Initial experience with orbital atherectomy in a tertiary centre in the Netherlands
Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and effi...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
den Dekker, Wijnand K. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Anmerkung: |
© The Author(s) 2022 |
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| Übergeordnetes Werk: |
Enthalten in: Netherlands heart journal - [S.l.] : PubMed Central, 2001, 31(2022), 5 vom: 12. Dez., Seite 196-201 |
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| Übergeordnetes Werk: |
volume:31 ; year:2022 ; number:5 ; day:12 ; month:12 ; pages:196-201 |
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| DOI / URN: |
10.1007/s12471-022-01742-3 |
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| Katalog-ID: |
SPR050218131 |
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| 245 | 1 | 0 | |a Initial experience with orbital atherectomy in a tertiary centre in the Netherlands |
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| 520 | |a Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. | ||
| 650 | 4 | |a Orbital atherectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Calcification |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Coronary artery disease |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Intravascular imaging |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Optical coherence tomography |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Intravascular ultrasound |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Siskos, Anastasios-Alexandros |4 aut | |
| 700 | 1 | |a Wilschut, Jeroen M. |4 aut | |
| 700 | 1 | |a Nuis, Rutger-Jan |4 aut | |
| 700 | 1 | |a Scarparo, Paola |4 aut | |
| 700 | 1 | |a Neleman, Tara |4 aut | |
| 700 | 1 | |a Masdjedi, Kaneshka |4 aut | |
| 700 | 1 | |a Ligthart, Jurgen M. R. |4 aut | |
| 700 | 1 | |a Diletti, Roberto |4 aut | |
| 700 | 1 | |a Daemen, Joost |4 aut | |
| 700 | 1 | |a Van Mieghem, Nicolas M. |4 aut | |
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10.1007/s12471-022-01742-3 doi (DE-627)SPR050218131 (SPR)s12471-022-01742-3-e DE-627 ger DE-627 rakwb eng den Dekker, Wijnand K. verfasserin (orcid)0000-0002-9919-3732 aut Initial experience with orbital atherectomy in a tertiary centre in the Netherlands 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. Orbital atherectomy (dpeaa)DE-He213 Calcification (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Intravascular imaging (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Intravascular ultrasound (dpeaa)DE-He213 Siskos, Anastasios-Alexandros aut Wilschut, Jeroen M. aut Nuis, Rutger-Jan aut Scarparo, Paola aut Neleman, Tara aut Masdjedi, Kaneshka aut Ligthart, Jurgen M. R. aut Diletti, Roberto aut Daemen, Joost aut Van Mieghem, Nicolas M. aut Enthalten in Netherlands heart journal [S.l.] : PubMed Central, 2001 31(2022), 5 vom: 12. Dez., Seite 196-201 (DE-627)53467299X (DE-600)2365465-X 1876-6250 nnns volume:31 year:2022 number:5 day:12 month:12 pages:196-201 https://dx.doi.org/10.1007/s12471-022-01742-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2022 5 12 12 196-201 |
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10.1007/s12471-022-01742-3 doi (DE-627)SPR050218131 (SPR)s12471-022-01742-3-e DE-627 ger DE-627 rakwb eng den Dekker, Wijnand K. verfasserin (orcid)0000-0002-9919-3732 aut Initial experience with orbital atherectomy in a tertiary centre in the Netherlands 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. Orbital atherectomy (dpeaa)DE-He213 Calcification (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Intravascular imaging (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Intravascular ultrasound (dpeaa)DE-He213 Siskos, Anastasios-Alexandros aut Wilschut, Jeroen M. aut Nuis, Rutger-Jan aut Scarparo, Paola aut Neleman, Tara aut Masdjedi, Kaneshka aut Ligthart, Jurgen M. R. aut Diletti, Roberto aut Daemen, Joost aut Van Mieghem, Nicolas M. aut Enthalten in Netherlands heart journal [S.l.] : PubMed Central, 2001 31(2022), 5 vom: 12. Dez., Seite 196-201 (DE-627)53467299X (DE-600)2365465-X 1876-6250 nnns volume:31 year:2022 number:5 day:12 month:12 pages:196-201 https://dx.doi.org/10.1007/s12471-022-01742-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2022 5 12 12 196-201 |
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10.1007/s12471-022-01742-3 doi (DE-627)SPR050218131 (SPR)s12471-022-01742-3-e DE-627 ger DE-627 rakwb eng den Dekker, Wijnand K. verfasserin (orcid)0000-0002-9919-3732 aut Initial experience with orbital atherectomy in a tertiary centre in the Netherlands 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. Orbital atherectomy (dpeaa)DE-He213 Calcification (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Intravascular imaging (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Intravascular ultrasound (dpeaa)DE-He213 Siskos, Anastasios-Alexandros aut Wilschut, Jeroen M. aut Nuis, Rutger-Jan aut Scarparo, Paola aut Neleman, Tara aut Masdjedi, Kaneshka aut Ligthart, Jurgen M. R. aut Diletti, Roberto aut Daemen, Joost aut Van Mieghem, Nicolas M. aut Enthalten in Netherlands heart journal [S.l.] : PubMed Central, 2001 31(2022), 5 vom: 12. Dez., Seite 196-201 (DE-627)53467299X (DE-600)2365465-X 1876-6250 nnns volume:31 year:2022 number:5 day:12 month:12 pages:196-201 https://dx.doi.org/10.1007/s12471-022-01742-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2022 5 12 12 196-201 |
| allfieldsGer |
