Contemporary Use of Coils During Percutaneous Coronary Intervention: Insights From the Multicenter COILSEAL Registry.
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| Titel: | Contemporary Use of Coils During Percutaneous Coronary Intervention: Insights From the Multicenter COILSEAL Registry. |
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| Autoren: | Cerrato E; Interventional Cardiology Unit, Rivoli Infermi Hospital, Rivoli (Turin), Italy.; San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy., Piedimonte G; Interventional Cardiology Unit, Rivoli Infermi Hospital, Rivoli (Turin), Italy.; San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy., Franzino M; Cardiology Department, Sant'Andrea Hospital, Vercelli, Italy., Marengo G; Cardiology Unit, Santissima Annunziata Hospital, Savigliano ASL CN1, Savigliano, Italy., Bollati M; Cardiology Department, Ospedale di Lodi, Lodi, Italy., Zecchino S; Interventional Cardiology Unit, Rivoli Infermi Hospital, Rivoli (Turin), Italy.; San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy., Rutigliano D; Cardiology Unit, Ospedale San Paolo, ASL Bari, Bari, Italy., Soriano F; Interventional Cardiology, Division of Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy., Leoncini M; SSD Cardiologia Interventistica Ospedale di Sanremo, Sanremo, Italy., Mangione R; Cardiology Department, Ospedale di Ivrea, Ivrea, Italy., Sagazio E; Cardiology Department, Cardinal Massaia Hospital, Asti, Italy., Maiellaro F; Department of Cardiology, Santa Croce e Carle Hospital, Cuneo, Italy., Jeva F; Cardiology Unit, Galliera Hospital, Genova, Italy., Ussia GP; Unit of Cardiovascular Sciences, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy., Scudiero F; Medical Sciences Departement, Cardiology Unit, ASST Bergamo Est, Bolognini Hospital, Seriate, Bergamo, Italy., Franzè A; Interventional Cardiology Unit, Rivoli Infermi Hospital, Rivoli (Turin), Italy.; San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy., Barbero U; Cardiology Unit, Santissima Annunziata Hospital, Savigliano ASL CN1, Savigliano, Italy., Calderone D; Cardiology Unit, Istituto Auxologico Italiano-S.Luca, Milan, Italy., Nicolino A; Department of Cardiology, Santa Corona Hospital, Pietra Ligure, Italy., Ugo F; Cardiology Department, Sant'Andrea Hospital, Vercelli, Italy., La Manna A; Ospedale San Marco-AOU Policlinico di Catania, Catania, Italy., Costa F; Departamento de Medicina UMA, Área del Corazón, Hospital Universitario Virgen de la Victoria, CIBERCV, IBIMA Plataforma BIONAND, Malaga, Spain.; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.; Department of Biomedical and Dental Sciences and of Morphological and Functional Images, University of Messina, Messina, Italy., Mazzarotto P; Cardiology Department, Ospedale di Lodi, Lodi, Italy., Amat-Santos IJ; Centro de investigación Biomédica en red-Enfermedades Carciovasculares (CIBERCV), Instituto de salud Carlos III, Madrid, Spain.; University Clinic Hospital, Valladolid, Spain., Varbella F; Interventional Cardiology Unit, Rivoli Infermi Hospital, Rivoli (Turin), Italy.; San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy. |
| Körperschaften: | CardioGroupVIII‐COILSEAL Study Group |
| Quelle: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2025 Dec; Vol. 106 (7), pp. 3888-3898. Date of Electronic Publication: 2025 Oct 21. |
| Publikationsart: | Journal Article; Multicenter Study; Observational Study |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Wiley-Liss, c1999- |
| MeSH-Schlagworte: | Percutaneous Coronary Intervention*/adverse effects , Percutaneous Coronary Intervention*/mortality , Percutaneous Coronary Intervention*/instrumentation , Coronary Aneurysm*/mortality , Coronary Aneurysm*/therapy , Coronary Aneurysm*/diagnostic imaging , Heart Injuries*/mortality , Heart Injuries*/therapy , Heart Injuries*/diagnostic imaging , Heart Injuries*/etiology , Coronary Vessels*/injuries , Coronary Vessels*/diagnostic imaging , Embolization, Therapeutic*/adverse effects , Embolization, Therapeutic*/mortality , Embolization, Therapeutic*/instrumentation, Humans ; Registries ; Treatment Outcome ; Male ; Female ; Aged ; Time Factors ; Middle Aged ; Europe ; Risk Factors ; Equipment Design |
