Peter Lanzer1, Ralf Weser, Christiane Prettin. 1. Department of Internal Medicine, Hospitals and Clinics, Bitterfeld/Wolfen gGmbH, Friedrich-Ludwig-Jahn Strasse 2, 06749, Bitterfeld, Germany. ca.lanzer@kh-bitterfeld-wolfen.de
Abstract
AIMS: The aim of this retrospective study was to assess the feasibility of catheter-based interventions in two different vascular beds performed in a single stage in patients with vascular multimorbidity. METHODS AND RESULTS: Fifty patients, 28 males, mean age 68.6 (+/- 9.2) years and 22 females, mean ages 72.2 (+/- 6.4) years were studied. At least one major cardiovascular risk factor was present in 48 (94%) of all patients. The most frequent combination of interventions was coronary artery disease (CAD) and renovascular disease (RVD) (20 patients, 40%) followed by CAD and peripheral artery disease (PAD) (17 patients, 34%). In all patients technical success, defined as residual stenosis < or = 30% diameter, and procedural success, defined as lack of major adverse cardiac and cerebrovascular events (MACCE) during the in-hospital period, were achieved. In two patients surgical revision of the access site was required and in two additional patients minor local bleeding was observed. CONCLUSIONS: Sequential vascular interventions in different vascular beds may be performed in a single stage with high success rates, however, compared to historical controls possibly at a higher rate of access site complications. A larger study using controls is needed to assess the medical benefits and cost efficacy of a single stage approach in patients with clinically relevant vascular multimorbidity.
AIMS: The aim of this retrospective study was to assess the feasibility of catheter-based interventions in two different vascular beds performed in a single stage in patients with vascular multimorbidity. METHODS AND RESULTS: Fifty patients, 28 males, mean age 68.6 (+/- 9.2) years and 22 females, mean ages 72.2 (+/- 6.4) years were studied. At least one major cardiovascular risk factor was present in 48 (94%) of all patients. The most frequent combination of interventions was coronary artery disease (CAD) and renovascular disease (RVD) (20 patients, 40%) followed by CAD and peripheral artery disease (PAD) (17 patients, 34%). In all patients technical success, defined as residual stenosis < or = 30% diameter, and procedural success, defined as lack of major adverse cardiac and cerebrovascular events (MACCE) during the in-hospital period, were achieved. In two patients surgical revision of the access site was required and in two additional patients minor local bleeding was observed. CONCLUSIONS: Sequential vascular interventions in different vascular beds may be performed in a single stage with high success rates, however, compared to historical controls possibly at a higher rate of access site complications. A larger study using controls is needed to assess the medical benefits and cost efficacy of a single stage approach in patients with clinically relevant vascular multimorbidity.
Authors: Kim A Eagle; Peter B Berger; Hugh Calkins; Bernard R Chaitman; Gordon A Ewy; Kirsten E Fleischmann; Lee A Fleisher; James B Froehlich; Richard J Gusberg; Jeffrey A Leppo; Thomas Ryan; Robert C Schlant; William L Winters; Raymond J Gibbons; Elliott M Antman; Joseph S Alpert; David P Faxon; Valentin Fuster; Gabriel Gregoratos; Alice K Jacobs; Loren F Hiratzka; Richard O Russell; Sidney C Smith Journal: Circulation Date: 2002-03-12 Impact factor: 29.690
Authors: U Blum; B Krumme; P Flügel; A Gabelmann; T Lehnert; C Buitrago-Tellez; P Schollmeyer; M Langer Journal: N Engl J Med Date: 1997-02-13 Impact factor: 91.245