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Filipovic-Pierucci A, Durand-Zaleski I, Butel T, Greene S, Hovasse T, Iñiguez A, Nazzaro MS, Oldroyd KG, Talwar S, Richardt G, Windhovel U, Urban P, Morice MC. Polymer-Free Drug-Coated Coronary Stents Are Cost-Effective in Patients at High Bleeding Risk: Economic Evaluation of the LEADERS FREE Trial. EUROINTERVENTION 2018; 13:1688-1695. [PMID: 28891471 DOI: 10.4244/eij-d-17-00286] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIMS In patients at high risk of bleeding who undergo PCI the biolimus A9 polymer-free drug coated stent (DCS) has superior efficacy and safety compared to a bare metal stent (BMS). We estimated the cost effectiveness of DCS vs. BMS. METHODS AND RESULTS The Leaders FREE-based economic evaluation estimated service use and quality of life data collected prospectively. The entire trial population was analysed using cost-weights from England, France, Germany, Italy, Scotland and Spain. Country-specific QALYs were derived from EQ-5D scores. We estimated cost per event averted and per QALY gained. DCS use resulted in -0.095 cardiac deaths, target vessel MI, stent thrombosis and revascularization per patient (0.152 vs. 0.237;p<0.001). One-year QALYs were non-significantly higher in the DCS group. Total costs for the index admission were similar between groups. One-year costs using cost-weights from each of the 6 countries, including the additional €300 per DCS stent, ranged from €4,664-8,593 for DCS and €4,845-9,742 for BMS and were lower in the DCS group (England:€-428, France:€-137, Germany:€-33, Italy:€-522, Scotland:€-298, Spain:€-854). CONCLUSIONS The probability that DCS dominated BMS was >50% in all countries. At a threshold of €10,000 per event averted DCS had a 98% probability of being cost-effective in all 6 countries.
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Varenne O, Cook S, Sideris G, Kedev S, Cuisset T, Carrié D, Hovasse T, Garot P, El Mahmoud R, Spaulding C, Helft G, Diaz Fernandez JF, Brugaletta S, Pinar-Bermudez E, Mauri Ferre J, Commeau P, Teiger E, Bogaerts K, Sabate M, Morice MC, Sinnaeve PR. Drug-eluting stents in elderly patients with coronary artery disease (SENIOR): a randomised single-blind trial. Lancet 2018; 391:41-50. [PMID: 29102362 DOI: 10.1016/s0140-6736(17)32713-7] [Citation(s) in RCA: 261] [Impact Index Per Article: 43.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 10/11/2017] [Accepted: 10/12/2017] [Indexed: 12/26/2022]
Abstract
BACKGROUND Elderly patients regularly receive bare-metal stents (BMS) instead of drug-eluting stents (DES) to shorten the duration of double antiplatelet therapy (DAPT). The aim of this study was to compare outcomes between these two types of stents with a short duration of DAPT in such patients. METHODS In this randomised single-blind trial, we recruited patients from 44 centres in nine countries. Patients were eligible if they were aged 75 years or older; had stable angina, silent ischaemia, or an acute coronary syndrome; and had at least one coronary artery with a stenosis of at least 70% (≥50% for the left main stem) deemed eligible for percutaneous coronary intervention (PCI). Exclusion criteria were indication for myocardial revascularisation by coronary artery bypass grafting; inability to tolerate, obtain, or comply with DAPT; requirement for additional surgery; non-cardiac comorbidities with a life expectancy of less than 1 year; previous haemorrhagic stroke; allergy to aspirin or P2Y12 inhibitors; contraindication to P2Y12 inhibitors; and silent ischaemia of less than 10% of the left myocardium with a fractional flow reserve of 0·80 or higher. After the intended duration of DAPT was recorded (1 month for patients with stable presentation and 6 months for those with unstable presentation), patients were randomly allocated (1:1) by a central computer system (blocking used with randomly selected block sizes [two, four, eight, or 16]; stratified by site and antiplatelet agent) to either a DES or similar BMS in a single-blind fashion (ie, patients were masked), but those assessing outcomes were masked. The primary outcome was to compare major adverse cardiac and cerebrovascular events (ie, a composite of all-cause mortality, myocardial infarction, stroke, or ischaemia-driven target lesion revascularisation) between groups at 1 year in the intention-to-treat population, assessed at 30 days, 180 days, and 1 year. This trial is registered with ClinicalTrials.gov, number NCT02099617. FINDINGS Between May 21, 2014, and April 16, 2016, we randomly assigned 1200 patients (596 [50%] to the DES group and 604 [50%] to the BMS group). The primary endpoint occurred in 68 (12%) patients in the DES group and 98 (16%) in the BMS group (relative risk [RR] 0·71 [95% CI 0·52-0·94]; p=0·02). Bleeding complications (26 [5%] in the DES group vs 29 [5%] in the BMS group; RR 0·90 [0·51-1·54]; p=0·68) and stent thrombosis (three [1%] vs eight [1%]; RR 0·38 [0·00-1·48]; p=0·13) at 1 year were infrequent in both groups. INTERPRETATION Among elderly patients who have PCI, a DES and a short duration of DAPT are better than BMS and a similar duration of DAPT with respect to the occurrence of all-cause mortality, myocardial infarction, stroke, and ischaemia-driven target lesion revascularisation. A strategy of combination of a DES to reduce the risk of subsequent repeat revascularisations with a short BMS-like DAPT regimen to reduce the risk of bleeding event is an attractive option for elderly patients who have PCI. FUNDING Boston Scientific.
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Affiliation(s)
- Olivier Varenne
- Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France; Cardiology Department, Université Paris Descartes, Sorbonne Paris-Cité, Paris, France.
| | - Stéphane Cook
- Cardiology Department, University and Hospital Fribourg, Fribourg, Switzerland
| | - Georgios Sideris
- Service de Cardiologie-Institut national de la santé et de la recherche médicale U942, Hôpital Lariboisiere, Assistance Publique - Hôpitaux de Paris, Université Paris Diderot, Paris, France
| | - Sasko Kedev
- Cardiology Department, University St Cyril and Methodius, Skopje, Macedonia
| | - Thomas Cuisset
- Département de Cardiologie, Centre hospitalier universitaire Timone, Marseille, France
| | - Didier Carrié
- Service de Cardiologie, Centre hospitalier universitaire Toulouse Rangueil, Université Paul Sabatier, Toulouse, France
| | - Thomas Hovasse
- Institut Cardiovasculaire Paris-Sud, Ramsay Générale de Santé, Massy and Quincy, France
| | - Philippe Garot
- Institut Cardiovasculaire Paris-Sud, Ramsay Générale de Santé, Massy and Quincy, France
| | - Rami El Mahmoud
- Hôpital Ambroise Paré Assistance Publique-Hôpitaux de Paris, Université Versailles-Saint Quentin en Yvelines, Versailles, France
| | - Christian Spaulding
- Service de Cardiologie, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris Descartes University and Sudden Death Expert Center, Institut national de la santé et de la recherche médicale U990, Paris, France
| | - Gérard Helft
- Institut de Cardiologie, Hôpital Pitié-Salpétrière, Assistance Publique-Hôpitaux de Paris, Université Pierre et Marie Curie et Institut hospitalo-universitaire, Institute of Cardiometabolism and Nutrition, Hôpital Pitié-Salpétrière, Paris, France
| | | | - Salvatore Brugaletta
- Cardiovascular Institute, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain
| | | | | | - Philippe Commeau
- Département de Cardiologie Interventionnelle, Polyclinique Les Fleurs, Ollioules, France
| | - Emmanuel Teiger
- Service de Cardiologie, Hôpital Henri Mondor Assistance Publique-Hôpitaux de Paris, Université Paris Est Créteil, Créteil, France
| | - Kris Bogaerts
- Interuniversity Institute for Biostatistics and Statistical Bioinformatics (I-BioStat), Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium; Interuniversity Institute for Biostatistics and Statistical Bioinformatics (I-BioStat), University Hasselt, Hasselt, Belgium
| | - Manel Sabate
- Interventional Cardiology Unit, Cardiovascular Institute, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain
| | | | - Peter R Sinnaeve
- Department of Cardiovascular Medicine, University Hospitals Leuven, Leuven, Belgium
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153
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Akodad M, Morice MC. Current treatment of significant left main coronary artery disease: A review. Trends Cardiovasc Med 2018; 28:357-364. [PMID: 29336945 DOI: 10.1016/j.tcm.2017.12.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 12/28/2017] [Accepted: 12/29/2017] [Indexed: 11/28/2022]
Abstract
Though infrequent, left main stenosis has a major prognostic impact. The management of left main disease has evolved over the last few decades with the growing evidence of the efficacy and safety of percutaneous interventions, as attested by the most recent trials. However, mastery of the technical aspects of left main bifurcation stenting is essential in ensuring optimal results. This review focuses on recent data concerning left main angioplasty results as well as the current technical approaches.
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Affiliation(s)
- Mariama Akodad
- Interventional Cardiology Department, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Marie-Claude Morice
- Interventional Cardiology Department, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France.
