Efectividad del balón no distensible con punta esférica en posdilatación coronaria: estudio REPIC02-RECONQUISTHA
- Jose Antonio Linares Vicente 1
- Koldobika Garcia San Román 2
- Fernando Lozano Ruiz-Poveda 3
- Gabriela Veiga Fernández 4
- Antonio E. Gómez 5
- Gerardo Moreno Terribas 6
- Gema Miñana Escrivá 7
- Joaquín Sánchez Gila 8
- Carlos Arellano Serrano 9
- José R. Rumoroso Cuevas 10
- Ginés Martín Cáceres 11
- Pablo Bazal Chacón 12
- Pedro Martín Lorenzo 13
- Fernando Rebollal Leal 14
- José Moreu 15
- Armando Pérez de Prado 16
- 1 Servicio de Cardiología, Hospital Clínico Universitario Lozano Blesa, Instituto de Investigación Sanitaria Aragón (IISA), Zaragoza, España
- 2 Servicio de Cardiología, Hospital Universitario de Cruces, Barakaldo, Vizcaya, España
- 3 Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España
- 4 Servicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Santander, España
- 5 Servicio de Cardiología, Hospital Universitario Juan Ramón Jiménez, Huelva, España
- 6 Servicio de Cardiología, Hospital Universitario San Cecilio, Granada, España
- 7 Servicio de Cardiología, Hospital Clínico Universitario de Valencia, Valencia, España
- 8 Servicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada, España
- 9 Servicio de Cardiología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España
- 10 Servicio de Cardiología, Hospital Universitario Galdakao-Usansolo, Bilbao, Vizcaya, España
- 11 Servicio de Cardiología, Hospital Universitario Infanta Cristina, Badajoz, España
- 12 Servicio de Cardiología, Complejo Hospitalario Universitario de Navarra, Pamplona, España
- 13 Servicio de Cardiología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas, España
- 14 Servicio de Cardiología, Complejo Hospitalario Universitario A Coruña, A Coruña, España
- 15 Servicio de Cardiología, Hospital General Universitario de Toledo, Toledo, España
- 16 Servicio de Cardiología, Hospital Universitario de León, Fundación EPIC, León España
ISSN: 2604-7276, 2604-7306
Year of publication: 2022
Volume: 4
Issue: 4
Pages: 279-286
Type: Article
More publications in: REC: Interventional Cardiology
Abstract
Introduction and objectives: Noncompliant balloon postdilatation of coronary stents improves clinical results. Regular noncompliant balloons (RegNC) have less crossability and a tapered-tip that can complicate successful stent postdilatation. The mechanical conditions of a new spherical tip non-compliant balloon (SphNC) could facilitate stent postdilatation. We tried to evaluate the effectiveness of a new SphNC in the routine percutaneous coronary intervention (PCI) practice. Methods: Prospective multicenter technical registry to assess the effectiveness of a new SphNC for stent postdilatation with 2 study arms: use of SphNC as the first choice or as the secondary choice after RegNC failure. The primary endpoint was technical success defined as advancing the SphNC across the stent segment. Secondary endpoints were angiographic success defined as technical success and residual stenosis < 30% with final TIMI grade-3 flow, and procedural success defined as angiographic success without mechanical stent complications or any perioperative major adverse cardiovascular events. Results: The SphNC was used in 263 lesions (177 lesions as first choice, and 86 after RegNC failure) in 250 procedures. The use of the complex technique to advance the SphNC was low (9.9%). Technical, angiographic, and procedural success rates were 98.9%, 98.3%, and 98.3%, respectively, as the first choice, and 98.8%, 97.7%, and 96.5%, respectively, after RegNC failure. SphNC had similar size (3.39 mm ± 0.6 mm vs 3.34 mm ± 0.6 mm; P = nonsignificant), and shorter lengths (11 mm ± 2 mm vs 12 mm ± 3 mm; P = .005) compared to RegNC. No stent-related mechanical complications were reported. Conclusions: SphNC for coronary stent postdilatation in the routine PCI clinical practice has a very high technical success rate as the first choice (98.9%), as well as in cases of RegNC failure (98.8% with low complex technique requirements, and a safe profile).
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