10.1007/s12471-022-01742-3 doi (DE-627)SPR050218131 (SPR)s12471-022-01742-3-e DE-627 ger DE-627 rakwb eng den Dekker, Wijnand K. verfasserin (orcid)0000-0002-9919-3732 aut Initial experience with orbital atherectomy in a tertiary centre in the Netherlands 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. Orbital atherectomy (dpeaa)DE-He213 Calcification (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Intravascular imaging (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Intravascular ultrasound (dpeaa)DE-He213 Siskos, Anastasios-Alexandros aut Wilschut, Jeroen M. aut Nuis, Rutger-Jan aut Scarparo, Paola aut Neleman, Tara aut Masdjedi, Kaneshka aut Ligthart, Jurgen M. R. aut Diletti, Roberto aut Daemen, Joost aut Van Mieghem, Nicolas M. aut Enthalten in Netherlands heart journal [S.l.] : PubMed Central, 2001 31(2022), 5 vom: 12. Dez., Seite 196-201 (DE-627)53467299X (DE-600)2365465-X 1876-6250 nnns volume:31 year:2022 number:5 day:12 month:12 pages:196-201 https://dx.doi.org/10.1007/s12471-022-01742-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2022 5 12 12 196-201 |
| allfieldsSound |
10.1007/s12471-022-01742-3 doi (DE-627)SPR050218131 (SPR)s12471-022-01742-3-e DE-627 ger DE-627 rakwb eng den Dekker, Wijnand K. verfasserin (orcid)0000-0002-9919-3732 aut Initial experience with orbital atherectomy in a tertiary centre in the Netherlands 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. Orbital atherectomy (dpeaa)DE-He213 Calcification (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Intravascular imaging (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Intravascular ultrasound (dpeaa)DE-He213 Siskos, Anastasios-Alexandros aut Wilschut, Jeroen M. aut Nuis, Rutger-Jan aut Scarparo, Paola aut Neleman, Tara aut Masdjedi, Kaneshka aut Ligthart, Jurgen M. R. aut Diletti, Roberto aut Daemen, Joost aut Van Mieghem, Nicolas M. aut Enthalten in Netherlands heart journal [S.l.] : PubMed Central, 2001 31(2022), 5 vom: 12. Dez., Seite 196-201 (DE-627)53467299X (DE-600)2365465-X 1876-6250 nnns volume:31 year:2022 number:5 day:12 month:12 pages:196-201 https://dx.doi.org/10.1007/s12471-022-01742-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2022 5 12 12 196-201 |
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den Dekker, Wijnand K. |
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den Dekker, Wijnand K. misc Orbital atherectomy misc Calcification misc Coronary artery disease misc Intravascular imaging misc Optical coherence tomography misc Intravascular ultrasound Initial experience with orbital atherectomy in a tertiary centre in the Netherlands |
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Initial experience with orbital atherectomy in a tertiary centre in the Netherlands Orbital atherectomy (dpeaa)DE-He213 Calcification (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Intravascular imaging (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Intravascular ultrasound (dpeaa)DE-He213 |
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den Dekker, Wijnand K. Siskos, Anastasios-Alexandros Wilschut, Jeroen M. Nuis, Rutger-Jan Scarparo, Paola Neleman, Tara Masdjedi, Kaneshka Ligthart, Jurgen M. R. Diletti, Roberto Daemen, Joost Van Mieghem, Nicolas M. |
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initial experience with orbital atherectomy in a tertiary centre in the netherlands |
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Initial experience with orbital atherectomy in a tertiary centre in the Netherlands |
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Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. © The Author(s) 2022 |
| abstractGer |
Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. © The Author(s) 2022 |
| abstract_unstemmed |
Background In January 2021, the Diamondback 360 orbital atherectomy (OA) system received CE mark approval and became available in Europe. The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. Conclusion Our initial experience with OA for heavily calcified coronary lesions demonstrated favourable debulking effects and plaque modification, with high procedural success and clinical safety. © The Author(s) 2022 |
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The first procedure in Europe was performed at the Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Aims To report the procedural safety and efficacy of the initial experience with OA in a tertiary care institution in the Netherlands. Methods Patients with de novo severely calcified coronary artery disease who were treated with intended invasive imaging-guided OA were included in a prospective single-centre registry. Device success, defined as less than 50% stenosis after OA, and procedural success, defined as successful stent implantation with less than 50% residual stenosis, were evaluated. Calcium debulking effects were assessed by invasive imaging. Safety was assessed up to 30 days after the index procedure. Results Between February 2021 and June 2021, 29 patients with a total of 39 coronary arteries underwent OA. Target lesions were heavily calcified with a mean length of 32 mm and a calcium arc of 320 degrees. Invasive imaging was applied in all but one patient and 36 vessels. Superficial sanding was observed in almost all vessels (90%) and fracturing of deeper medial calcium in more than half of the vessels (63%), with a device success of 66% and procedural success of 94%. The mean stent symmetry index was 0.84, indicating good circular stent expansion. No primary safety events occurred during 30 days of follow-up. 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