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154
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Chandrasekhar J, Baber U, Sartori S, Stefanini GG, Sarin M, Vogel B, Farhan S, Camenzind E, Leon MB, Stone GW, Serruys PW, Wijns W, Steg PG, Weisz G, Chieffo A, Kastrati A, Windecker S, Morice MC, Smits PC, von Birgelen C, Mikhail GW, Itchhaporia D, Mehta L, Kim HS, Valgimigli M, Jeger RV, Kimura T, Galatius S, Kandzari D, Dangas G, Mehran R. Effect of Increasing Stent Length on 3-Year Clinical Outcomes in Women Undergoing Percutaneous Coronary Intervention With New-Generation Drug-Eluting Stents. JACC Cardiovasc Interv 2018; 11:53-65. [DOI: 10.1016/j.jcin.2017.11.020] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 11/16/2017] [Accepted: 11/17/2017] [Indexed: 12/27/2022]
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155
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Baron SJ, Chinnakondepalli K, Magnuson EA, Kandzari DE, Puskas JD, Ben-Yehuda O, van Es GA, Taggart DP, Morice MC, Lembo NJ, Brown WM, Banning A, Simonton CA, Kappetein AP, Sabik JF, Serruys PW, Stone GW, Cohen DJ. Quality-of-Life After Everolimus-Eluting Stents or Bypass Surgery for Left-Main Disease. J Am Coll Cardiol 2017; 70:3113-3122. [DOI: 10.1016/j.jacc.2017.10.036] [Citation(s) in RCA: 56] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 10/05/2017] [Accepted: 10/17/2017] [Indexed: 11/29/2022]
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156
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Palmerini T, Della Riva D, Benedetto U, Bacchi Reggiani L, Feres F, Abizaid A, Gilard M, Morice MC, Valgimigli M, Hong MK, Kim BK, Jang Y, Kim HS, Park KW, Colombo A, Chieffo A, Sangiorgi D, Biondi-Zoccai G, Généreux P, Angelini GD, Pufulete M, White J, Bhatt DL, Stone GW. Three, six, or twelve months of dual antiplatelet therapy after DES implantation in patients with or without acute coronary syndromes: an individual patient data pairwise and network meta-analysis of six randomized trials and 11 473 patients. Eur Heart J 2017; 38:1034-1043. [PMID: 28110296 DOI: 10.1093/eurheartj/ehw627] [Citation(s) in RCA: 57] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 12/06/2016] [Indexed: 02/05/2023] Open
Abstract
Aim We sought to determine whether the optimal dual antiplatelet therapy (DAPT) duration after drug-eluting stent (DES) placement varies according to clinical presentation. Methods and Results We performed an individual patient data pairwise and network meta-analysis comparing short-term (≤6-months) versus long-term (1-year) DAPT as well as 3-month vs. 6-month vs 1-year DAPT. The primary study outcome was the 1-year composite risk of myocardial infarction (MI) or definite/probable stent thrombosis (ST). Six trials were included in which DAPT after DES consisted of aspirin and clopidogrel. Among 11 473 randomized patients 6714 (58.5%) had stable CAD and 4758 (41.5%) presented with acute coronary syndrome (ACS), the majority of whom (67.0%) had unstable angina. In ACS patients, ≤6-month DAPT was associated with non-significantly higher 1-year rates of MI or ST compared with 1-year DAPT (Hazard Ratio (HR) 1.48, 95% Confidence interval (CI) 0.98-2.22; P = 0.059), whereas in stable patients rates of MI and ST were similar between the two DAPT strategies (HR 0.93, 95%CI 0.65-1.35; P = 0.71; Pinteraction = 0.09). By network meta-analysis, 3-month DAPT, but not 6-month DAPT, was associated with higher rates of MI or ST in ACS, whereas no significant differences were apparent in stable patients. Short DAPT was associated with lower rates of major bleeding compared with 1-year DAPT, irrespective of clinical presentation. All-cause mortality was not significantly different with short vs. long DAPT in both patients with stable CAD and ACS. Conclusions Optimal DAPT duration after DES differs according to clinical presentation. In the present meta-analysis, despite the fact that most enrolled ACS patients were relatively low risk, 3-month DAPT was associated with increased ischaemic risk, whereas 3-month DAPT appeared safe in stable CAD. Prolonged DAPT increases bleeding regardless of clinical presentation. Further study is required to identify the optimal duration of DAPT after DES in individual patients based on their relative ischaemic and bleeding risks.
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Affiliation(s)
- Tullio Palmerini
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Italy
| | - Diego Della Riva
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Italy
| | - Umberto Benedetto
- Bristol Heart Institute, University of Bristol School of Clinical Sciences, Bristol, Bristol, UK
| | | | - Fausto Feres
- Istituto Dante Pazzanese de Cardiologia, Sao Paulo, Brazil
| | | | - Martine Gilard
- Department of Cardiology, Brest University, Brest, France
| | | | | | - Myeong-Ki Hong
- Severance Cardiovascular Hospital and Science Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Byeong-Keuk Kim
- Severance Cardiovascular Hospital and Science Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Yangsoo Jang
- Severance Cardiovascular Hospital and Science Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Hyo-Soo Kim
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Kyung Woo Park
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | | | | | - Diego Sangiorgi
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Italy
| | - Giuseppe Biondi-Zoccai
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, and Department of AngioCardioNeurology, IRCCS Neuromed, Pozzilli, Italy
| | - Philippe Généreux
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, NY
| | - Gianni D Angelini
- Bristol Heart Institute, University of Bristol School of Clinical Sciences, Bristol, Bristol, UK
| | - Maria Pufulete
- Bristol Heart Institute, University of Bristol School of Clinical Sciences, Bristol, Bristol, UK
| | - Jonathon White
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, NY
| | - Deepak L Bhatt
- Brigham and Women's Hospital Heart & Vascular Center and Harvard Medical School, Boston, MA
| | - Gregg W Stone
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, NY
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157
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Arai T, Romano M, Lefèvre T, Hovasse T, Farge A, Le Houerou D, Hayashida K, Watanabe Y, Garot P, Benamer H, Unterseeh T, Bouvier E, Morice MC, Chevalier B. Direct Comparison of Feasibility and Safety of Transfemoral Versus Transaortic Versus Transapical Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv 2017; 9:2320-2325. [PMID: 27884356 DOI: 10.1016/j.jcin.2016.08.009] [Citation(s) in RCA: 62] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Revised: 08/10/2016] [Accepted: 08/11/2016] [Indexed: 11/17/2022]
Abstract
OBJECTIVES The aim of this study was to compare outcomes among transfemoral (TF), transaortic (TAo), and transapical (TA) transcatheter aortic valve replacement (TAVR). BACKGROUND Very few studies have investigated the differences among TF, TAo, and TA TAVR in terms of safety and feasibility. METHODS Between January 2011 and December 2014, 467 consecutive cases of TF TAVR, 289 cases of TAo TAVR, and 42 cases of TA TAVR were analyzed. Baseline characteristics, procedural characteristics, and outcomes were compared between TF and TAo and between TAo and TA approaches. RESULTS Balloon-expandable prostheses were used in 320 cases of TF TAVR (69%), 209 cases of TAo TAVR (72%), and all cases of TA TAVR. The remaining cases were performed using self-expandable prostheses. Patient age and Society of Thoracic Surgeons score were similar (83.8 years vs. 83.7 years vs. 81.3 years and 6.2% vs. 5.8% vs. 7.1%) among all groups. Although nonsignificant, a trend toward lower 30-day mortality (5% vs. 9%; p = 0.057) was observed with TF TAVR compared with TAo TAVR. Kaplan-Meier analysis revealed a trend toward a higher 1-year survival rate (log-rank p = 0.067) with TF TAVR compared with TAo TAVR. There was no significant difference in 30-day mortality between TAo and TA TAVR (9% vs. 14%; p = 0.283). Kaplan-Meier analysis revealed a trend toward a higher 1-year survival rate (log-rank p = 0.154) with TAo TAVR compared with TA TAVR. CONCLUSIONS Although the 30-day mortality and 1-year survival rates were similar between TF and TAo TAVR patients, a trend in favor of the TF approach was observed. In addition, the TAo approach can be considered as an alternative to the TA approach when the TF approach seems unsuitable.
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Affiliation(s)
- Takahide Arai
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Mauro Romano
- Department of Cardiovascular Surgery and Transcatheter Heart and Vascular Therapies, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Thierry Lefèvre
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France.
| | - Thomas Hovasse
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Arnaud Farge
- Department of Cardiovascular Surgery and Transcatheter Heart and Vascular Therapies, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Daniel Le Houerou
- Department of Cardiovascular Surgery and Transcatheter Heart and Vascular Therapies, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Kentaro Hayashida
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France; Department of Cardiology, Keio University School of Medicine, Tokyo, Japan
| | - Yusuke Watanabe
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France; Department of Cardiology, Teikyo University School of Medicine, Tokyo, Japan
| | - Philippe Garot
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Hakim Benamer
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Thierry Unterseeh
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Erik Bouvier
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Marie-Claude Morice
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Bernard Chevalier
- Department of Interventional Cardiology, Hopital Privé Jacques Cartier, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France
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158
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Capodanno D, Gargiulo G, Buccheri S, Chieffo A, Meliga E, Latib A, Park SJ, Onuma Y, Capranzano P, Valgimigli M, Narbute I, Makkar RR, Palacios IF, Kim YH, Buszman PE, Chakravarty T, Sheiban I, Mehran R, Naber C, Margey R, Agnihotri A, Marra S, Leon MB, Moses JW, Fajadet J, Lefèvre T, Morice MC, Erglis A, Alfieri O, Serruys PW, Colombo A, Tamburino C. Computing Methods for Composite Clinical Endpoints in Unprotected Left Main Coronary Artery Revascularization: A Post Hoc Analysis of the DELTA Registry. JACC Cardiovasc Interv 2017; 9:2280-2288. [PMID: 27884354 DOI: 10.1016/j.jcin.2016.08.025] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Revised: 07/25/2016] [Accepted: 08/17/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The study sought to investigate the impact of different computing methods for composite endpoints other than time-to-event (TTE) statistics in a large, multicenter registry of unprotected left main coronary artery (ULMCA) disease. BACKGROUND TTE statistics for composite outcome measures used in ULMCA studies consider only the first event, and all the contributory outcomes are handled as if of equal importance. METHODS The TTE, Andersen-Gill, win ratio (WR), competing risk, and weighted composite endpoint (WCE) computing methods were applied to ULMCA patients revascularized by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) at 14 international centers. RESULTS At a median follow-up of 1,295 days (interquartile range: 928 to 1,713 days), all analyses showed no difference in combinations of death, myocardial infarction, and cerebrovascular accident between PCI and CABG. When target vessel revascularization was incorporated in the composite endpoint, the TTE (p = 0.03), Andersen-Gill (p = 0.04), WR (p = 0.025), and competing risk (p < 0.001) computing methods showed CABG to be significantly superior to PCI in the analysis of 1,204 propensity-matched patients, whereas incorporating the clinical relevance of the component endpoints using WCE resulted in marked attenuation of the treatment effect of CABG, with loss of significance for the difference between revascularization strategies (p = 0.10). CONCLUSIONS In a large study of ULMCA revascularization, incorporating the clinical relevance of the individual outcomes resulted in sensibly different findings as compared with the conventional TTE approach. In particular, using the WCE computing method, PCI and CABG were no longer significantly different with respect to the composite of death, myocardial infarction, cerebrovascular accident, or target vessel revascularization at a median of 3 years.
