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5. Predictors of outcome of percutaneous excimer laser coronary angioplasty of saphenous vein bypass graft lesions

Author

Bittl, John A, Sanborn, Timothy A, Yardley, David E, Tcheng, James E, Isner, Jeffrey M, Chokshi, Saurabh K, Strauss, Bradley H, Abela, George S, Walter, Paul D, Schmidhofer, Mark, Power, John A, and Registry, The Percutaneous Excimer Laser Coronary Angioplasty

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Cardiovascular, Atherosclerosis, Heart Disease, Cancer, Evaluation of treatments and therapeutic interventions, 6.4 Surgery, Aged, Angioplasty, Balloon, Coronary, Angioplasty, Balloon, Laser-Assisted, Atherectomy, Coronary, Combined Modality Therapy, Coronary Angiography, Coronary Artery Bypass, Coronary Disease, Embolism, Female, Follow-Up Studies, Forecasting, Graft Occlusion, Vascular, Humans, Logistic Models, Male, Middle Aged, Myocardial Infarction, Recurrence, Saphenous Vein, Stents, Survival Rate, Treatment Outcome, Ulcer, Cardiorespiratory Medicine and Haematology, Cardiovascular System & Hematology, Cardiovascular medicine and haematology
Abstract

A total of 495 patients underwent treatment with excimer laser angioplasty for 545 saphenous vein graft stenoses. Clinical success was achieved in 455 of 495 patients (92%), as indicated by < or = 50% residual stenosis at every target lesion and no complication during hospitalization. At least 1 in-hospital complication occurred in 30 of 495 patients (6.1%): death (1.0%), bypass surgery (0.6%), and Q-wave (2.4%) or non-Q-wave (2.2%) myocardial infarction. Relative risk analysis showed that ostial lesions (n = 65) tended to have higher clinical success (success rate = 95%, adjusted odds ratio [OR] = 2.1 [95% confidence interval (CI) 0.62, 6.88]; p = 0.24) and lower complications (complication rate = 0%, OR = 0.10 [CI 0.01, 0.79]; p = 0.03) than lesions in the body of the vein graft. Lesions > 10 mm (n = 131) had lower success (success rate = 84%, OR = 0.30 [CI 0.16, 0.56]; p = 0.001) and higher complications (complication rate = 12%, OR = 3.3 [CI 1.6, 6.6]; p = 0.004) than discrete lesions. Lesions in small vein grafts < 3.0 mm (n = 76) tended to have increased success (success rate = 94%, OR = 1.55 [CI 0.70, 3.44]; p = 0.39) and lower complications (complication rate = 2.2%, OR = 0.31 [CI 0.10, 0.94]; p = 0.03). Thus, excimer laser-facilitated angioplasty has the most favorable outcome for discrete lesions located at the ostium of all grafts and in the body of smaller saphenous vein grafts.(ABSTRACT TRUNCATED AT 250 WORDS)

Published
1994

6. Acute complications of excimer laser coronary angioplasty: A detailed analysis of multicenter results

Author

Baumbach, Andreas, Bittl, John A, Fleck, Eckart, Geschwind, Herbert J, Sanborn, Timothy A, Tcheng, James E, Arsch, Karl RK, and Registries, The Coinvestigators of the US and European Percutaneous Excimer Laser Coronary Angioplasty

Subjects
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Atherosclerosis, Clinical Research, Heart Disease - Coronary Heart Disease, Cardiovascular, Heart Disease, Acute Disease, Adult, Aged, Aged, 80 and over, Angioplasty, Balloon, Coronary, Angioplasty, Balloon, Laser-Assisted, Chi-Square Distribution, Coronary Disease, Europe, Female, Humans, Incidence, Logistic Models, Male, Middle Aged, Multivariate Analysis, Postoperative Complications, Registries, United States, Cardiorespiratory Medicine and Haematology, Public Health and Health Services, Cardiovascular System & Hematology, Cardiovascular medicine and haematology
Abstract

