Coronary artery aneurysms, insights from the international
coronary artery aneurysm registry (CAAR)

J 2020

Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR)

NUNEZ-GIL, I. J., E. CERRATO, M. BOLLATI, L. NOMBELA-FRANCO, B. TEROL et. al.

Basic information

Original name

Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR)

Authors

NUNEZ-GIL, I. J. (guarantor), 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 Czech Republic, belonging to the institution), J. ESCANED, D. BAUTISTA, A. FELTES, P. SALINAS, M. ALKHOULI, C. MACAYA and A. FERNANDEZ-ORTIZ

Edition

International Journal of Cardiology, Clare, Elsevier Ireland Ltd. 2020, 0167-5273

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.164

RIV identification code

RIV/00216224:14110/20:00116156

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.ijcard.2019.05.067

UT WoS

000499685900009

Keywords in English

INTRAVASCULAR ULTRASOUND; ELUTING STENT; IMPLANTATION

Abstract

V originále

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.

Citovat

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.

@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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