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Affiliation(s)
- Davide Capodanno
- Cardio-Thoracic-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy.
| | - Giuseppe Gargiulo
- Cardio-Thoracic-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy; Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy
| | - Sergio Buccheri
- Cardio-Thoracic-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Alaide Chieffo
- Department of Cardio-Thoracic and Vascular Diseases, San Raffaele Scientific Institute, Milan, Italy
| | - Emanuele Meliga
- Interventional Cardiology Unit, A. O. Ordine Mauriziano Umberto I, Turin, Italy
| | - Azeem Latib
- Department of Cardio-Thoracic and Vascular Diseases, San Raffaele Scientific Institute, Milan, Italy
| | - Seung-Jung Park
- Department of Cardiology, Center for Medical Research and Information, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea
| | - Yoshinobu Onuma
- Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Piera Capranzano
- Cardio-Thoracic-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | | | - Inga Narbute
- Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, and Institute of Cardiology, University of Latvia, Riga, Latvia
| | - Raj R Makkar
- Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | - Igor F Palacios
- Cardiac Catheterization Laboratory, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
| | - Young-Hak Kim
- Department of Cardiology, Center for Medical Research and Information, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea
| | - Pawel E Buszman
- Center for Cardiovascular Research and Development of American Heart of Poland, Katowice, Poland
| | - Tarun Chakravarty
- Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | - Imad Sheiban
- Interventional Cardiology, Division of Cardiology, University of Turin, S. Giovanni Battista Molinette Hospital, Turin, Italy
| | | | - Christoph Naber
- Klinik für Kardiologie und Angiologie, Elisabeth-Krankenhaus, Essen, Germany
| | - Ronan Margey
- Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | - Arvind Agnihotri
- Cardiac Catheterization Laboratory, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
| | - Sebastiano Marra
- Interventional Cardiology, Division of Cardiology, University of Turin, S. Giovanni Battista Molinette Hospital, Turin, Italy
| | - Martin B Leon
- Columbia University Medical Center and Cardiovascular Research Foundation, New York, New York
| | - Jeffrey W Moses
- Columbia University Medical Center and Cardiovascular Research Foundation, New York, New York
| | | | - Thierry Lefèvre
- Hopital privé Jacques Cartier, Ramsay Générale de Santé, Massy, France
| | | | - Andrejs Erglis
- Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, and Institute of Cardiology, University of Latvia, Riga, Latvia
| | - Ottavio Alfieri
- Department of Cardio-Thoracic and Vascular Diseases, San Raffaele Scientific Institute, Milan, Italy
| | | | - Antonio Colombo
- Department of Cardio-Thoracic and Vascular Diseases, San Raffaele Scientific Institute, Milan, Italy
| | - Corrado Tamburino
- Cardio-Thoracic-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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Kandzari D, Gershlick A, Serruys P, Leon M, Morice MC, Lembo N, Banning A, van Boven A, Ungi I, Kappetein AP, Sabik J, Dressler O, Stone G. TCT-83 Provisional vs. Planned Two-stent Technique in Patients with Distal Bifurcation Left Main Disease Undergoing PCI: The EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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160
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Chen S, Redfors B, Liu Y, Ben-Yehuda O, Morice MC, Leon M, Kandzari D, Mehran R, Lembo N, Banning A, Kappetein AP, Sabik J, Serruys P, Stone G. TCT-196 Outcomes of Radial Compared with Femoral Artery Access in Patients Undergoing PCI for Left Main Disease: Analysis from the EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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161
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Urban P, Gregson J, Lurz P, Chevalier B, Morice MC, Lipiecki J, Neumann FJ, Lee S, Erglis A, Greene S, Pocock S. TCT-545 Individualizing DAPT Duration after Coronary Stenting for Patients at High Bleeding Risk – The LEADERS FREE trade-off score. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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162
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Chen S, Ben-Yehuda O, McAndrew T, Kosmidou I, Redfors B, Morice MC, Kandzari D, Banning A, Dressler O, Leon M, Kappetein AP, Sabik J, Serruys P, Stone G. TCT-79 What Biomarker Threshold for Periprocedural Myocardial Infarction Following PCI and CABG in Left Main Disease is Prognostically Relevant? Analysis from the EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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163
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Giustino G, Sabik J, Redfors B, Milojevic M, Serruys P, Kandzari D, Morice MC, Gershlick A, Genereux P, Dressler O, Zhang Z, Mehran R, Kappetein AP, Stone G. TCT-178 Everolimus-Eluting Stents versus Coronary Artery Bypass Graft Surgery for Left Main Coronary Artery Disease in Patients with and without Chronic Kidney Disease. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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164
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Serruys P, Collet C, Onuma Y, Morel MA, Dressler O, Zhang Y, Leon M, Morice MC, Genereux P, Kandzari D, Kappetein AP, Sabik J, Stone G. TCT-221 Treatment Recommendations Based on SYNTAX Score II and Observed 3-year Mortality in the EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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165
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Mehilli J, Chieffo A, Petronio AS, Chandrasekhar J, Sartori S, Lefevre T, Capranzano P, Tchetche D, Iadanza A, Sardella G, Van Mieghem N, Dumonteil N, Fraccaro C, Trabattoni D, Mikhail G, Sharma S, Ferrer Gracia MC, Kievit P, Baber U, Snyder C, Sharma M, Morice MC, Mehran R. TCT-117 Impact of Discharge Location After Transcatheter Aortic Valve Replacement On 1-Year Outcomes In Women: Results From The WIN-TAVI Registry. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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166
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Kosmidou I, Kappetein AP, Serruys P, Gersh B, Kandzari D, Morice MC, Bochenek A, Schampaert E, Page P, Sabik J, McAndrew T, Stone G. TCT-80 Incidence, Predictors, and Outcomes of New-Onset Atrial Fibrillation and Flutter After PCI or CABG for Left Main Disease: Analysis From the EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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167
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Kandzari D, Gershlick A, Serruys P, Leon M, Morice MC, Lembo N, Banning A, Mansour S, Sabate M, Sabik J, Kappetein AP, Dressler O, Stone G. TCT-84 Procedural Strategy and Clinical Outcomes in Patients Undergoing PCI for Left Main Trifurcation Disease: The EXCEL trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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168
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Collet C, Stone G, Lembo N, Banning A, Leon M, Morice MC, Kandzari D, Stables R, Liu Y, Dressler O, Sabik J, Kappetein AP, Serruys P. TCT-82 Impact of Staging Percutaneous Coronary Intervention in Left Main Artery Disease: Insights From the EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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169
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Sawaya FJ, Lefèvre T, Chevalier B, Garot P, Hovasse T, Morice MC, Rab T, Louvard Y. Contemporary Approach to Coronary Bifurcation Lesion Treatment. JACC Cardiovasc Interv 2017; 9:1861-78. [PMID: 27659563 DOI: 10.1016/j.jcin.2016.06.056] [Citation(s) in RCA: 94] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 06/15/2016] [Accepted: 06/23/2016] [Indexed: 12/22/2022]
Abstract
Coronary bifurcations are frequent and account for approximately 20% of all percutaneous coronary interventions. Nonetheless, they remain one of the most challenging lesion subsets in interventional cardiology in terms of a lower procedural success rate and increased rates of long-term adverse cardiac events. Provisional side branch stenting should be the default approach in the majority of cases and we propose easily applicable and reproducible stepwise techniques associated with low risk of failure and complications.
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Affiliation(s)
- Fadi J Sawaya
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France
| | - Thierry Lefèvre
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France
| | - Bernard Chevalier
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France
| | - Phillipe Garot
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France
| | - Thomas Hovasse
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France
| | - Marie-Claude Morice
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France
| | - Tanveer Rab
- Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
| | - Yves Louvard
- Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France.
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170
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Roy A, Chevalier B, Lefèvre T, Louvard Y, Segurado R, Sawaya F, Spaziano M, Neylon A, Serruys P, Dawkins K, Kappetein AP, Mohr FW, Colombo A, Feldman T, Morice MC. Does geographical variability influence five-year MACCE rates in the multicentre SYNTAX revascularisation trial? EUROINTERVENTION 2017; 13:828-834. [DOI: 10.4244/eij-d-16-00991] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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171
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Morice MC, Talwar S, Gaemperli O, Richardt G, Eberli F, Meredith I, Zaman A, Fajadet J, Copt S, Greene S, Urban P. Drug-coated versus bare-metal stents for elderly patients: A predefined sub-study of the LEADERS FREE trial. Int J Cardiol 2017; 243:110-115. [DOI: 10.1016/j.ijcard.2017.04.079] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Revised: 04/20/2017] [Accepted: 04/24/2017] [Indexed: 02/03/2023]
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172
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Kappetein AP, Serruys PW, Sabik JF, Leon MB, Taggart DP, Morice MC, Gersh BJ, Pocock SJ, Cohen DJ, Wallentin L, Ben-Yehuda O, van Es GA, Simonton CA, Stone GW. Design and rationale for a randomised comparison of everolimus-eluting stents and coronary artery bypass graft surgery in selected patients with left main coronary artery disease: the EXCEL trial. EUROINTERVENTION 2017; 12:861-72. [PMID: 27639738 DOI: 10.4244/eijv12i7a141] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIMS Coronary artery bypass graft (CABG) surgery is the standard of care for revascularisation of patients with left main coronary artery disease (LMCAD). Recent studies have suggested that percutaneous coronary intervention (PCI) with drug-eluting stents (DES) may provide comparable outcomes in selected patients with LMCAD without extensive CAD. We therefore designed a trial to investigate whether PCI with XIENCE cobalt-chromium everolimus-eluting stents (CoCr-EES) would result in non-inferior or superior clinical outcomes to CABG in selected patients with LMCAD. METHODS AND RESULTS The Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) trial is a prospective, open-label, multicentre, international study of 1,900 randomised subjects. Patients with significant LMCAD with a SYNTAX score ≤32 and local Heart Team consensus that the subject is appropriate for revascularisation by both PCI and CABG are consented and randomised 1:1 to undergo PCI using CoCr-EES or CABG. All patients undergo follow-up for five years. The primary endpoint is the three-year composite rate of death, stroke or myocardial infarction, assessed at a median follow-up of at least three years (with at least two-year follow-up in all patients), powered for sequential non-inferiority and superiority testing. CONCLUSIONS The EXCEL study will define the contemporary roles of CABG and PCI using XIENCE CoCr-EES in patients with LMCAD disease with low and intermediate SYNTAX scores.
