Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Pyxaras, SA; Mangiacapra, F; Wijns, W; Di Serafino, L; De Vroey, F; Toth, G; Sinagra, G; De Bruyne, B; Heyndrickx, GR; Barbato, E.
ACEF and clinical SYNTAX score in the risk stratification of patients with heavily calcified coronary stenosis undergoing rotational atherectomy with stent implantation.
Catheter Cardiovasc Interv. 2014; 83(7):1067-1073
Doi: 10.1002/ccd.25360
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Toth-Gayor Gabor
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- Abstract:
- To assess ACEF (age, creatinine, and ejection fraction) and Clinical SYNTAX (CSS) score in the risk stratification of patients with heavily calcified stenosis undergoing rotational atherectomy with stent implantation (rota-stenting). ACEF and CSS were calculated in 221 consecutive patients with stable angina undergoing rota-stenting. Mean age of the patients was 74 ± 10 years, left ventricular ejection fraction was 61 ± 18%, and final burr size 1.78 ± 0.24 mm, with 2.6 ± 0.9 burrs used for each patient. Primary end-point was MACE at one-year defined as the composite of cardiac death, myocardial infarction, and target vessel revascularization. Post-hoc analysis was performed by stratifying the clinical outcome according to ACEF and CSS tertiles. At 1 year there was a significantly higher MACE rate in the high tertile of ACEF (24% for ACEFHigh vs. 13% for ACEFMid vs. 9% for ACEFLow; P = 0.017) and CSS (25% for CSSHigh vs. 12% for CSSMid vs. 8% for CSSLow; P = 0.008). The predictive accuracy for both ACEF and CSS was moderate (c-statistics, 0.629 and 0.638, respectively). Both ACEF and CSS predict with moderate accuracy MACE at 1-year in patients with heavily calcified coronary stenosis undergoing rotational atherectomy with stent implantation. Copyright © 2014 Wiley Periodicals, Inc.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Atherectomy, Coronary - methods
- Belgium - epidemiology
- Calcinosis - diagnostic imaging
- Calcinosis - surgery
- Coronary Angiography -
- Coronary Artery Disease - diagnostic imaging
- Coronary Artery Disease - physiopathology
- Coronary Artery Disease - surgery
- Coronary Vessels - surgery
- Creatinine - blood
- Female -
- Follow-Up Studies -
- Humans -
- Incidence -
- Male -
- Postoperative Complications - blood
- Postoperative Complications - epidemiology
- Postoperative Complications - physiopathology
- Prognosis -
- Retrospective Studies -
- Risk Assessment - methods
- Risk Factors -
- Severity of Illness Index -
- Stents -
- Stroke Volume -
- Ventricular Function, Left -
- Find related publications in this database (Keywords)
- calcified coronary stenosis
- rotational atherectomy
- ACEF score
- clinical SYNTAX score
- major adverse cardiovascular events