ObjectivesThe aim of this study was to document and analyze the incidence and consequences of complications of excimer laser coronary angioplasty.BackgroundExcimer laser coronary angioplasty has been reported to be a safe and feasible alternative or adjunct to conventional balloon angioplasty, but serious and unique complications have been observed.MethodsData on 1,595 interventions of excimer laser coronary angioplasty in 1,521 patients were analyzed, using a merged data base from the U.S. and European Percutaneous Excimer Laser Coronary Angioplasty (PELCA) registries.ResultsProcedural success was achieved in 89.3% of interventions. Stand-alone laser angioplasty was performed in 17.8% of interventions. Complications included dissection (22.0%), vasospasm (6.1%), filling defects (4.8%), abrupt reclosure (6.1%), embolization (2.3%), perforation (2.4%), arrhythmia (0.7%) and aneurysm formation (0.3%). Major complications were non-Q wave myocardial infarction (2.3%), Q wave myocardial infarction (1.0%), coronary artery bypass grafting (3.1%) and death (0.7%). Logistic regression analysis revealed correlation between dissections and the use of larger catheter size (p = 0.0005), high energy per pulse levels (p = 0.0001 for native vessels), lesion length > 10 mm (p = 0.001) and presence of a side branch (p = 0.01). The incidence of perforations was higher in women (p = 0.004), in treatment of total occlusions (p = 0.02) and in the presence of a side branch (p = 0.03). Fatal complications were correlated with patients with multivessel disease (p < 0.0001), patients with acute myocardial infarction (p = 0.0009) and older patients (> 70 years old, p = 0.004). The incidence of major complications decreased after performance of 50 laser angioplasty procedures at one institution (p = 0.02).ConclusionsThis analysis defines both the learning curve and the profile of complications for excimer laser angioplasty and provides insight into the selection of appropriate patients and proper performance of the procedure.

Published
1994

7. ACC/AHA/SCAI 2014 Health Policy Statement on Structured Reporting for the Cardiac Catheterization Laboratory: A Report of the American College of Cardiology Clinical Quality Committee

Author

Sanborn, Timothy A., Tcheng, James E., Anderson, H. Vernon, Chambers, Charles E., Cheatham, Sharon L., DeCaro, Matthew V., Durack, Jeremy C., Everett, Allen D., Gordon, John B., Hammond, William E., Hijazi, Ziyad M., Kashyap, Vikram S., Knudtson, Merrill, Landzberg, Michael J., Martinez-Rios, Marco A., Riggs, Lisa A., Sim, Kui Hian, Slotwiner, David J., Solomon, Harry, Szeto, Wilson Y., Weiner, Bonnie H., Weintraub, William S., and Windle, John R.

Published
2014
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9. ACCF/AHA/SCAI 2013 Update of the Clinical Competence Statement on Coronary Artery Interventional Procedures: A Report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (Writing Committee to Revise the 2007 Clinical Competence Statement on Cardiac Interventional Procedures)

Author

Halperin, Jonathan L., Beckman, Joshua A., Bolger, Ann, Byrne, John G., Lester, Steven J., Merli, Geno J., Muhlestein, J. Brent, Pina, Ileana L., Wang, Andrew, Weitz, Howard H., Harold, John G., Bass, Theodore A., Bashore, Thomas M., Brindis, Ralph G., Brush, John E., Jr., Burke, James A., Dehmer, Gregory J., Deychak, Yuri A., Jneid, Hani, Jollis, James G., Landzberg, Joel S., Levine, Glenn N., McClurken, James B., Messenger, John C., Moussa, Issam D., Pomerantz, Richard M., Sanborn, Timothy A., Sivaram, Chittur A., White, Christopher J., and Williams, Eric S.

