascularization,
pubmed-meshheading:9399714-Population Surveillance,
pubmed-meshheading:9399714-Predictive Value of Tests,
pubmed-meshheading:9399714-Retrospective Studies,
pubmed-meshheading:9399714-Safety,
pubmed-meshheading:9399714-Treatment Outcome
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Recanalization of total coronary occlusions using a laser guidewire (the European TOTAL Surveillance Study).
|
| pubmed:affiliation |
Department of Coronary Diagnostics and Intervention, Thoraxcentre, Academic Hospital Dijkzigt, Rotterdam, The Netherlands.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Multicenter Study
|