UnivTrevesV1, PascalFrancis, Corpus, bibRecord, 000E32

Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass

Identifieur interne : 000E32 ( PascalFrancis/Corpus ); précédent : 000E31; suivant : 000E33

Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass

Auteurs : Stephen N. Oesterle ; Nicolaus Reifart ; Eugen Hauptmann ; Motoya Hayase ; Alan C. Yeung

Source :

Circulation : (New York, N.Y.) [ 0009-7322 ] ; 2001.

RBID : Pascal:01-0331187

Descripteurs français

Pascal (Inist)
- Dérivation, Aortocoronaire, Voie percutanée, Sinus coronaire, Traitement, Technique, Homme, Etude cas.

English descriptors

KwdEn :
- Aortocoronary, Bypass, Case study, Coronary sinus, Human, Percutaneous route, Technique, Treatment.

Abstract

Diffuse coronary artery disease is frequently untreatable by coronary artery bypass or angioplasty. Many such "no-option" patients have been subjects for trials of angiogenesis using growth factor manipulation or laser injury. We think these novel revascularization strategies are limited by insufficient inflow to putative areas of new microvasculature and thus seek a more mechanical solution. We report the use of a catheter-based system for arterializing the adjacent anterior cardiac vein in a patient with chronic total occlusion of the left anterior descending coronary artery. A composite catheter system (phased-array ultrasound imaging system mounted on a catheter with extendable nitinol needle) was used to deliver an exchange-length intracoronary guidewire from the proximal left anterior descending coronary artery into the parallel anterior interventricular vein. Using standard angioplasty techniques, a fistula was then constructed from the proximal artery to the coronary vein using a self-expanding connector. The proximal vein was blocked with a novel self-expanding "blocker," thus precluding "steal" through the coronary sinus and forcing retroperfusion of the anterior wall. The procedure was completed without complication, and a follow-up angiogram at 3 months confirmed continued patency of the arteriovenous connection. This patient, who had severe angina before the procedure, has been asymptomatic for 12 months. Percutaneous in situ venous arterialization may be an effective therapy for diffuse, "untreatable" coronary disease by supplying a robust inflow of arterialized blood via retroperfusion to severely ischemic myocardium.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02	`01`			`@0 CIRCAZ`
A03		`1`		`@0 Circulation : (N. Y. N.Y.)`
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A08	`01`	`1`	`ENG`	`@1 Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass`
A11	`01`	`1`		`@1 OESTERLE (Stephen N.)`
A11	`02`	`1`		`@1 REIFART (Nicolaus)`
A11	`03`	`1`		`@1 HAUPTMANN (Eugen)`
A11	`04`	`1`		`@1 HAYASE (Motoya)`
A11	`05`	`1`		`@1 YEUNG (Alan C.)`
A14	`01`			`@1 Massachusetts General Hospital, Harvard Medical School @2 Boston, Mass @3 USA @Z 1 aut.`
A14	`02`			`@1 Kardiologisches Institut @2 Bad Soden @3 DEU @Z 2 aut.`
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A14	`04`			`@1 Toyohashi Heart Center @2 Toyohashi @3 JPN @Z 4 aut.`
A14	`05`			`@1 Stanford University Medical Center @2 Stanford, Calif @3 USA @Z 5 aut.`
A20				`@1 2539-2543`
A21				`@1 2001`
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C01	`01`		`ENG`	@0 Diffuse coronary artery disease is frequently untreatable by coronary artery bypass or angioplasty. Many such "no-option" patients have been subjects for trials of angiogenesis using growth factor manipulation or laser injury. We think these novel revascularization strategies are limited by insufficient inflow to putative areas of new microvasculature and thus seek a more mechanical solution. We report the use of a catheter-based system for arterializing the adjacent anterior cardiac vein in a patient with chronic total occlusion of the left anterior descending coronary artery. A composite catheter system (phased-array ultrasound imaging system mounted on a catheter with extendable nitinol needle) was used to deliver an exchange-length intracoronary guidewire from the proximal left anterior descending coronary artery into the parallel anterior interventricular vein. Using standard angioplasty techniques, a fistula was then constructed from the proximal artery to the coronary vein using a self-expanding connector. The proximal vein was blocked with a novel self-expanding "blocker," thus precluding "steal" through the coronary sinus and forcing retroperfusion of the anterior wall. The procedure was completed without complication, and a follow-up angiogram at 3 months confirmed continued patency of the arteriovenous connection. This patient, who had severe angina before the procedure, has been asymptomatic for 12 months. Percutaneous in situ venous arterialization may be an effective therapy for diffuse, "untreatable" coronary disease by supplying a robust inflow of arterialized blood via retroperfusion to severely ischemic myocardium.
C02	`01`	`X`		`@0 002B25E`
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C03	`04`	`X`	`ENG`	`@0 Coronary sinus @5 07`
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C03	`05`	`X`	`ENG`	`@0 Treatment @5 17`
C03	`05`	`X`	`SPA`	`@0 Tratamiento @5 17`
C03	`06`	`X`	`FRE`	`@0 Technique @5 18`
C03	`06`	`X`	`ENG`	`@0 Technique @5 18`
C03	`06`	`X`	`SPA`	`@0 Técnica @5 18`
C03	`07`	`X`	`FRE`	`@0 Homme @5 20`
C03	`07`	`X`	`ENG`	`@0 Human @5 20`
C03	`07`	`X`	`SPA`	`@0 Hombre @5 20`
C03	`08`	`X`	`FRE`	`@0 Etude cas @5 21`
C03	`08`	`X`	`ENG`	`@0 Case study @5 21`
C03	`08`	`X`	`SPA`	`@0 Estudio caso @5 21`
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C07	`01`	`X`	`SPA`	`@0 Cirugía @5 37`
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Format Inist (serveur)

