NUNEZ-GIL, I. J., E. CERRATO, M. BOLLATI, L. NOMBELA-FRANCO, B. TEROL, E. ALFONSO-RODRIGUEZ, S. J. C. FREIRE, P. A. VILLABLANCA, I. J. A. SANTOS, J. M. T. HERNANDEZ, I. PASCUAL, C. LIEBETRAU, B. CAMACHO, M. PAVANI, J. ALBISTUR, R. A. LATINI, F. VARBELLA, V. A. JIMENEZ-DIAZ, D. PIRAINO, M. MANCONE, F. ALFONSO, J. A. LINARES, R. RODRIGUEZ-OLIVARES, J. M. J. MAZUECOS, J. P. MOLINERO, A. S. G. FLECHA, J. A. GOMEZ-HOSPITAL, A. IELASI, I. LOZANO, P. OMEDE, R. BAGUR, F. UGO, M. MEDDA, B. F. LOUKA, Petr KALA, J. ESCANED, D. BAUTISTA, A. FELTES, P. SALINAS, M. ALKHOULI, C. MACAYA a A. FERNANDEZ-ORTIZ. Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR). International Journal of Cardiology. Clare: Elsevier Ireland Ltd., 2020, roč. 299, JAN 2020, s. 49-55. ISSN 0167-5273. Dostupné z: https://dx.doi.org/10.1016/j.ijcard.2019.05.067.
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Základní údaje
Originální název Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR)
Autoři NUNEZ-GIL, I. J. (garant), E. CERRATO, M. BOLLATI, L. NOMBELA-FRANCO, B. TEROL, E. ALFONSO-RODRIGUEZ, S. J. C. FREIRE, P. A. VILLABLANCA, I. J. A. SANTOS, J. M. T. HERNANDEZ, I. PASCUAL, C. LIEBETRAU, B. CAMACHO, M. PAVANI, J. ALBISTUR, R. A. LATINI, F. VARBELLA, V. A. JIMENEZ-DIAZ, D. PIRAINO, M. MANCONE, F. ALFONSO, J. A. LINARES, R. RODRIGUEZ-OLIVARES, J. M. J. MAZUECOS, J. P. MOLINERO, A. S. G. FLECHA, J. A. GOMEZ-HOSPITAL, A. IELASI, I. LOZANO, P. OMEDE, R. BAGUR, F. UGO, M. MEDDA, B. F. LOUKA, Petr KALA (203 Česká republika, domácí), J. ESCANED, D. BAUTISTA, A. FELTES, P. SALINAS, M. ALKHOULI, C. MACAYA a A. FERNANDEZ-ORTIZ.
Vydání International Journal of Cardiology, Clare, Elsevier Ireland Ltd. 2020, 0167-5273.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30201 Cardiac and Cardiovascular systems
Stát vydavatele Irsko
Utajení není předmětem státního či obchodního tajemství
WWW URL
Impakt faktor Impact factor: 4.164
Kód RIV RIV/00216224:14110/20:00116156
Organizační jednotka Lékařská fakulta
Doi http://dx.doi.org/10.1016/j.ijcard.2019.05.067
UT WoS 000499685900009
Klíčová slova anglicky INTRAVASCULAR ULTRASOUND; ELUTING STENT; IMPLANTATION
Štítky 14110211, rivok
Příznaky Mezinárodní význam, Recenzováno
Změnil Změnila: Mgr. Tereza Miškechová, učo 341652. Změněno: 10. 8. 2020 09:10.
Anotace
Background: Coronary Aneurysms are a focal dilatation of an artery segment >1.5-fold the normal size of adjacent segments. Although some series have suggested a prevalence of 0.3-12%, data are lacking. In addition, they are not mentioned in practice guidelines. Our aim was investigate its prevalence, management and long-term outcomes. Methods and results: The coronary artery aneurysm registry (CAAR) involved 32 hospitals across 9 countries in America and Europe. We reviewed 436,467 consecutive angiograms performed over the period 2004-2016. Finally, 1565 patients were recruited. Aneurysm global prevalence was 0.35%. Most patients were male (78.5%) with a mean age of 65 years and frequent cardiovascular risk factors. The main indication for angiogram was an acute coronary syndrome, 966 cases. The number of aneurisms was <= 2 per patient in 95.8% of the cases, mostly saccular, most frequently found in the left anterior descending and with numbers proportional with coronary stenosis. Aortopathies were related with more aneurysms too. Most patients received any revascularization procedure (69%), commonly percutaneous (53%). After a median follow-up of 37.2 months, 485 suffered a combined event (MACE) and 240 died. Without major differences comparing CABG vs PCI, MACE and death were more frequent in patients who received bare metal stents. Conclusions: Coronary artery aneurysms are not uncommon. Usually, they are associated with coronary stenosis and high cardiovascular risk. Antiplatelet therapy seems reasonable and a percutaneous approach is safe and effective. (C) 2019 Elsevier B.V. All rights reserved.
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