Document Detail

Baseline characteristics and therapeutic goals in the New Approaches to Coronary Intervention (NACI) registry.
MedLine Citation:
PMID:  8173707     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The New Approaches to Coronary Intervention (NACI) voluntary registry was designed to study the use, safety, and efficacy of new percutaneous transluminal interventional devices including directional coronary atherectomy, the transluminal extraction catheter, the rotablator, the Palmaz-Schatz stent, the Gianturco-Roubin stent, the Advanced Interventional Systems (AIS) laser, and the spectranetics laser. METHODS: To date, more than 3800 consecutive patients treated for the first time with a new device at 41 centers have been entered into the registry. Complete detailed information about the patient, lesions, device characteristics, reasons for device selection, and procedural data, such as adjunctive use of conventional balloon angioplasty (PTCA), was available for the first 2835 patients. RESULTS: The registry shows that 88% of the 3233 attempts with a new device were intended as a definitive treatment of target lesions, frequently in combination with adjunctive PTCA. The remaining 12% of attempts with a new device were unplanned, prompted by unexpected complications, unsuccessful attempts, or suboptimal results with PTCA. Although there was some overlap in the indications for selecting a given interventional device, the variation from device to device was sufficiently large to caution users against any direct comparison of either safety or efficacy between devices without careful attention to the differences in baseline patient and lesion characteristics, treatment plans, and the circumstances of device use. CONCLUSION: This report provides the first comprehensive overview of how new interventional devices are currently being used in the treatment of coronary artery lesions at the 41 centers participating in the NACI registry.
K M Detre; D Baim; M Buchbinder; P Desvigne-Nickens; N W Fishman; T Hinohara; E D Kennard; F Litvack; J Popma; T Robertson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Coronary artery disease     Volume:  4     ISSN:  0954-6928     ISO Abbreviation:  Coron. Artery Dis.     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-06-06     Completed Date:  1994-06-06     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9011445     Medline TA:  Coron Artery Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1013-22     Citation Subset:  IM    
University of Pittsburgh, PA 15261.
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MeSH Terms
Angina Pectoris / surgery
Angioplasty, Transluminal, Percutaneous Coronary
Atherectomy, Coronary
Cardiac Surgical Procedures / instrumentation*
Coronary Disease / surgery*
Equipment and Supplies / statistics & numerical data
Heart Catheterization
Grant Support
3R01 H144284//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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