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 and A. FERNANDEZ-ORTIZ. Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR). International Journal of Cardiology. Clare: Elsevier Ireland Ltd., 2020, vol. 299, JAN 2020, p. 49-55. ISSN 0167-5273. Available from: https://dx.doi.org/10.1016/j.ijcard.2019.05.067. |
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@article{1673721, author = {NunezandGil, I. J. and Cerrato, E. and Bollati, M. and NombelaandFranco, L. and Terol, B. and AlfonsoandRodriguez, E. and Freire, S. J. C. and Villablanca, P. A. and Santos, I. J. A. and Hernandez, J. M. T. and Pascual, I. and Liebetrau, C. and Camacho, B. and Pavani, M. and Albistur, J. and Latini, R. A. and Varbella, F. and JimenezandDiaz, V. A. and Piraino, D. and Mancone, M. and Alfonso, F. and Linares, J. A. and RodriguezandOlivares, R. and Mazuecos, J. M. J. and Molinero, J. P. and Flecha, A. S. G. and GomezandHospital, J. A. and Ielasi, A. and Lozano, I. and Omede, P. and Bagur, R. and Ugo, F. and Medda, M. and Louka, B. F. and Kala, Petr and Escaned, J. and Bautista, D. and Feltes, A. and Salinas, P. and Alkhouli, M. and Macaya, C. and FernandezandOrtiz, A.}, article_location = {Clare}, article_number = {JAN 2020}, doi = {http://dx.doi.org/10.1016/j.ijcard.2019.05.067}, keywords = {INTRAVASCULAR ULTRASOUND; ELUTING STENT; IMPLANTATION}, language = {eng}, issn = {0167-5273}, journal = {International Journal of Cardiology}, title = {Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR)}, url = {https://www.sciencedirect.com/science/article/pii/S0167527318357681?via%3Dihub}, volume = {299}, year = {2020} }
TY - JOUR ID - 1673721 AU - Nunez-Gil, I. J. - Cerrato, E. - Bollati, M. - Nombela-Franco, L. - Terol, B. - Alfonso-Rodriguez, E. - Freire, S. J. C. - Villablanca, P. A. - Santos, I. J. A. - Hernandez, J. M. T. - Pascual, I. - Liebetrau, C. - Camacho, B. - Pavani, M. - Albistur, J. - Latini, R. A. - Varbella, F. - Jimenez-Diaz, V. A. - Piraino, D. - Mancone, M. - Alfonso, F. - Linares, J. A. - Rodriguez-Olivares, R. - Mazuecos, J. M. J. - Molinero, J. P. - Flecha, A. S. G. - Gomez-Hospital, J. A. - Ielasi, A. - Lozano, I. - Omede, P. - Bagur, R. - Ugo, F. - Medda, M. - Louka, B. F. - Kala, Petr - Escaned, J. - Bautista, D. - Feltes, A. - Salinas, P. - Alkhouli, M. - Macaya, C. - Fernandez-Ortiz, A. PY - 2020 TI - Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR) JF - International Journal of Cardiology VL - 299 IS - JAN 2020 SP - 49-55 EP - 49-55 PB - Elsevier Ireland Ltd. SN - 01675273 KW - INTRAVASCULAR ULTRASOUND KW - ELUTING STENT KW - IMPLANTATION UR - https://www.sciencedirect.com/science/article/pii/S0167527318357681?via%3Dihub L2 - https://www.sciencedirect.com/science/article/pii/S0167527318357681?via%3Dihub N2 - 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. ER -
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 and A. FERNANDEZ-ORTIZ. Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR). \textit{International Journal of Cardiology}. Clare: Elsevier Ireland Ltd., 2020, vol.~299, JAN 2020, p.~49-55. ISSN~0167-5273. Available from: https://dx.doi.org/10.1016/j.ijcard.2019.05.067.
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