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Affiliation(s)
- Arie Pieter Kappetein
- Department of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
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173
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Franzone A, Zaugg S, Piccolo R, Modena MG, Mikhail GW, Ferré JM, Strasser R, Grinfeld L, Heg D, Jüni P, Windecker S, Morice MC. A randomized multicenter trial comparing the XIENCE everolimus eluting stent with the CYPHER sirolimus eluting stent in the treatment of female patients with de novo coronary artery lesions: The SPIRIT WOMEN study. PLoS One 2017; 12:e0182632. [PMID: 28796809 PMCID: PMC5552121 DOI: 10.1371/journal.pone.0182632] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Accepted: 07/20/2017] [Indexed: 11/22/2022] Open
Abstract
Background The comparative performance of different drug-eluting stents (DES) among female patients has not been assessed in a randomized manner. Objectives The SPIRIT Women Clinical Evaluation trial compared the durable polymer everolimus-eluting XIENCE stent (DP-EES) with the durable polymer sirolimus-eluting Cypher stent (DP-SES) in women undergoing percutaneous coronary intervention (PCI). Methods A total of 455 female patients with stable CAD were randomly assigned to receive DP-EES (n = 304) or DP-SES (n = 151). The powered angiographic outcome of the trial was in-stent late lumen loss (LLL) at 9 months after the index procedure. Secondary angiographic end points included in-segment LLL, in-stent and in-segment binary restenosis and percent diameter stenosis. The primary clinical outcome was a composite of all-cause death, myocardial infarction (MI) or target vessel revascularization (TVR). Results At 9-month follow-up, in-stent LLL was 0.19±0.38 mm and 0.11±0.37 mm in patients assigned to DP-EES and DP-SES, respectively. The one-sided upper 95% CI of the difference in in-stent LLL between the groups of 0.08 mm was 0.15 and therefore within the pre-specified non-inferiority margin of 0.17 mm (p for non-inferiority = 0.013). However, the test for superiority showed a borderline significant difference in terms of LLL between DP-EES and DP-SES (p for superiority = 0.044). There were no significant differences in binary restenosis (2.0% vs. 0.72%, p = 0.44) and percent diameter stenosis (14.97±12.17 vs. 13.36±10.82, p = 0.19). The rate of definite stent thrombosis at 12 months was lower in patients treated with DP-EES (0% vs. 2.0%, p = 0.036). Conclusions Among women undergoing PCI, DP-EES was associated with a small but probably clinically relevant increase in in-stent LLL at 9 months as compared to DP-SES and with a lower risk of definite stent thrombosis at 12 months. Trial registration ClinicalTrials.gov NCT01182428. https://clinicaltrials.gov/
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Affiliation(s)
- Anna Franzone
- Department of Cardiology, Bern University Hospital, Bern, Switzerland
| | - Serge Zaugg
- Clinical Trials Unit, Department of Clinical Research, University of Bern, Bern, Switzerland
| | - Raffaele Piccolo
- Department of Cardiology, Bern University Hospital, Bern, Switzerland
| | - Maria Grazia Modena
- Institute of Cardiology, Policlinico Hospital, University of Modena and Reggio Emilia, Modena, Italy
| | | | - Josepa Mauri Ferré
- Hospital Germans Trias I Pujol, Invasive Cardiology Unit, Badalona, Spain
| | - Ruth Strasser
- University of Dresden, Department of Internal Medicine and Cardiology, Heart Centre, University Hospital, Dresden, Germany
| | - Liliana Grinfeld
- Hospital Italiano, Invasive Cardiology Unit, Buenos Aires, Argentina
| | - Dik Heg
- Clinical Trials Unit, Department of Clinical Research, University of Bern, Bern, Switzerland
- Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
| | - Peter Jüni
- Applied Health Research Centre (AHRC), Li Ka Shing Knowledge Institute of St. Michael’s Hospital, Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
- * E-mail:
| | - Stephan Windecker
- Department of Cardiology, Bern University Hospital, Bern, Switzerland
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174
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Carrié D, Menown I, Oldroyd K, Copt S, Talwar S, Maillard L, Morice MC, Teik LS, Lang I, Urban P. Safety and Efficacy of Polymer-Free Biolimus A9–Coated Versus Bare-Metal Stents in Orally Anticoagulated Patients. JACC Cardiovasc Interv 2017; 10:1633-1642. [DOI: 10.1016/j.jcin.2017.05.033] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Revised: 04/27/2017] [Accepted: 05/18/2017] [Indexed: 10/19/2022]
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175
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Palmerini T, Bacchi Reggiani L, Della Riva D, Romanello M, Feres F, Abizaid A, Gilard M, Morice MC, Valgimigli M, Hong MK, Kim BK, Jang Y, Kim HS, Park KW, Colombo A, Chieffo A, Ahn JM, Park SJ, Schüpke S, Kastrati A, Montalescot G, Steg PG, Diallo A, Vicaut E, Helft G, Biondi-Zoccai G, Xu B, Han Y, Genereux P, Bhatt DL, Stone GW. Bleeding-Related Deaths in Relation to the Duration of Dual-Antiplatelet Therapy After Coronary Stenting. J Am Coll Cardiol 2017; 69:2011-2022. [PMID: 28427576 DOI: 10.1016/j.jacc.2017.02.029] [Citation(s) in RCA: 96] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 01/25/2017] [Accepted: 02/10/2017] [Indexed: 02/08/2023]
Abstract
BACKGROUND Although some randomized controlled trials (RCTs) and meta-analyses have suggested that prolonged dual-antiplatelet therapy (DAPT) may be associated with increased mortality, the mechanistic underpinnings of this association remain unclear. OBJECTIVES The aim of this study was to analyze the associations among bleeding, mortality, and DAPT duration after drug-eluting stent implantation in a meta-analysis of RCTs. METHODS RCTs comparing different DAPT durations after drug-eluting stent placement were sought through the MEDLINE, Embase, and Cochrane databases and the proceedings of international meetings. Deaths were considered possibly bleeding related if occurring within 1 year of the episodes of bleeding. Primary analysis was by intention-to-treat. Secondary analysis was performed in a modified intention-to-treat population in which events occurring when all patients were on DAPT were excluded. RESULTS Individual patient data were obtained for 6 RCTs, and aggregate data were available for 12 RCTs. Patients with bleeding had significantly higher rates of mortality compared with those without, and in a time-adjusted multivariate analysis, bleeding was an independent predictor of mortality occurring within 1 year of the bleeding episode (hazard ratio: 6.93; 95% confidence interval: 4.53 to 10.60; p < 0.0001). Shorter DAPT was associated with lower rates of all-cause death compared with longer DAPT (hazard ratio: 0.85; 95% confidence interval: 0.73 to 1.00; p = 0.05), which was driven by lower rates of bleeding-related deaths with shorter DAPT compared with prolonged DAPT (hazard ratio: 0.65; 95% confidence interval: 0.43 to 0.99; p = 0.04). Mortality unrelated to bleeding was comparable between the 2 groups. Similar results were apparent in the modified intention-to-treat population. CONCLUSIONS Bleeding was strongly associated with the occurrence of mortality within 1 year after the bleeding event. Shorter compared with longer DAPT was associated with lower risk for bleeding-related death, a finding that may underlie the lower all-cause mortality with shorter DAPT in the RCTs of different DAPT durations after DES.
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Affiliation(s)
- Tullio Palmerini
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Bologna, Italy
| | | | - Diego Della Riva
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Bologna, Italy
| | - Mattia Romanello
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Bologna, Italy
| | - Fausto Feres
- Istituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | | | - Martine Gilard
- Department of Cardiology, Brest University, Brest, France
| | | | | | - Myeong-Ki Hong
- Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea
| | - Byeong-Keuk Kim
- Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea
| | - Yangsoo Jang
- Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea
| | - Hyo-Soo Kim
- Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea
| | - Kyung Woo Park
- Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea
| | | | | | - Jung-Min Ahn
- The Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea
| | - Seung-Jung Park
- The Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea
| | - Stefanie Schüpke
- ISAResearch Center, Deutsches Herzzentrum and Deutsches Zentrum für Herz-Kreislauf-Forschung, partner site Munich Heart Alliance, Munich, Germany
| | - Adnan Kastrati
- ISAResearch Center, Deutsches Herzzentrum and Deutsches Zentrum für Herz-Kreislauf-Forschung, partner site Munich Heart Alliance, Munich, Germany
| | - Gilles Montalescot
- Sorbonne Université-Paris 6, ACTION Study Group, Institut de Cardiologie, Centre Hospitalier Universitaire Pitié-Salpêtrière, Paris, France
| | | | - Abdourahmane Diallo
- Unité de Recherche Clinique Lariboisière Saint-Louis Hôpital Fernand Widal, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Eric Vicaut
- Unité de Recherche Clinique Lariboisière Saint-Louis Hôpital Fernand Widal, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Gerard Helft
- Institut de Cardiologie, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Giuseppe Biondi-Zoccai
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, and Department of AngioCardioNeurology, IRCCS Neuromed, Pozzilli, Italy
| | - Bo Xu
- Catheterization Laboratory, Fu Wai Hospital, National Center for Cardiovascular Diseases, Beijing, China
| | - Yaling Han
- Department of Cardiology, General Hospital of Shenyang Military Region, Shenyang, China
| | - Philippe Genereux
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, New York
| | - Deepak L Bhatt
- Brigham and Women's Hospital Heart and Vascular Center and Harvard Medical School, Boston, Massachusetts
| | - Gregg W Stone
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, New York.