NO :	PASCAL 01-0331187 INIST
ET :	Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass
AU :	OESTERLE (Stephen N.); REIFART (Nicolaus); HAUPTMANN (Eugen); HAYASE (Motoya); YEUNG (Alan C.)
AF :	Massachusetts General Hospital, Harvard Medical School/Boston, Mass/Etats-Unis (1 aut.); Kardiologisches Institut/Bad Soden/Allemagne (2 aut.); Krankenhaus der Barmherzigen Brüder/Trier/Allemagne (3 aut.); Toyohashi Heart Center/Toyohashi/Japon (4 aut.); Stanford University Medical Center/Stanford, Calif/Etats-Unis (5 aut.)
DT :	Publication en série; Compte-rendu; Niveau analytique
SO :	Circulation : (New York, N.Y.); ISSN 0009-7322; Coden CIRCAZ; Etats-Unis; Da. 2001; Vol. 103; No. 21; Pp. 2539-2543; Bibl. 25 ref.
LA :	Anglais
EA :	Diffuse coronary artery disease is frequently untreatable by coronary artery bypass or angioplasty. Many such "no-option" patients have been subjects for trials of angiogenesis using growth factor manipulation or laser injury. We think these novel revascularization strategies are limited by insufficient inflow to putative areas of new microvasculature and thus seek a more mechanical solution. We report the use of a catheter-based system for arterializing the adjacent anterior cardiac vein in a patient with chronic total occlusion of the left anterior descending coronary artery. A composite catheter system (phased-array ultrasound imaging system mounted on a catheter with extendable nitinol needle) was used to deliver an exchange-length intracoronary guidewire from the proximal left anterior descending coronary artery into the parallel anterior interventricular vein. Using standard angioplasty techniques, a fistula was then constructed from the proximal artery to the coronary vein using a self-expanding connector. The proximal vein was blocked with a novel self-expanding "blocker," thus precluding "steal" through the coronary sinus and forcing retroperfusion of the anterior wall. The procedure was completed without complication, and a follow-up angiogram at 3 months confirmed continued patency of the arteriovenous connection. This patient, who had severe angina before the procedure, has been asymptomatic for 12 months. Percutaneous in situ venous arterialization may be an effective therapy for diffuse, "untreatable" coronary disease by supplying a robust inflow of arterialized blood via retroperfusion to severely ischemic myocardium.
CC :	002B25E
FD :	Dérivation; Aortocoronaire; Voie percutanée; Sinus coronaire; Traitement; Technique; Homme; Etude cas
FG :	Chirurgie
ED :	Bypass; Aortocoronary; Percutaneous route; Coronary sinus; Treatment; Technique; Human; Case study
EG :	Surgery
SD :	Derivación; Aortocoronaria; Vía percutánea; Seno coronario; Tratamiento; Técnica; Hombre; Estudio caso
LO :	INIST-5907.354000098944040040
ID :	01-0331187

