Transient acute right coronary artery deformation during transcatheter interventional tricuspid repair with the Cardioband tricuspid system.
Journal
EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
ISSN: 1969-6213
Titre abrégé: EuroIntervention
Pays: France
ID NLM: 101251040
Informations de publication
Date de publication:
17 May 2021
17 May 2021
Historique:
pubmed:
14
7
2020
medline:
19
5
2021
entrez:
14
7
2020
Statut:
ppublish
Résumé
The Cardioband tricuspid valve reconstruction system is a size-adjustable tricuspid reconstruction device for interventional treatment of tricuspid regurgitation (TR). Contraction of the device after successful implantation can be associated with an acute deformation of the right coronary artery (RCA). The aim of this study was to provide data on the persistence and clinical significance of acute RCA deformation following Cardioband implant procedures. Data from all patients with intraprocedural RCA deformation during Cardioband implantation were collected from four centres between October 2018 and January 2020. Control angiographies were performed in all of these patients before discharge. RCA deformation occurred in 14 out of 51 patients. Follow-up coronary angiography showed a complete resolution of deformation in all cases while patients remained clinically asymptomatic and had an uneventful post-interventional course. Intraprocedural coronary stent implantation was performed in two of the earlier cases according to the personal assessment of the implanters. RCA deformation is relatively frequent following interventional tricuspid annuloplasty but appears to be completely reversible in the absence of flow impairment or vascular damage. Based on our early experience watchful waiting is the most appropriate strategy to avoid unnecessary coronary interventions.
Sections du résumé
BACKGROUND
BACKGROUND
The Cardioband tricuspid valve reconstruction system is a size-adjustable tricuspid reconstruction device for interventional treatment of tricuspid regurgitation (TR). Contraction of the device after successful implantation can be associated with an acute deformation of the right coronary artery (RCA).
AIMS
OBJECTIVE
The aim of this study was to provide data on the persistence and clinical significance of acute RCA deformation following Cardioband implant procedures.
METHODS
METHODS
Data from all patients with intraprocedural RCA deformation during Cardioband implantation were collected from four centres between October 2018 and January 2020. Control angiographies were performed in all of these patients before discharge.
RESULTS
RESULTS
RCA deformation occurred in 14 out of 51 patients. Follow-up coronary angiography showed a complete resolution of deformation in all cases while patients remained clinically asymptomatic and had an uneventful post-interventional course. Intraprocedural coronary stent implantation was performed in two of the earlier cases according to the personal assessment of the implanters.
CONCLUSIONS
CONCLUSIONS
RCA deformation is relatively frequent following interventional tricuspid annuloplasty but appears to be completely reversible in the absence of flow impairment or vascular damage. Based on our early experience watchful waiting is the most appropriate strategy to avoid unnecessary coronary interventions.
Identifiants
pubmed: 32657277
pii: EIJ-D-20-00305
doi: 10.4244/EIJ-D-20-00305
pmc: PMC9754018
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
81-87Références
Prog Cardiovasc Dis. 2019 Nov - Dec;62(6):482-485
pubmed: 31669500
Eur Heart J Cardiovasc Imaging. 2017 Dec 1;18(12):1342-1343
pubmed: 28977455
Ann Thorac Surg. 2014 Apr;97(4):1300-5
pubmed: 24529484
J Am Coll Cardiol. 2019 Aug 13;74(6):715-725
pubmed: 31071413
Circulation. 2017 May 9;135(19):1802-1814
pubmed: 28336788
Ann Cardiothorac Surg. 2018 Nov;7(6):741-747
pubmed: 30598887
Heart. 2017 Jul;103(14):1073-1081
pubmed: 28416589
Eur Heart J. 2017 Mar 01;38(9):665-674
pubmed: 27807057
Eur Heart J. 2018 Oct 14;39(39):3574-3581
pubmed: 30010848
J Am Coll Cardiol. 2019 Apr 23;73(15):1905-1915
pubmed: 30999993
Eur Heart J Cardiovasc Imaging. 2013 Jul;14(7):611-44
pubmed: 23733442