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Milojevic M, Head SJ, Mack MJ, Mohr FW, Morice MC, Dawkins KD, Holmes DR, Serruys PW, Kappetein AP. Influence of practice patterns on outcome among countries enrolled in the SYNTAX trial: 5-year results between percutaneous coronary intervention and coronary artery bypass grafting†. Eur J Cardiothorac Surg 2017; 52:445-453. [DOI: 10.1093/ejcts/ezx104] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 03/06/2017] [Indexed: 12/27/2022] Open
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Capranzano P, Kunadian V, Mauri J, Petronio AS, Salvatella N, Appelman Y, Gilard M, Mikhail GW, Schüpke S, Radu MD, Vaquerizo B, Presbitero P, Morice MC, Mehilli J. Motivations for and barriers to choosing an interventional cardiology career path: results from the EAPCI Women Committee worldwide survey. EUROINTERVENTION 2017; 12:53-9. [PMID: 26151955 DOI: 10.4244/eijy15m07_03] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIMS Very few women become interventional cardiologists, although a substantial proportion of cardiologists and the majority of medical students are women. In accordance with the EAPCI Women Committee mission of attaining gender equality at the professional level, a worldwide survey was recently conducted aiming to understand better the motivations and the barriers for women in selecting interventional cardiology (IC) as a career path. METHODS AND RESULTS A total of 1,787 individuals (60.7% women) responded to the survey. Women compared to men were less frequently married (women vs. men, 57.0% vs. 79.8%, p<0.001) and more frequently childless (46.6% vs. 20.5%, p<0.002). The most prevalent reason for choosing IC was passion (83.3% vs. 76.1%, p=0.12), while those for not choosing were, sequentially, lack of opportunity (29.0% vs. 45.7%), radiation concerns (19.9% vs. 11.6%) and preference (16.2% vs. 29.5%), p<0.001. According to 652 men replying to why, in their opinion, women do not choose IC, on-calls and long working hours were the most frequent reasons (35.3%). CONCLUSIONS Several barriers preclude women from choosing IC, including lack of opportunity, concerns regarding radiation exposure and the prejudices of their male colleagues. This highlights the need to develop new strategies for future training, education, and support of women in order to choose IC.
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Affiliation(s)
- Piera Capranzano
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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Sotomi Y, Onuma Y, Cavalcante R, Ahn JM, Lee CW, van Klaveren D, de Winter RJ, Wykrzykowska JJ, Farooq V, Morice MC, Steyerberg EW, Park SJ, Serruys PW. Geographical Difference of the Interaction of Sex With Treatment Strategy in Patients With Multivessel Disease and Left Main Disease. Circ Cardiovasc Interv 2017; 10:CIRCINTERVENTIONS.117.005027. [DOI: 10.1161/circinterventions.117.005027] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Accepted: 03/30/2017] [Indexed: 12/21/2022]
Abstract
Background—
The impact of sex on clinical outcomes of percutaneous coronary intervention and coronary artery bypass graft for patients with multivessel coronary disease and unprotected left main disease could be dissimilar between Western and Asian populations.
Methods and Results—
To assess clinical outcomes after percutaneous coronary intervention or coronary artery bypass graft in women and men with multivessel coronary disease and unprotected left main disease, a pooled analysis (n=3280) was performed using the patient-level data from 3 large randomized trials: SYNTAX (Synergy between PCI with Taxus and Cardiac Surgery), PRECOMBAT (Bypass Surgery Versus Angioplasty Using Sirolimus-Eluting Stent in Patients With Left Main Coronary Artery Disease), and BEST (Bypass Surgery and Everolimus-Eluting Stent Implantation in the Treatment of Patients with Multivessel Coronary Artery Disease) trials. The primary end point was all-cause death. Of 3280 patients, 794 patients (24.2%) were women. The median follow-up period was 1806 days (1611–1837 days). In women, a high heterogeneity of the treatment effect among the 3 trials was found for all-cause death (
I
2
>50%), whereas in men, it was consistent across the 3 trials. In the Western trial (SYNTAX), female sex favored coronary artery bypass graft compared with percutaneous coronary intervention (hazard ratio
(percutaneous coronary intervention)
2.213; 95% confidence interval, 1.242–3.943;
P
=0.007), whereas in the Asian women (PRECOMBAT and BEST), the treatment effect was neutral between both strategies. Sex interaction with treatment strategy was evident in the Western trial (
P
interaction
=0.019) but not in the Asian trials (PRECOMBAT
P
interaction
=0.469 and BEST
P
interaction
=0.472;
I
2
=58%).
Conclusions—
The present meta-analysis suggested the presence of the heterogeneous sex–treatment interaction across Asian and Western trials. Considering the ongoing globalization of our medical practice, the heterogeneity of the sex–treatment interaction needs to be well recognized and taken into account during the decision making of the treatment strategy.
Clinical Trial Registrations—
URL:
https://www.clinicaltrials.gov
. Unique identifiers: NCT00114972, NCT00997828, NCT00422968.
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Affiliation(s)
- Yohei Sotomi
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Yoshinobu Onuma
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Rafael Cavalcante
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Jung-Min Ahn
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Cheol Whan Lee
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - David van Klaveren
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Robbert J. de Winter
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Joanna J. Wykrzykowska
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Vasim Farooq
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Marie-Claude Morice
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Ewout W. Steyerberg
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Seung-Jung Park
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
| | - Patrick W. Serruys
- From the Academic Medical Center, University of Amsterdam, the Netherlands (Y.S., R.J.d.W., J.J.W.); ThoraxCenter, Erasmus Medical Center, Rotterdam, the Netherlands (Y.O., R.C.); Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (J.-M.A., C.W.L., S.-J.P.); Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands (D.v.K., E.W.S.); Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of
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Abdallah MS, Wang K, Magnuson EA, Osnabrugge RL, Kappetein AP, Morice MC, Mohr FA, Serruys PW, Cohen DJ. Quality of Life After Surgery or DES in Patients With 3-Vessel or Left Main Disease. J Am Coll Cardiol 2017; 69:2039-2050. [DOI: 10.1016/j.jacc.2017.02.031] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 01/15/2017] [Accepted: 02/06/2017] [Indexed: 11/29/2022]
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180
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Naber CK, Urban P, Ong PJ, Valdes-Chavarri M, Abizaid AA, Pocock SJ, Fabbiocchi F, Dubois C, Copt S, Greene S, Morice MC. Biolimus-A9 polymer-free coated stent in high bleeding risk patients with acute coronary syndrome: a Leaders Free ACS sub-study. Eur Heart J 2017; 38:961-969. [PMID: 27190095 PMCID: PMC5837685 DOI: 10.1093/eurheartj/ehw203] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 04/27/2016] [Accepted: 05/03/2016] [Indexed: 01/11/2023] Open
Abstract
Aims Although a true clinical challenge, high bleeding risk patients with an acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI) have never been specifically studied. Leaders Free ACS, a pre-specified Leaders Free sub-study, determined efficacy, and safety of a combination of 1-month dual anti-platelet therapy (DAPT) with implantation of either a polymer-free Biolimus-A9-coated stent (BA9-DCS) or a bare-metal stent (BMS) in these patients. Methods and results Leaders Free included 2466 patients undergoing PCI who had at least 1 of 13 pre-defined factors for an increased bleeding risk. Of these, 659 ACS patients were included in this analysis (BA9-DCS 330, BMS 329). At 12-month follow-up, treatment with the BA9-DCS was more effective (clinically driven target-lesion revascularization 3.9 vs. 9.0%, P = 0.009) and safer (cumulative incidence of cardiac death, myocardial infarction, or definite or probable stent thrombosis 9.3 vs. 18.5%, P = 0.001), driven by significantly lower rates of cardiac mortality (3.4 vs. 6.9%, P = 0.049) and myocardial infarction (6.9 vs. 13.8%, P = 0.005). Conclusion We believe that the results of this sub-analysis from the Leaders Free trial are likely to significantly impact clinical practice for high bleeding risk patients presenting with an ACS: the use of a BMS can, in our view, no longer be recommended, and, given the paucity of available data for second-generation DES with shortened DAPT in these patients, the BA9-DCS should currently be considered as the device with the strongest evidence to support its use for this indication.