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Pascal:01-0331187

Le document en format XML

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<front><div type="abstract" xml:lang="en">Diffuse coronary artery disease is frequently untreatable by coronary artery bypass or angioplasty. Many such "no-option" patients have been subjects for trials of angiogenesis using growth factor manipulation or laser injury. We think these novel revascularization strategies are limited by insufficient inflow to putative areas of new microvasculature and thus seek a more mechanical solution. We report the use of a catheter-based system for arterializing the adjacent anterior cardiac vein in a patient with chronic total occlusion of the left anterior descending coronary artery. A composite catheter system (phased-array ultrasound imaging system mounted on a catheter with extendable nitinol needle) was used to deliver an exchange-length intracoronary guidewire from the proximal left anterior descending coronary artery into the parallel anterior interventricular vein. Using standard angioplasty techniques, a fistula was then constructed from the proximal artery to the coronary vein using a self-expanding connector. The proximal vein was blocked with a novel self-expanding "blocker," thus precluding "steal" through the coronary sinus and forcing retroperfusion of the anterior wall. The procedure was completed without complication, and a follow-up angiogram at 3 months confirmed continued patency of the arteriovenous connection. This patient, who had severe angina before the procedure, has been asymptomatic for 12 months. Percutaneous in situ venous arterialization may be an effective therapy for diffuse, "untreatable" coronary disease by supplying a robust inflow of arterialized blood via retroperfusion to severely ischemic myocardium.</div>
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<server><NO>PASCAL 01-0331187 INIST</NO>
<ET>Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass</ET>
<AU>OESTERLE (Stephen N.); REIFART (Nicolaus); HAUPTMANN (Eugen); HAYASE (Motoya); YEUNG (Alan C.)</AU>
<AF>Massachusetts General Hospital, Harvard Medical School/Boston, Mass/Etats-Unis (1 aut.); Kardiologisches Institut/Bad Soden/Allemagne (2 aut.); Krankenhaus der Barmherzigen Brüder/Trier/Allemagne (3 aut.); Toyohashi Heart Center/Toyohashi/Japon (4 aut.); Stanford University Medical Center/Stanford, Calif/Etats-Unis (5 aut.)</AF>
<DT>Publication en série; Compte-rendu; Niveau analytique</DT>
<SO>Circulation : (New York, N.Y.); ISSN 0009-7322; Coden CIRCAZ; Etats-Unis; Da. 2001; Vol. 103; No. 21; Pp. 2539-2543; Bibl. 25 ref.</SO>
<LA>Anglais</LA>
<EA>Diffuse coronary artery disease is frequently untreatable by coronary artery bypass or angioplasty. Many such "no-option" patients have been subjects for trials of angiogenesis using growth factor manipulation or laser injury. We think these novel revascularization strategies are limited by insufficient inflow to putative areas of new microvasculature and thus seek a more mechanical solution. We report the use of a catheter-based system for arterializing the adjacent anterior cardiac vein in a patient with chronic total occlusion of the left anterior descending coronary artery. A composite catheter system (phased-array ultrasound imaging system mounted on a catheter with extendable nitinol needle) was used to deliver an exchange-length intracoronary guidewire from the proximal left anterior descending coronary artery into the parallel anterior interventricular vein. Using standard angioplasty techniques, a fistula was then constructed from the proximal artery to the coronary vein using a self-expanding connector. The proximal vein was blocked with a novel self-expanding "blocker," thus precluding "steal" through the coronary sinus and forcing retroperfusion of the anterior wall. The procedure was completed without complication, and a follow-up angiogram at 3 months confirmed continued patency of the arteriovenous connection. This patient, who had severe angina before the procedure, has been asymptomatic for 12 months. Percutaneous in situ venous arterialization may be an effective therapy for diffuse, "untreatable" coronary disease by supplying a robust inflow of arterialized blood via retroperfusion to severely ischemic myocardium.</EA>
<CC>002B25E</CC>
<FD>Dérivation; Aortocoronaire; Voie percutanée; Sinus coronaire; Traitement; Technique; Homme; Etude cas</FD>
<FG>Chirurgie</FG>
<ED>Bypass; Aortocoronary; Percutaneous route; Coronary sinus; Treatment; Technique; Human; Case study</ED>
<EG>Surgery</EG>
<SD>Derivación; Aortocoronaria; Vía percutánea; Seno coronario; Tratamiento; Técnica; Hombre; Estudio caso</SD>
<LO>INIST-5907.354000098944040040</LO>
<ID>01-0331187</ID>
</server>
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Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass

Percutaneous in situ coronary venous arterialization : Report of the first human catheter-based coronary artery bypass

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