Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching

Abstract Complications such as slow flow are frequently observed in percutaneous coronary intervention (PCI) with rotational atherectomy (RA). However, it remains unclear whether the high incidence of slow flow results in the high incidence of periprocedural myocardial infarction (PMI), reflecting r...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yusuke Mizuno, Kenichi Sakakura, Hiroyuki Jinnouchi, Yousuke Taniguchi, Takunori Tsukui, Kei Yamamoto, Masaru Seguchi, Hiroshi Wada, Hideo Fujita
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8bf60616ae0c4f249b20ebe331821f5c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8bf60616ae0c4f249b20ebe331821f5c
record_format	dspace
spelling	oai:doaj.org-article:8bf60616ae0c4f249b20ebe331821f5c2021-12-02T15:49:53ZComparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching10.1038/s41598-021-90042-82045-2322https://doaj.org/article/8bf60616ae0c4f249b20ebe331821f5c2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90042-8https://doaj.org/toc/2045-2322Abstract Complications such as slow flow are frequently observed in percutaneous coronary intervention (PCI) with rotational atherectomy (RA). However, it remains unclear whether the high incidence of slow flow results in the high incidence of periprocedural myocardial infarction (PMI), reflecting real myocardial damage. The aim of this study was to compare the incidence of PMI between PCI with versus without RA using propensity score-matching. We included 1350 elective PCI cases, which were divided into the RA group (n = 203) and the non-RA group (n = 1147). After propensity score matching, the matched RA group (n = 190) and the matched non-RA group (n = 190) were generated. The primary interest was to compare the incidence of PMI between the matched RA and non-RA groups. Before propensity score matching, the incidence of slow flow and PMI was greater in the RA group than in the non-RA group. After matching, the incidence of slow flow was still greater in the matched RA group than in the matched non-RA group (16.8% vs. 9.5%, p = 0.048). However, the incidence of PMI was similar between the matched RA and matched non-RA group (7.4% vs. 5.3%, p = 0.528, standardized difference: 0.086). In conclusion, although use of RA was associated with greater risk of slow flow, use of RA was not associated with PMI after a propensity score-matched analysis. The fact that RA did not increase the risk of myocardial damage in complex lesions would have an impact on revascularization strategy for severely calcified coronary lesions.Yusuke MizunoKenichi SakakuraHiroyuki JinnouchiYousuke TaniguchiTakunori TsukuiKei YamamotoMasaru SeguchiHiroshi WadaHideo FujitaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yusuke Mizuno Kenichi Sakakura Hiroyuki Jinnouchi Yousuke Taniguchi Takunori Tsukui Kei Yamamoto Masaru Seguchi Hiroshi Wada Hideo Fujita Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
description	Abstract Complications such as slow flow are frequently observed in percutaneous coronary intervention (PCI) with rotational atherectomy (RA). However, it remains unclear whether the high incidence of slow flow results in the high incidence of periprocedural myocardial infarction (PMI), reflecting real myocardial damage. The aim of this study was to compare the incidence of PMI between PCI with versus without RA using propensity score-matching. We included 1350 elective PCI cases, which were divided into the RA group (n = 203) and the non-RA group (n = 1147). After propensity score matching, the matched RA group (n = 190) and the matched non-RA group (n = 190) were generated. The primary interest was to compare the incidence of PMI between the matched RA and non-RA groups. Before propensity score matching, the incidence of slow flow and PMI was greater in the RA group than in the non-RA group. After matching, the incidence of slow flow was still greater in the matched RA group than in the matched non-RA group (16.8% vs. 9.5%, p = 0.048). However, the incidence of PMI was similar between the matched RA and matched non-RA group (7.4% vs. 5.3%, p = 0.528, standardized difference: 0.086). In conclusion, although use of RA was associated with greater risk of slow flow, use of RA was not associated with PMI after a propensity score-matched analysis. The fact that RA did not increase the risk of myocardial damage in complex lesions would have an impact on revascularization strategy for severely calcified coronary lesions.
format	article
author	Yusuke Mizuno Kenichi Sakakura Hiroyuki Jinnouchi Yousuke Taniguchi Takunori Tsukui Kei Yamamoto Masaru Seguchi Hiroshi Wada Hideo Fujita
author_facet	Yusuke Mizuno Kenichi Sakakura Hiroyuki Jinnouchi Yousuke Taniguchi Takunori Tsukui Kei Yamamoto Masaru Seguchi Hiroshi Wada Hideo Fujita
author_sort	Yusuke Mizuno
title	Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
title_short	Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
title_full	Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
title_fullStr	Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
title_full_unstemmed	Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
title_sort	comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8bf60616ae0c4f249b20ebe331821f5c
work_keys_str_mv	AT yusukemizuno comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT kenichisakakura comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT hiroyukijinnouchi comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT yousuketaniguchi comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT takunoritsukui comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT keiyamamoto comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT masaruseguchi comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT hiroshiwada comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching AT hideofujita comparisonoftheincidenceofperiproceduralmyocardialinfarctionbetweenpercutaneouscoronaryinterventionwithversuswithoutrotationalatherectomyusingpropensityscorematching
_version_	1718385704149450752

Comparison of the incidence of periprocedural myocardial infarction between percutaneous coronary intervention with versus without rotational atherectomy using propensity score-matching

Ejemplares similares