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Affiliation(s)
- Christoph K. Naber
- Contilia Heart and Vascular Centre, Elisabeth Krankenhaus Essen, Klara-Kopp-Weg 1, 45138 Essen, Germany
| | | | | | | | | | | | | | - Christophe Dubois
- Department of Cardiovascular Medicine, Universitaire Ziekenhuizen Leuven, Leuven, Belgium
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181
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Arai T, Lefèvre T, Hovasse T, Garot P, Benamer H, Unterseeh T, Roy AK, Romano M, Hayashida K, Watanabe Y, Bouvier E, Morice MC, Chevalier B. Incidence and predictors of coronary obstruction following transcatheter aortic valve implantation in the real world. Catheter Cardiovasc Interv 2017; 90:1192-1197. [PMID: 28295996 DOI: 10.1002/ccd.26982] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Accepted: 01/22/2017] [Indexed: 12/19/2022]
Abstract
OBJECTIVES Coronary obstruction (CO) is a rare but serious complication of transcatheter aortic valve implantation (TAVI). There are very limited data regarding CO following TAVI. The aim of this study was to evaluate the incidence and outcomes of CO after TAVI and identify the predictors including the valve type. METHODS Between October 2006 and March 2015, 1,203 TAVI cases were performed in our institution. Of them, 814 cases whose coronary height was measured using computed tomography for screening were analyzed in this study. RESULTS The Edwards SAPIEN/SAPIEN XT (S/XT) was used in 427 (52.4%) cases, the CoreValve in 265 (32.6%), and the S3 in 122 (15.0%). CO occurred in 8 (1.0%) cases, 1.6% with S/XT, 0.4% with CoreValve, and 0% with S3. All instances of CO occurred at the left coronary artery. The 30-day mortality was significantly higher in cases of CO (37.5% vs. 5.8%, P = 0.010). The frequency of CO tended to be lower in recipients of the CoreValve (0.4%) and S3 (0%) compared with the S/XT (1.6%) (P = 0.188 for CoreValve vs. S/XT, P = 0.022 for S3 vs. S/XT). CONCLUSIONS CO has poor outcomes and identification of patients at risk of CO to take preventive measures is crucial. The preliminary data showing that the occurrence of CO is low in patients receiving the S3 despite increased prosthesis height need further confirmation. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Takahide Arai
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Thierry Lefèvre
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Thomas Hovasse
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Philippe Garot
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Hakim Benamer
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Thierry Unterseeh
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Andrew K Roy
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Mauro Romano
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Kentaro Hayashida
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France.,Department of Cardiology, Keio University School of Medicine, Tokyo, Japan
| | - Yusuke Watanabe
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France.,Department of Cardiology, Teikyo University School of Medicine, Tokyo, Japan
| | - Erik Bouvier
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Marie-Claude Morice
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
| | - Bernard Chevalier
- Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France
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Spaziano M, Sawaya F, Chevalier B, Roy A, Neylon A, Garot P, Hovasse T, Benamer H, Romano M, Unterseeh T, Bouvier E, Cormier B, Morice MC, Lefèvre T. Comparison of Systematic Predilation, Selective Predilation, and Direct Transcatheter Aortic Valve Implantation With the SAPIEN S3 Valve. Can J Cardiol 2017; 33:260-268. [DOI: 10.1016/j.cjca.2016.09.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 08/14/2016] [Accepted: 09/06/2016] [Indexed: 10/24/2022] Open
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183
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Sanguineti F, Garot P, O’Connor S, Watanabe Y, Spaziano M, Lefèvre T, Hovasse T, Benamer H, Unterseeh T, Chevalier B, Morice MC, Louvard Y. Chronic total coronary occlusion treated by percutaneous coronary intervention: long-term outcome in patients with and without diabetes. EUROINTERVENTION 2017; 12:e1889-e1897. [DOI: 10.4244/eij-d-15-00278] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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184
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Garot P, Morice MC, Tresukosol D, Pocock SJ, Meredith IT, Abizaid A, Carrié D, Naber C, Iñiguez A, Talwar S, Menown IB, Christiansen EH, Gregson J, Copt S, Hovasse T, Lurz P, Maillard L, Krackhardt F, Ong P, Byrne J, Redwood S, Windhövel U, Greene S, Stoll HP, Urban P, Urban P, Morice MC, Abizaid A, Meredith IT, Pocock SJ, Carrié D, Naber C, Greene S, Stoll HP. 2-Year Outcomes of High Bleeding Risk Patients After Polymer-Free Drug-Coated Stents. J Am Coll Cardiol 2017; 69:162-171. [DOI: 10.1016/j.jacc.2016.10.009] [Citation(s) in RCA: 82] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 10/06/2016] [Accepted: 10/07/2016] [Indexed: 10/20/2022]
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185
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Varenne O, Cuisset T, Chaïb A, Morice MC, Sabaté M, Koh TH, Durand-Zaleski I, Hanon O, Bogaerts K, Sinnaeve P. The SYNERGY II Everolimus elutiNg stent In patients Older than 75 years undergoing coronary Revascularisation associated with a short dual antiplatelet therapy (SENIOR) trial: rationale and design of a large-scale randomised multicentre study. EUROINTERVENTION 2017; 12:1614-1622. [DOI: 10.4244/eijy15m12_02] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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186
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Sawaya FJ, Spaziano M, Lefèvre T, Roy A, Garot P, Hovasse T, Neylon A, Benamer H, Romano M, Unterseeh T, Morice MC, Chevalier B. Comparison between the SAPIEN S3 and the SAPIEN XT transcatheter heart valves: A single-center experience. World J Cardiol 2016; 8:735-745. [PMID: 28070241 PMCID: PMC5183973 DOI: 10.4330/wjc.v8.i12.735] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Revised: 09/19/2016] [Accepted: 10/24/2016] [Indexed: 02/06/2023] Open
Abstract
AIM To investigate the clinical outcomes of transcatheter aortic valve implantation (TAVI) with the SAPIEN 3 transcatheter heart valve (S3-THV) vs the SAPIEN XT valve (XT-THV).
METHODS We retrospectively analyzed 507 patients that underwent TAVI with the XT-THV and 283 patients that received the S3-THV at our institution between March 2010 and December 2015.
RESULTS Thirty-day mortality (3.5% vs 8.7%; OR = 0.44, P = 0.21) and 1-year mortality (25.7% vs 20.1%, P = 0.55) were similar in the S3-THV and the XT-THV groups. The rates of both major vascular complication and paravalvular regurgitation (PVR) > 1 were almost 4 times lower in the S3-THV group than the XT-THV group (major vascular complication: 2.8% vs 9.9%, P < 0.0001; PVR > 1: 2.4% vs 9.7%, P < 0.0001). However, the rate of new pacemaker implantation was almost twice as high in the S3-THV group (17.3% vs 9.8%, P = 0.03). In the S3 group, independent predictors of new permanent pacemaker were pre-procedural RBBB (OR = 4.9; P = 0.001), pre-procedural PR duration (OR = 1.14, P = 0.05) and device lack of coaxiality (OR = 1.13; P = 0.05) during deployment.
CONCLUSION The S3-THV is associated to lower rates of major vascular complications and PVR but higher rates of new pacemaker compared to the XT-THV. Sub-optimal visualization of the S3-THV in relation to the aortic valvular complex during deployment is a predictor of new permanent pacemaker.
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187
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Stone GW, Sabik JF, Serruys PW, Simonton CA, Généreux P, Puskas J, Kandzari DE, Morice MC, Lembo N, Brown WM, Taggart DP, Banning A, Merkely B, Horkay F, Boonstra PW, van Boven AJ, Ungi I, Bogáts G, Mansour S, Noiseux N, Sabaté M, Pomar J, Hickey M, Gershlick A, Buszman P, Bochenek A, Schampaert E, Pagé P, Dressler O, Kosmidou I, Mehran R, Pocock SJ, Kappetein AP. Everolimus-Eluting Stents or Bypass Surgery for Left Main Coronary Artery Disease. N Engl J Med 2016; 375:2223-2235. [PMID: 27797291 DOI: 10.1056/nejmoa1610227] [Citation(s) in RCA: 719] [Impact Index Per Article: 89.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Patients with obstructive left main coronary artery disease are usually treated with coronary-artery bypass grafting (CABG). Randomized trials have suggested that drug-eluting stents may be an acceptable alternative to CABG in selected patients with left main coronary disease. METHODS We randomly assigned 1905 eligible patients with left main coronary artery disease of low or intermediate anatomical complexity to undergo either percutaneous coronary intervention (PCI) with fluoropolymer-based cobalt-chromium everolimus-eluting stents (PCI group, 948 patients) or CABG (CABG group, 957 patients). Anatomic complexity was assessed at the sites and defined by a Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score of 32 or lower (the SYNTAX score reflects a comprehensive angiographic assessment of the coronary vasculature, with 0 as the lowest score and higher scores [no upper limit] indicating more complex coronary anatomy). The primary end point was the rate of a composite of death from any cause, stroke, or myocardial infarction at 3 years, and the trial was powered for noninferiority testing of the primary end point (noninferiority margin, 4.2 percentage points). Major secondary end points included the rate of a composite of death from any cause, stroke, or myocardial infarction at 30 days and the rate of a composite of death, stroke, myocardial infarction, or ischemia-driven revascularization at 3 years. Event rates were based on Kaplan-Meier estimates in time-to-first-event analyses. RESULTS At 3 years, a primary end-point event had occurred in 15.4% of the patients in the PCI group and in 14.7% of the patients in the CABG group (difference, 0.7 percentage points; upper 97.5% confidence limit, 4.0 percentage points; P=0.02 for noninferiority; hazard ratio, 1.00; 95% confidence interval, 0.79 to 1.26; P=0.98 for superiority). The secondary end-point event of death, stroke, or myocardial infarction at 30 days occurred in 4.9% of the patients in the PCI group and in 7.9% in the CABG group (P<0.001 for noninferiority, P=0.008 for superiority). The secondary end-point event of death, stroke, myocardial infarction, or ischemia-driven revascularization at 3 years occurred in 23.1% of the patients in the PCI group and in 19.1% in the CABG group (P=0.01 for noninferiority, P=0.10 for superiority). CONCLUSIONS In patients with left main coronary artery disease and low or intermediate SYNTAX scores by site assessment, PCI with everolimus-eluting stents was noninferior to CABG with respect to the rate of the composite end point of death, stroke, or myocardial infarction at 3 years. (Funded by Abbott Vascular; EXCEL ClinicalTrials.gov number, NCT01205776 .).