Published
2013
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13. Recommendations for Successful Training on Methods of Delivery of Biologics for Cardiac Regeneration: A Report of the International Society for Cardiovascular Translational Research

Author

Dib, Nabil, Menasche, Philippe, Bartunek, Jozef J., Zeiher, Andreas M., Terzic, Andre, Chronos, Nicolas A., Henry, Timothy D., Peters, Nicholas S., Fernández-Avilés, Francisco, Yacoub, Magdi, Sanborn, Timothy A., DeMaria, Anthony, Schatz, Richard A., Taylor, Doris A., Fuchs, Shmuel, Itescu, Silviu, Miller, Leslie W., Dinsmore, Jonathan H., Dangas, George D., Popma, Jeffrey J., Hall, Jennifer L., and Holmes, David R., Jr

Published
2010
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22. Influence of sex on in-hospital outcomes and long-term survival after contemporary percutaneous coronary intervention

Author

Berger, Jeffrey S., Sanborn, Timothy A., Sherman, Warren, and Brown, David L.

Subjects
Transluminal angioplasty, Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ahj.2004.05.062 Byline: Jeffrey S. Berger, Timothy A. Sanborn, Warren Sherman, David L. Brown Abstract: Early studies suggested that morbidity and mortality after percutaneous coronary intervention (PCI) were greater for women than men. However, in recent reports, sex-related differences in short-term outcome have decreased as outcomes among women have improved. Author Affiliation: Department of Medicine (Cardiovascular Medicine), SUNY Stony Brook School of Medicine, Stony Brook, NY Article History: Received 23 December 2003; Accepted 18 May 2004

Published
2006

23. Outcome of patients aged (greater than or equal to) 75 years in the SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK (SHOCK) trial: do elderly patients with acute myocardial infarction complicated by cardiogenic shock respond differently to emergent revascularization?

Author

Dzavik, Vladimir, Sleeper, Lynn A., Picard, Michael H., Sanborn, Timothy A., Lowe, April M., Gin, Ken, Saucedo, Jorge, Webb, John G., Menon, Venu, Slater, James N., and Hochman, Judith S.

Subjects
Cardiogenic shock -- Care and treatment, Aged patients -- Care and treatment, Health
Published
2005

24. ACCF/AHA/SCAI 2013 Update of the Clinical Competence Statement on Coronary Artery Interventional Procedures: A Report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (Writing Committee to Revise the 2007 Clinical Competence Statement on Cardiac Interventional Procedures)

Author

Harold, John G., Bass, Theodore A., Bashore, Thomas M., Brindiss, Ralph G., Brush, John E., JR, Burke, James A., Dehmers, Gregory J., Deychak, Yuri A., Jneids, Hani, Jolliss, James G., Landzberg, Joel S., Levine, Glenn N., McClurken, James B., Messengers, John C., Moussas, Issam D., Muhlestein, Brent J., Pomerantz, Richard M., Sanborn, Timothy A., Sivaram, Chittur A., Whites, Christopher J., Williamss, Eric S., Halperin, Jonathan L., Beckman, Joshua A., Bolger, Ann, Byrne, John G., Lester, Steven J., Merli, Geno J., Pina, Ileana L., Wang, Andrew, and Weitz, Howard H.

Published
2013
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29. Percutaneous coronary intervention for cardiogenic shock in the SHOCK Trial Registry

Author

Webb, John G., Sanborn, Timothy A., Sleeper, Lynn A., Carere, Ronald G., Buller, Christopher E., Slater, James N., Baran, Kenneth W., Koller, Patrick T., Talley, J. David, Porway, Mark, and Hochman, Judith S.

Subjects
Cardiogenic shock -- Care and treatment, Transluminal angioplasty -- Evaluation, Coronary artery bypass -- Evaluation, Heart attack -- Complications, Health
Published
2001

33. Early revascularization in acute myocardial infarction complicated by cardiogenic shock

Author

Hochman, Judith S., Sleeper, Lynn A., Webb, John G., Sanborn, Timothy A., White, Harvey D., Talley, J. David, Buller, Christopher E., Jacobs, Alice K., Slater, James N., Col, Jacques, McKinlay, Sonja M., and LeJemtel, Thierry H.

