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Changes in the treatment strategy following intracoronary pressure wire in a contemporaneous real-life cohort of patients with intermediate coronary stenosis. Results from a nationwide registry

Abstract: Background: Intracoronary pressure wire is useful to guide revascularization in patients with coronary artery disease. Aims: To evaluate changes in diagnosis (coronary artery disease extent), treatment strategy and clinical results after intracoronary pressure wire study in real-life patients with intermediate coronary artery stenosis. Methods: Observational, prospective and multicenter registry of patients in whom pressure wire was performed. The extent of coronary artery disease and the treatment strategy based on clinical and angiographic criteria were recorded before and after intracoronary pressure wire guidance. 12-month incidence of MACE (cardiovascular death, non-fatal myocardial infarction or new revascularization of the target lesion) was assessed. Results: 1414 patients with 1781 lesions were included. Complications related to the procedure were reported in 42 patients (3.0 %). The extent of coronary artery disease changed in 771 patients (54.5 %). There was a change in treatment strategy in 779 patients (55.1 %) (18.0 % if medical treatment; 68.8 % if PCI; 58.9 % if surgery (p < 0.001 for PCI vs medical treatment; p = 0.041 for PCI vs CABG; p < 0.001 for medical treatment vs CABG)). In patients with PCI as the initial strategy, the change in strategy was associated with a lower rate of MACE (4.6 % vs 8.2 %, p = 0.034). Conclusions: The use of intracoronary pressure wire was safe and led to the reclassification of the extent of coronary disease and change in the treatment strategy in more than half of the cases, especially in patients with PCI as initial treatment.

 Fuente: Cardiovascular Revascularization Medicine: Including Molecular Interventions, 2023, 51, 55-64

 Editorial: Elsevier

 Año de publicación: 2023

 Nº de páginas: 10

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.carrev.2023.01.027

 ISSN: 1553-8389,1878-0938

 Url de la publicación: https://doi.org/10.1016/j.carrev.2023.01.027

Autoría

RODRIGUEZ-LEOR, ORIOL

TOLEDANO, BEATRIZ

LÓPEZ-PALOP, RAMÓN

RIVERO, FERNÁNDO

BRUGALETTA, SALVATORE

LINARES, JOSÉ ANTONIO

BENITO, TOMÁS

CARRILLO, PILAR

PUIGFEL, MARTÍ

CEDIEL, GERMAN

SABADA, MARIO

VAQUERIZO, BEATRIZ

RONDÁN, JUAN

GÓMEZ, IVÁN

ALFONSO, FERNANDO

SÁEZ, ROBERTO

PLANAS, ANA

LOZANO, FERNANDO