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Affiliation(s)
- Gregg W Stone
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Joseph F Sabik
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Patrick W Serruys
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Charles A Simonton
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Philippe Généreux
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - John Puskas
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - David E Kandzari
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Marie-Claude Morice
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Nicholas Lembo
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - W Morris Brown
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - David P Taggart
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Adrian Banning
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Béla Merkely
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Ferenc Horkay
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Piet W Boonstra
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Ad J van Boven
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Imre Ungi
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Gabor Bogáts
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Samer Mansour
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Nicolas Noiseux
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Manel Sabaté
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - José Pomar
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Mark Hickey
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Anthony Gershlick
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Pawel Buszman
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Andrzej Bochenek
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Erick Schampaert
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Pierre Pagé
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Ovidiu Dressler
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Ioanna Kosmidou
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Roxana Mehran
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - Stuart J Pocock
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
| | - A Pieter Kappetein
- From New York Presbyterian Hospital and Columbia University Medical Center (G.W.S.), the Cardiovascular Research Foundation (G.W.S., P.G., O.D., I.K., R.M.), and Mount Sinai Medical Center (J. Puskas, R.M.), New York; the Cleveland Clinic Foundation, Cleveland (J.F.S.); the International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London (P.W.S.), and London School of Hygiene and Tropical Medicine (S.J.P.), London, Oxford University Hospitals, Oxford (D.P.T., A. Banning), and University Hospitals of Leicester NHS Trust, Leicester (M.H., A.G.) - all in the United Kingdom; Abbott Vascular, Santa Clara, CA (C.A.S.); Hôpital du Sacré-Coeur de Montréal (P.G., E.S., P.P.) and Centre Hospitalier de l'Université de Montréal, Hôpital Hôtel-Dieu de Montréal (S.M., N.N.), Montreal; Piedmont Hospital, Atlanta (D.E.K., N.L., W.M.B.); Ramsay Générale de Santé, Hopital Privé Jacques Cartier, Massy, France (M.-C.M.); Semmelweis University, Budapest (B.M., F.H.) and University of Szeged, Szeged (I.U., G.B.) - both in Hungary; Medisch Centrum Leeuwarden, Leeuwarden (P.W.B., A.J.B.), and Erasmus Medical Center, Rotterdam (A.P.K.) - both in the Netherlands; Hospital Clinic, Barcelona (M.S., J. Pomar); and Medical University of Silesia, Katowice, and American Heart of Poland, Ustron - both in Poland (P.B., A. Bochenek)
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Gargiulo G, Windecker S, da Costa BR, Feres F, Hong MK, Gilard M, Kim HS, Colombo A, Bhatt DL, Kim BK, Morice MC, Park KW, Chieffo A, Palmerini T, Stone GW, Valgimigli M. Short term versus long term dual antiplatelet therapy after implantation of drug eluting stent in patients with or without diabetes: systematic review and meta-analysis of individual participant data from randomised trials. BMJ 2016; 355:i5483. [PMID: 27811064 PMCID: PMC5094199 DOI: 10.1136/bmj.i5483] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
OBJECTIVE To compare clinical outcomes between short term (up to 6 months) and long term (12 months) dual antiplatelet therapy (DAPT) after placement of a drug eluting stent in patients with and without diabetes. DESIGN Individual participant data meta-analysis. Cox proportional regression models stratified by trial were used to assess the impact of diabetes on outcomes. DATA SOURCE Medline, Embase, and Cochrane databases and proceedings of international meetings searched for randomised controlled trials comparing durations of DAPT after placement of a drug eluting stent. Individual patient data pooled from six DAPT trials. PRIMARY OUTCOME Primary study outcome was one year risk of major adverse cardiac events (MACE), defined as cardiac death, myocardial infarction, or definite/probable stent thrombosis. All analyses were conducted by intention to treat. RESULTS Six trials including 11 473 randomised patients were pooled. Of these patients, 3681 (32.1%) had diabetes and 7708 (67.2%) did not (mean age 63.7 (SD 9.9) and 62.8 (SD 10.1), respectively), and in 84 (0.7%) the information was missing. Diabetes was an independent predictor of MACE (hazard ratio 2.30, 95% confidence interval 1.01 to 5.27; P=0.048 At one year follow-up, long term DAPT was not associated with a decreased risk of MACE compared with short term DAPT in patients with (1.05, 0.62 to 1.76; P=0.86) or without (0.97, 0.67 to 1.39; P=0.85) diabetes (P=0.33 for interaction). The risk of myocardial infarction did not differ between the two DAPT regimens (0.95, 0.58 to 1.54; P=0.82; for those with diabetes and 1.15, 0.68 to 1.94; P=0.60; for those without diabetes (P=0.84 for interaction). There was a lower risk of definite/probable stent thrombosis with long term DAPT among patients with (0.26, 0.09 to 0.80; P=0.02) than without (1.42, 0.68 to 2.98; P=0.35) diabetes, with positive interaction testing (P=0.04 for interaction), although the landmark analysis showed a trend towards benefit in both groups. Long term DAPT was associated with higher rates of major or minor bleeding, irrespective of diabetes (P=0.37 for interaction). CONCLUSIONS Although the presence of diabetes emerged as an independent predictor of MACE after implantation of a drug eluting stent, compared with short term DAPT, long term DAPT did not reduce the risk of MACE but increased the risk of bleeding among patients with stents with and without diabetes.
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Affiliation(s)
- Giuseppe Gargiulo
- Department of Cardiology, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
- Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy
| | - Stephan Windecker
- Department of Cardiology, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
| | - Bruno R da Costa
- Department of Cardiology, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
- Institute of Primary Health Care (BIHAM), University of Bern, Switzerland
| | - Fausto Feres
- Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Myeong-Ki Hong
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Martine Gilard
- Department of Cardiology, CHU de la Cavale Blanche, Brest, France
| | - Hyo-Soo Kim
- Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Korea
| | - Antonio Colombo
- Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
| | - Deepak L Bhatt
- Brigham and Women's Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA, USA
| | - Byeong-Keuk Kim
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
| | | | - Kyung Woo Park
- Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Korea
| | - Alaide Chieffo
- Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
| | - Tullio Palmerini
- Dipartimento Cardio-Toraco-Vascolare, University of Bologna, Bologna, Italy
| | - Gregg W Stone
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, NY, USA
| | - Marco Valgimigli
- Department of Cardiology, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
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Chieffo A, Petronio AS, Mehilli J, Chandrasekhar J, Sartori S, Lefevre T, Presbitero P, Capranzano P, Tchetche D, Iadanza A, Sardella G, Van Mieghem N, Meliga E, Dumonteil N, Fraccaro C, Trabattoni D, Mikhail G, Sharma S, Ferrer M, Naber C, Kievit P, Faggioni M, Morice MC, Mehran R. TCT-718 Predictors of vascular complications in women undergoing contemporary transcatheter aortic valve replacement: A report from the WIN-TAVI registry. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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190
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Arai T, Romano M, Lefèvre T, Hovasse T, Bouvier E, Morice MC, Farge A, Garot P, Chevalier B. Impact of procedural volume on outcome optimization in transaortic transcatheter aortic valve implantation. Int J Cardiol 2016; 223:292-296. [DOI: 10.1016/j.ijcard.2016.07.184] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Accepted: 07/27/2016] [Indexed: 11/24/2022]
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191
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Giustino G, Chieffo A, Palmerini T, Valgimigli M, Feres F, Abizaid A, Costa R, Hong MK, Kim BK, Jang Y, Kim HS, Woo (KW) Park K, Gilard M, Morice MC, Sawaya F, Sardella G, Danias G, Généreux P, Redfors B, Leon M, Bhatt D, Stone G, Colombo A. TCT-213 Efficacy and Safety of Long- Versus Short-Term Dual Antiplatelet Therapy Following Complex Percutaneous Coronary Intervention with Drug-Eluting Stents: A Collaborative Patient-Level Pooled Analysis of Randomized Controlled Trials. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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192
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Spaziano M, Arai T, Chevalier B, Hovasse T, Garot P, mauro romano, Benamer H, Unterseeh T, Bouvier E, Hayashida K, yusuke watanabe, Cormier B, Morice MC, Lefevre T. TCT-742 Transcatheter aortic valve implantation in patients aged ≤75 years versus >75 years: a matched comparison. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Giustino G, Baber U, Sartori S, Stone G, Leon M, Windecker S, Serruys P, Kastrati A, Wijns W, Steg PG, Aquino M, Danias G, Valgimigli M, Morice MC, Camenzind E, Weisz G, Smits P, Kandzari D, von Birgelen C, Dangas G, Galatius S, Jeger R, Kimura T, Kim HS, Chieffo A, Mehran R. TCT-453 Correlates and Impact of Coronary Artery Calcifications in Women Undergoing Percutaneous Coronary Intervention with Drug-Eluting Stents: From the Women in Innovation and Drug-Eluting Stents (WIN-DES) Collaboration. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Carrié D, Alexander Menown IB, Oldroyd K, samuel copt, Talwar S, Maillard L, Morice MC, Lim ST, Lang I, Urban P. TCT-54 LEADERS FREE OAC : Biolimus A9 coated versus bare metal stents in patients requiring oral anticoagulation. A pre-specified subgroup analysis of the LEADERS FREE trial. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Milojevic M, Head S, Mack M, Mohr F, Morice MC, Dawkins K, Holmes D, Serruys P, Kappetein AP. TCT-314 The impact of chronic kidney disease on outcomes following percutaneous coronary interventions versus coronary artery bypass grafting in patients with complex coronary artery disease: 5-year follow-up of the SYNTAX trial. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Giustino G, Chieffo A, Palmerini T, Valgimigli M, Feres F, Abizaid A, Costa RA, Hong MK, Kim BK, Jang Y, Kim HS, Park KW, Gilard M, Morice MC, Sawaya F, Sardella G, Genereux P, Redfors B, Leon MB, Bhatt DL, Stone GW, Colombo A. Efficacy and Safety of Dual Antiplatelet Therapy After Complex PCI. J Am Coll Cardiol 2016; 68:1851-1864. [DOI: 10.1016/j.jacc.2016.07.760] [Citation(s) in RCA: 254] [Impact Index Per Article: 31.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Revised: 07/12/2016] [Accepted: 07/26/2016] [Indexed: 01/23/2023]
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Giustino G, Baber U, Salianski O, Sartori S, Stone GW, Leon MB, Aquino M, Stefanini GG, Steg PG, Windecker S, O' Donoghue M, Wijns W, Serruys PW, Valgimigli M, Morice MC, Camenzind E, Weisz G, Smits PC, Kandzari D, Von Birgelen C, Dangas GD, Cha JY, Galatius S, Jeger RV, Kimura T, Mikhail GW, Itchhaporia D, Mehta L, Ortega R, Kim HS, Kastrati A, Genereux P, Chieffo A, Mehran R. Safety and Efficacy of New-Generation Drug-Eluting Stents in Women at High Risk for Atherothrombosis: From the Women in Innovation and Drug-Eluting Stents Collaborative Patient-Level Pooled Analysis. Circ Cardiovasc Interv 2016; 9:e002995. [PMID: 26747850 DOI: 10.1161/circinterventions.115.002995] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND The safety and efficacy of new-generation drug-eluting stents (DES) in women with multiple atherothrombotic risk (ATR) factors is unclear. METHODS AND RESULTS We pooled patient-level data for women enrolled in 26 randomized trials. Study population was categorized based on the presence or absence of high ATR, which was defined as having history of diabetes mellitus, prior percutaneous or surgical coronary revascularization, or prior myocardial infarction. The primary end point was major adverse cardiovascular events defined as a composite of all-cause mortality, myocardial infarction, or target lesion revascularization at 3 years of follow-up. Out of 10,449 women included in the pooled database, 5333 (51%) were at high ATR. Compared with women not at high ATR, those at high ATR had significantly higher risk of major adverse cardiovascular events (15.8% versus 10.6%; adjusted hazard ratio: 1.53; 95% confidence interval: 1.34-1.75; P=0.006) and all-cause mortality. In high-ATR risk women, the use of new-generation DES was associated with significantly lower risk of 3-year major adverse cardiovascular events (adjusted hazard ratio: 0.69; 95% confidence interval: 0.52-0.92) compared with early-generation DES. The benefit of new-generation DES on major adverse cardiovascular events was uniform between high-ATR and non-high-ATR women, without evidence of interaction (Pinteraction=0.14). At landmark analysis, in high-ATR women, stent thrombosis rates were comparable between DES generations in the first year, whereas between 1 and 3 years, stent thrombosis risk was lower with new-generation devices. CONCLUSIONS Use of new-generation DES even in women at high ATR is associated with a benefit consistent over 3 years of follow-up and a substantial improvement in very-late thrombotic safety.
