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| 1 | 冠状动脉内影像学临床应用专家共识(第一部分):对冠状动脉介入治疗的指导与优化显示文摘欧洲心血管介入协会(EAPCI)专家组系统总结了血管内超声(IVUS)和光学相干断层成像(OCT)这两种血管内影像学检查临床应用指征的现有证据,提供了关于IVUS和OCT指导经皮冠状动脉介入治疗(PCI)的应用价值,并明确了最可能从腔内影像学指导的介入治疗中获得临床收益的患者或病变类型,同时详细论述了PCI前如何使用IVUS或OCT优化支架尺寸(支架长度和直径)和手术策略的选择。此外,专家推荐对支架失败(支架内再狭窄或支架内血栓形成)的患者应常规进行冠状动脉内影像学检查,并首选OCT。最后,重点论述了IVUS和OCT在指导PCI和评估支架失败两个方面的优势和局限性,并对未来需要深入研究的领域进行了展望。 | Lorenz Raber Gary S Mintz Konstantinos C Koskinas Thomas W Johnson Niels R Holm Yoshinubo Onuma Maria D Radu Michael Joner Bo Yu Haibo Jia Nicolas Meneveau Jose M.de la Torre Hemandez Javier Escaned Jonathan Hill Francesco Prati Antonio Colombo Carlo di Mario Evelyn Regar Davide Capodanno William Wijns Robert A Byme Giulio Guagliumi | 2019 | 中华心血管病杂志2019，47，1： | 17 |
| 2 | Determinants of percutaneous coronary intervention success in repeat chronic total occlusion procedures following an initial failed attempt显示文摘AIM To investigate the rates and determinants of success of repeat percutaneous coronary intervention(PCI) following an initial failed attempt at recanalising the chronic total occlusions(CTO) percutaneously.METHODS In 445 consecutive first attempt CTO-PCI procedures in our institution,procedural failure occurred in 149(33.5%). Sixty-four re-PCI procedures were performed in 58 patients(39%) all had a single CTO. Procedural and outcome data in the re-PCI population was entered into the institutional database. A retrospective analysis of clinical,angiographic and procedural data was performed. RESULTS Procedural success was achieved in 41(64%) procedures. Univariate analysis of clinical and angiographic characteristics showed that re-PCI success was associated with intravascular ultrasound(IVUS) guidance(19.5% vs 0%,P = 0.042),while failure was associated with severecalcification(30.4% vs 9.7%,P = 0.047) and a JCTO score > 3(56.5% vs 17.1% P = 0.003). Following multiple regression analysis the degree of lesion complexity(J-CTO score > 3),IVUS use,involvement of an experienced CTO operator and LAD CTO location were significant predictors of successful re-PCI. Overall the complication rate was low,with the only MACCE two periprocedural MI's neither of which required intervention. CONCLUSION Re-PCI substantially increases the overall success rate of CTO revascularization. Predictors of re-PCI success included the use of IVUS,the involvement of an experienced CTO operator in the repeat attempt and the location of the CTO. | Cecilia Cuevas Nicola Ryan Alicia Quirós Juan Gustavo Del Angel Nieves Gonzalo Pablo Salinas Pilar Jiménez-Quevedo Luis Nombela-Franco Ivan Nunez-Gil Antonio Fernandez-Ortiz Carlos Macaya Javier Escaned | 2017 | World Journal of Cardiology2017，9，4： | 5 |
| 3 | Coronary angiography findings in cardiac arrest patients with non-diagnostic post-resuscitation electrocardiogram:A comparison of shockable and non-shockable initial rhythms显示文摘AIM To investigate the impact of coronary artery disease in a cohort of patients resuscitated from cardiac arrest with non-diagnostic electrocardiogram.METHODS From March 2004 to February 2016, 203 consecutive patients resuscitated from in or out-of-hospital sudden cardiac arrest and non-diagnostic post-resuscitation electrocardiogram(defined as ST segment elevation or pre-sumably new left bundle branch block) whounderwent invasive coronary angiogram during hospitalization were included. For purpose of analysis and comparison, patients were classified in two groups: Initial shockable rhythm(ventricular tachycardia or ventricular fibrillation; n = 148, 72.9%) and initial non-shockable rhythm(n = 55, 27.1%). Baseline characteristics, coronary angiogram findings including Syntax Score and long-term survival rates were compared. RESULTS Sudden cardiac arrest was witnessed in 95.2% of cases, 66.7% were out-of-hospital patients and 72.4% were male. There were no significant differences in baseline characteristics between groups except for higher mean age(68.1 years vs 61 years, P = 0.001) in the nonshockable rhythm group. Overall 5-year mortality of the resuscitated patients was 