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CPC 2018
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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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A. Basics
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C. Arrhythmias and Device Therapy
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
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15. Valvular Heart Disease
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20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
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26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
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34. Public Health and Health Economics
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Rotational atherectomy with rotablator system: immediate and long-term results
Session:
CO 06 - Intervenção Coronária
Speaker:
Tiago Mendonça
Congress:
CPC 2018
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
25. Interventional Cardiology
Subtheme:
25.2 Coronary Intervention
Session Type:
Comunicações Orais
FP Number:
---
Authors:
Tiago Mendonça; Ruben Ramos; Tiago Pereira Da Silva; Duarte Cacela; António Fiarresga; Luis Bernardes; Lino Patrício ; Rui Cruz Ferreira
Abstract
<p>Introduction: Percutaneous coronary intervention (PCI) of heavily calcified lesions is associated with low success and high rate of target lesion revascularization (TLR). Rotational atherectomy (RA) facilitates adequate lesion preparation and might improve outcomes in patients treated with drug-eluting stent (DES).</p> <p>Objectives: Our aim was to access the immediate and long-term results of RA with rotablator in calcified lesions in the modern era of DES.</p> <p>Methods: We retrospectively analysed consecutive patients who underwent PCI with RA at our institution from January 2009 to December 2016. Follow up data included all-cause death, stroke, myocardial infarction (MI), re-hospitalization, target lesion revascularization (TLR), target vessel revascularization (TVR), surgical revascularization.</p> <p>Results: 277 patients were included (median age 71.4±9.1 years, 77.9% male), with a total of 317 treated lesions. The most commonly treated artery was the left anterior descending artery (48.6%). RA was performed using the standard Boston Scientific Rotablator system. Single burr was used in 55.1% of patients (mean number of burrs per patient 1.49, mean burr size 1.52mm). Procedural success was 96.3%. 217 patients (78,3%) had complete follow-up (mean time 43.2±23.7 months). One patient had a procedure related death (0.36%). 30-day mortality was 1.4%. TLR was 9.2% during follow up. Major adverse cardiac and cerebrovascular events (MACCE), defined as all cause death, myocardial infarction, TLR or stroke occurred in 41,5% patients.</p> <p>Conclusions: RA followed by stenting is a safe procedure and was achieved with high success rates. Despite the success of PCI, patients have a high risk of cardiac and cerebrovascular events<em>.</em></p>
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