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Affiliation(s)
- Gennaro Giustino
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Usman Baber
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Olga Salianski
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Samantha Sartori
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Gregg W Stone
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Martin B Leon
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Melissa Aquino
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Giulio G Stefanini
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - P Gabriel Steg
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Stephan Windecker
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Monica O' Donoghue
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - William Wijns
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Patrick W Serruys
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Marco Valgimigli
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Marie-Claude Morice
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Edoardo Camenzind
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Giora Weisz
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Pieter C Smits
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - David Kandzari
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Clemens Von Birgelen
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - George D Dangas
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Jin Y Cha
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Soren Galatius
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Raban V Jeger
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Takeshi Kimura
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Ghada W Mikhail
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Dipti Itchhaporia
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Laxmi Mehta
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Rebecca Ortega
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Hyo-Soo Kim
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Adnan Kastrati
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Philippe Genereux
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Alaide Chieffo
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
| | - Roxana Mehran
- From the The Zena and Michael A. Wiener Cardiovascular Institute, Interventional Cardiovascular Research and Clinical Trials Center, Icahn School of Medicine at Mount Sinai, New York City, NY (G.G., U.B., O.S., S.S., M.A., M.O., G.D.D., J.Y.C., R.M.); Division of Cardiology, Columbia University Medical Center, New York City, NY (G.W.S., M.B.L., P.G.); Department of Cardiology, Bern University Hospital, Bern, Switzerland (S.W.); Department of Cardiology, ErasmusMC, Rotterdam, The Netherlands (P.W.S.); Department of Cardiology and Cardiovascular Surgery, Institut Cardiovasculaire Paris Sud, France (M.-C.M.); Cardiovascular Center Aalst, Onze-Lieve-Vrouwziekenhuis Ziekenhuis, Aalst, Belgium (W.W.); Deparment of Cardiology, Institut Lorrain du Coeur et des Vaisseaux (ILCV) University Hospital Nancy-Brabois Vandoeuvre-lès-Nancy France (E.C.); Département Hospitalo Universitaire Fibrose, Inflammation et REmodelage, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, INSERM U114, Paris, France (P.G.S.); Maasstad Hospital, Rotterdam, Netherlands (P.C.S.); Department of Cardiology, Piedmont Heart Institute, Atlanta, GA (D.K.); Department of Cardiology, Thoraxcentrum Twente, Enschede, Netherlands (C.V.B.); Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark (S.G.); Department of Cardiology, University Hospital Basel, Basel, Switzerland (R.V.J.); Department of Cardiology, Kyoto University Graduate School of Medicine, Kyoto, Japan (T.K.); Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK (G.W.M.); Department of Cardiology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA (D.I.); Department of Cardiology, Ohio State University Medical Center, Columbus, OH (L.M.); Society of Cardiovascular Angiography and Interventions, Washington, DC (R.O.); Department of Cardiology, Seoul National University Main Hospital, Seoul, Korea (H.-S.K.); Department of Cardiology, University of Ferrara, Ferrara, Italy (M.V.); Departm
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Pyxaras SA, Hunziker L, Chieffo A, Meliga E, Latib A, Park SJ, Onuma Y, Capranzano P, Valgimigli M, Narbute I, Makkar RR, Palacios IF, Kim YH, Buszman PP, Chakravarty T, Sheiban I, Mehran R, Margey R, Agnihotri A, Marra S, Capodanno D, Leon MB, Moses JW, Fajadet J, Lefevre T, Morice MC, Erglis A, Tamburino C, Alfieri O, Serruys PW, Colombo A, Naber CK. Long-term clinical outcomes after percutaneous coronary intervention versus coronary artery bypass grafting for acute coronary syndrome from the DELTA registry: a multicentre registry evaluating percutaneous coronary intervention versus coronary artery bypass grafting for left main treatment. EUROINTERVENTION 2016; 12:e623-31. [DOI: 10.4244/eijv12i5a102] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Sawaya FJ, Morice MC, Spaziano M, Mehran R, Didier R, Roy A, Valgimigli M, Kim HS, Woo Park K, Hong MK, Kim BK, Jang Y, Feres F, Abizaid A, Costa RA, Colombo A, Chieffo A, Giustino G, Stone GW, Bhatt DL, Palmerini T, Gilard M. Short-versus long-term Dual Antiplatelet therapy after drug-eluting stent implantation in women versus men: A sex-specific patient-level pooled-analysis of six randomized trials. Catheter Cardiovasc Interv 2016; 89:178-189. [DOI: 10.1002/ccd.26653] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 05/14/2016] [Accepted: 06/05/2016] [Indexed: 12/30/2022]
Affiliation(s)
- Fadi J. Sawaya
- Department of Cardiology, Générale de Santé; Institut Cardiovasculaire Paris, Hôpital Privé Jacques Cartier; Massy France
| | - Marie-Claude Morice
- Department of Cardiology, Générale de Santé; Institut Cardiovasculaire Paris, Hôpital Privé Jacques Cartier; Massy France
| | - Marco Spaziano
- Department of Cardiology, Générale de Santé; Institut Cardiovasculaire Paris, Hôpital Privé Jacques Cartier; Massy France
| | - Roxana Mehran
- Icahn School of Medicine at Mount Sinai; New York New York
| | - Romain Didier
- Department of Cardiology; CHU de la Cavale Blanche; Brest France
| | - Andrew Roy
- Department of Cardiology, Générale de Santé; Institut Cardiovasculaire Paris, Hôpital Privé Jacques Cartier; Massy France
| | | | - Hyo-Soo Kim
- Department of Cardiology; Seoul National University Main Hospital; Seoul South Korea
| | - Kyung Woo Park
- Department of Cardiology; Seoul National University Main Hospital; Seoul South Korea
| | - Myeong-Ki Hong
- Severance Cardiovascular Hospital, Yonsei University College of Medicine; Seoul Korea
| | - Byeong-Keuk Kim
- Severance Cardiovascular Hospital, Yonsei University College of Medicine; Seoul Korea
| | - Yangsoo Jang
- Severance Cardiovascular Hospital, Yonsei University College of Medicine; Seoul Korea
| | - Fausto Feres
- Istituto Dante Pazzanese de Cardiologia; Sao Paulo Brazil
| | | | | | | | | | | | - Gregg W. Stone
- Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation; New York New York
| | - Deepak L. Bhatt
- VA Boston Healthcare System, Brigham and Women's Hospital, and Harvard Medical School; Boston Massachusetts
| | - Tullio Palmerini
- Dipartimento Cardio-Toraco-Vascolare; University of Bologna; Bologna Italy
| | - Martine Gilard
- Department of Cardiology; CHU de la Cavale Blanche; Brest France
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Sawaya FJ, Louvard Y, Spaziano M, Morice MC, Hage F, El-Khoury C, Roy A, Garot P, Hovasse T, Benamer H, Unterseeh T, Chevalier B, Champagne S, Piechaud JF, Blanchard D, Cormier B, Lefèvre T. Short and long-term outcomes of alcohol septal ablation with the trans-radial versus the trans-femoral approach: A single center-experience. Int J Cardiol 2016; 220:7-13. [PMID: 27372037 DOI: 10.1016/j.ijcard.2016.06.127] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2016] [Revised: 06/16/2016] [Accepted: 06/22/2016] [Indexed: 12/17/2022]
Abstract
BACKGROUND Although the trans-radial approach (TR) has been applied to various subsets of patients in percutaneous coronary intervention, the feasibility, efficacy, acute procedural and long-term outcomes of TR versus trans-femoral approach (TF) for alcohol septal ablation (ASA) have not yet been determined. OBJECTIVES The aim of this study was to compare the short and long-term outcomes of ASA with the TR approach compared to the TF approach. METHODS We retrospectively analyzed 240 patients who underwent an ASA procedure at our institution from November 1999 to November 2015. The TR approach was performed in 172 cases and the TF approach in the remaining 68 cases. RESULTS The use of TR approach progressively increased from 62% in 1999-2005 to 91% in 2011-2015 (p=0.0001). The TF and TR group had similar age, baseline NYHA class (NYHA 3 or 4) and mean left ventricular outflow tract peak gradient before ASA. Total contrast used (TR: 73.2±47.2ml; TF: 88.7±49.3ml, p=0.11), total radiation Air kerma area product (TR: 43.7±48.0Gycm(-2); TF: 55.9±48.2Gycm(-2); p=0.39) and peak left ventricular outflow tract gradient immediately after ASA (TR: 19.1±19.6mmHg; TF: 20.4±18.0mmHg, p=0.63) were similar in both groups. Procedural success was 91.9% and 91.2% in the TR and TF groups, respectively (p=0.53). At 30days, there was 2 intra-hospital death (1 in TF and 1 in TR), 1 major stroke in the TF group and 1 coronary artery dissection in the TR group. Vascular complications were less frequent in the TR group (0.58% vs. 7.3%; p=0.002). The mean length of follow-up was 4.56±4.34years (IQR 0.69-8.2; median 2.92years; maximum: 15.5years). By Kaplan-Meier estimate, the observed survival in the overall cohort was comparable to the expected survival for a sex and age-matched comparable general French population at 10years (86.9 vs. 83.6%, p=0.88). Survival was similar between the TR and TF group (92.1% vs. 89.7% at 6years, respectively; p=0.71). CONCLUSIONS Alcohol septal ablation from the radial approach can be performed with similar acute and long-term success, but with lower vascular complications compared to the femoral approach.
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Affiliation(s)
- Fadi J Sawaya
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Yves Louvard
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Marco Spaziano
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Marie-Claude Morice
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Fouad Hage
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Carlos El-Khoury
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Andrew Roy
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Philippe Garot
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Thomas Hovasse
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Hakim Benamer
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Thierry Unterseeh
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Bernard Chevalier
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Stéphane Champagne
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Jean-François Piechaud
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Didier Blanchard
- Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France
| | - Bertrand Cormier
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France
| | - Thierry Lefèvre
- Department of Cardiology, Ramsay Générale de Santé, Institut Cardiovasculaire Paris-Sud-Hôpital Privé Jacques Cartier, Massy, France.
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