Subjects
Cardiogenic shock -- Care and treatment, Transluminal angioplasty -- Evaluation, Coronary artery bypass -- Evaluation
Abstract

Patients who develop cardiogenic shock after a heart attack may benefit from procedures that open up clogged coronary arteries. Cardiogenic shock is the most common cause of death in patients who have a heart attack. Researchers randomly assigned 302 heart attack patients to receive regular medical care or emergency angioplasty or coronary artery bypass. Although 30-day mortality rates did not differ between the two groups, six-month mortality rates were lower in the group that received emergency angioplasty or coronary artery bypass.

Published
1999

35. Outcome of patients aged ≥75 years in the SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK (SHOCK) trial: Do elderly patients with acute myocardial infarction complicated by cardiogenic shock respond differently to emergent revascularization?

Author

Dzavik, Vladimir, Sleeper, Lynn A., Picard, Michael H., Sanborn, Timothy A., Lowe, April M., Gin, Ken, Saucedo, Jorge, Webb, John G., Menon, Venu, Slater, James N., and Hochman, Judith S.

Published
2005
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36. CONTRIBUTORS

Author

AGUILAR, OSCAR M., primary, BANDER, STEVEN J., additional, CAO, QI LING, additional, FEARON, WILLIAM F., additional, FELDMAN, TED, additional, HERRMANN, STEVEN C., additional, HIJAZI, ZIYAD M., additional, HODGSON, JOHN McB., additional, KHOUKAZ, SOUHEIL, additional, KIMMELSTIEL, CAREY, additional, LEVINE, GLENN N., additional, LIM, MICHAEL J., additional, LITWINCZUK, Z. JACOB, additional, MARGASSERY, SURESH KUMAR, additional, MARTIN, KEVIN J., additional, PATEL, HITENDRA T., additional, RINDER, MORTON R., additional, SALINGER, MICHAEL H., additional, SANBORN, TIMOTHY A., additional, SILVA, JOSE ANTONIO, additional, WHITE, CHRISTOPHER J., additional, and ZISKIND, ANDREW, additional

Published
2004
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39. Measuring success: eco-efficiency analysis illustrates the benefits of ultraviolet-cured adhesives

Author

Reich, B. Jesse E., Bradlee, Christopher A., Wall, Charlene A., Sanborn, Timothy P., and Horwitz, Ronald J.

Subjects
United States. Environmental Protection Agency -- Powers and duties, Air pollution -- Laws, regulations and rules, Building materials -- Usage, Building materials -- Prices and rates, Coatings industry -- Environmental aspects, Hurricanes -- United States, Hurricanes -- Environmental aspects, Government regulation, Company pricing policy, Business, Chemicals, plastics and rubber industries, Clean Air Act
Abstract

Following the devastating effects of Hurricanes Rita and Katrina, government, businesses and consumers are paying closer attention to the environmental impacts of the products that they buy; they are also [...]

Published
2006

46. One-Year Survival Following Early Revascularization for Cardiogenic Shock

Author

Hochman, Judith S., Sleeper, Lynn A., White, Harvey D., Dzavik, Vladimir, Wong, S. Chiu, Menon, Venu, Webb, John G., Steingart, Richard, Picard, Michael H., Menegus, Mark A., Boland, Jean, Sanborn, Timothy, Buller, Christopher E., Modur, Sharada, Forman, Robert, Desvigne-Nickens, Patrice, Jacobs, Alice K., Slater, James N., and LeJemtel, Thierry H.

Published
2001

50. BIOLOGIC BYPASS WITH THE USE OF ADENOVIRUS-MEDIATED GENE TRANSFER OF THE COMPLEMENTARY DEOXYRIBONUCLEIC ACID FOR VASCULAR ENDOTHELIAL GROWTH FACTOR 121 IMPROVES MYOCARDIAL PERFUSION AND FUNCTION IN THE ISCHEMIC PORCINE HEART

Author

Mack, Charles A., Patel, Shailen R., Schwarz, Eric A., Zanzonico, Pat, Hahn, Rebecca T., Ilercil, Arzu, Devereux, Richard B., Goldsmith, Stanley J., Christian, Timothy F., Sanborn, Timothy A., Kovesdi, Imre, Hackett, Neil, Isom, O. Wayne, Crystal, Ronald G., and Rosengart, Todd K.

Published
1998

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