37.4%. Patients with non-shockable rhythms had higher mortality(60% vs 29.1%, P < 0.001) and a worst neurological status at hospital discharge based on cerebral performance category score(CPC 1-2: 32.7% vs 53.4%, P = 0.02). Although there were no significant differences in global burden of coronary artery disease defined by Syntax Score(mean Syntax Score: 10.2 vs 10.3, P = 0.96) there was a trend towards a higher incidence of acute coronary lesions in patients with shockable rhythm(29.7% vs 16.4%, P = 0.054). There was also a higher need for ad-hoc percutaneous coronary intervention in this group(21.9% vs 9.1%, P = 0.03). CONCLUSION Initial shockable group of patients had a trend towards higher incidence of acute coronary lesions and higher need of ad-hoc percutaneous intervention vs nonshockable group. | Pedro Martínez-Losas Pablo Salinas Carlos Ferrera María Teresa Nogales-Romo Francisco Noriega María Del Trigo Iván Javier Núnez-Gil Luis Nombela-Franco Nieves Gonzalo Pilar Jiménez-Quevedo Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Ana Viana-Tejedor | 2017 | World Journal of Cardiology2017，9，8： | 3 |
| 4 | ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD显示文摘 | Lars Rydén Peter J. Grant Stefan D. Anker Christian Berne Francesco Cosentino Nicolas Danchin Christi Deaton Javier Escaned Hans-Peter Hammes Heikki Huikuri Michel Marre Nikolaus Marx Linda Mellbin Jan Ostergren Carlo Patrono Petar Seferovic Miguel Sousa | 2013 | European Heart Journal2013，，39： | 1 |
| 5 | ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD显示文摘 | Lars Rydén Peter J. Grant Stefan D. Anker Christian Berne Francesco Cosentino Nicolas Danchin Christi Deaton Javier Escaned Hans-Peter Hammes Heikki Huikuri Michel Marre Nikolaus Marx Linda Mellbin Jan Ostergren Carlo Patrono Petar Seferovic Miguel Sousa | 2013 | European Heart Journal2013，，39： | 1 |
| 6 | Fractional Flow Reserve–Guided Revascularization显示文摘 | Ricardo Petraco Sayan Sen Sukhjinder Nijjer Mauro Echavarria-Pinto Javier Escaned Darrel P. Francis Justin E. Davies | 2013 | JACC: Cardiovascular Interventions2013，，3： | 1 |
| 7 | Fractional Flow Reserve to Determine the Appropriateness of Angioplasty in Moderate Coronary Stenosis: A Randomized Trial显示文摘 | G. Jan Willem Bech Bernard De Bruyne Nico H.J. Pijls Ebo D. de Muinck Jan C.A. Hoorntje Javier Escaned Pieter R. Stella Eric Boersma Jozef Bartunek Jacques J. Koolen William Wijns | 2001 | Circulation: Journal of the American Heart Association2001，，24： | 1 |
| 8 | Insulin Therapy Is Associated With Platelet Dysfunction in Patients With Type 2 Diabetes Mellitus on Dual Oral Antiplatelet Treatment显示文摘 | Dominick J. Angiolillo Esther Bernardo Celia Ramírez Marco A. Costa Manel Sabaté Pilar Jimenez-Quevedo Rosana Hernández Raul Moreno Javier Escaned Fernando Alfonso Camino Ba?uelos Theodore A. Bass Carlos Macaya Antonio Fernandez-Ortiz | 2006 | Journal of the American College of Cardiology2006，，2： | 1 |
| 9 | ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD显示文摘 | Lars Rydén Peter J. Grant Stefan D. Anker Christian Berne Francesco Cosentino Nicolas Danchin Christi Deaton Javier Escaned Hans-Peter Hammes Heikki Huikuri Michel Marre Nikolaus Marx Linda Mellbin Jan Ostergren Carlo Patrono Petar Seferovic Miguel Sousa | 2013 | European Heart Journal2013，，39： | 1 |
| 10 | Morphometric Assessment of Coronary Stenosis Relevance With Optical Coherence Tomography显示文摘 | Nieve Gonzalo Javier Escaned Fernando Alfonso Christian Nolte Vera Rodriguez Pilar Jimenez-Quevedo Camino Ba?uelos Antonia Fernández-Ortiz Eulogio Garcia Rosana Hernandez-Antolin Carlos Macaya | 2012 | Journal of the American College of Cardiology2012，，12： | 1 |
| 11 | ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD显示文摘 | Lars Rydén Peter J. Grant Stefan D. Anker Christian Berne Francesco Cosentino Nicolas Danchin Christi Deaton Javier Escaned Hans-Peter Hammes Heikki Huikuri Michel Marre Nikolaus Marx Linda Mellbin Jan Ostergren Carlo Patrono Petar Seferovic Miguel Sousa | 2013 | European Heart Journal2013，，39： | 1 |
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