| Abstract: | Background: Use of coils during percutaneous coronary interventions (PCI) is often life-saving and useful, although their off-label use according to the instructions for use. Aims: Evaluation of in-hospital and long-term outcomes of patients undergoing PCI with coil implantation for treating coronary perforation or closing coronary artery aneurysms/fistulas. Methods: Among 245,652 PCIs performed in 17 high-volume European centers, 143 patients (0.06%) undergoing coil implantation during PCI were finally included in the analysis. PCI strategy (coiling performed during coronary perforation vs. closing aneurysm/fistulas) and procedural devices used were collected. The primary outcome was technical success, defined as the successful sealing of coronary perforation or aneurysm/fistulas, and procedural success defined as technical success without in-hospital major cardiovascular events (MACE). Long-term MACE and mortality were also reported. Results: The primary outcome occurred in 95.7% of cases, with no significant differences observed between the perforation and aneurysm/fistulas groups (94.5% vs. 100%, p = 0.19). Patients in the perforation group had a significantly lower rate of procedural success (83.5% vs. 96.6%, p = 0.01). Target lesion failure occurred in 11.4% of cases without differences between groups at a median follow-up of 2 years. Conclusions: Coils implantation during PCI is safe and feasible among patients treated for coronary perforations or closing aneurysms/fistulas. (© 2025 Wiley Periodicals LLC.) |
| References: | R. Garbo, J. A. Oreglia, and G. L. Gasparini, “The Balloon‐Microcatheter Technique for Treatment of Coronary Artery Perforations,” Catheterization and Cardiovascular Interventions 89, no. 2 (2017): E75–E83, https://doi.org/10.1002/ccd.26651. S. X. Loh, E. Brilakis, G. Gasparini, et al., “Coils Embolization Use for Coronary Procedures: Basics, Indications, and Techniques,” Catheterization and Cardiovascular Interventions 102 (2023): 900–911. A. Kawsara, I. J. Núñez Gil, F. Alqahtani, J. Moreland, C. S. Rihal, and M. Alkhouli, “Management of Coronary Artery Aneurysms,” JACC: Cardiovascular Interventions 11 (2018): 1211–1223. M. Al‐Hijji, A. El Sabbagh, S. El Hajj, et al., “Coronary Artery Fistulas,” JACC: Cardiovascular Interventions 14 (2021): 1393–1406. S. G. Ellis, S. Ajluni, A. Z. Arnold, et al., “Increased Coronary Perforation in the New Device Era. Incidence, Classification, Management, and Outcome,” Circulation 90 (1994): 2725–2730. E. Cerrato, M. Pavani, U. Barbero, et al., “Incidence, Management, Immediate and Long‐Term Outcome of Guidewire and Device Related Grade III Coronary Perforations (From G3CAP‐Cardiogroup VI Registry),” American Journal of Cardiology 143 (2021): 37–45. M. Pavani, E. Cerrato, A. Franzè, et al., “Grade 3 Coronary Artery Perforations in Chronic Total Occlusion‐Percutaneous Coronary Intervention: Mechanisms, Locations, and Outcomes From the G3CAP Registry,” Catheterization and Cardiovascular Interventions 100 (2022): 190–198. I. J. Núñez‐Gil, L. Nombela‐Franco, R. Bagur, et al., “Rationale and Design of a Multicenter, International and Collaborative Coronary Artery Aneurysm Registry (CAAR),” Clinical Cardiology 40 (2017): 580–585. L. F. Ybarra, S. Rinfret, E. S. Brilakis, et al., “Definitions and Clinical Trial Design Principles for Coronary Artery Chronic Total Occlusion Therapies: CTO‐ARC Consensus Recommendations,” Circulation 143 (2021): 479–500. O. M. Abdelfattah, A. M. Saad, N. Kassis, et al., “Utilization and Outcomes of Transcatheter Coil Embolization for Various Coronary Artery Lesions: Single‐Center 12‐Year Experience,” Catheterization and Cardiovascular Interventions 98 (2021): 1317–1331. D. Hachinohe, Y. Kashima, Y. Okada, et al., “Coil Embolization for Coronary Artery Perforation: A Retrospective Analysis of 110 Patients,” Journal of Interventional Cardiology 2021 (2021): 1–8. M. V. Madhavan, J. P. Howard, A. Naqvi, et al., “Long‐Term Follow‐Up After Ultrathin vs. Conventional 2nd‐Generation Drug‐Eluting Stents: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials,” European Heart Journal 42 (2021): 2643–2654. M. M. Kok, P. Zocca, R. A. Buiten, et al., “Two‐Year Clinical Outcome of All‐Comers Treated With Three Highly Dissimilar Contemporary Coronary Drug‐Eluting Stents in the Randomised BIO‐RESORT Trial,” EuroIntervention 14 (2018): 915–923. I. Sánchez‐Sánchez, C. Cerrato, M. Bollati, et al., “Long‐Term Prognosis of Coronary Aneurysms,” JACC: Cardiovascular Interventions 17 (2024): 2681–2691. F. D'Ascenzo, A. Saglietto, H. Ramakrishna, et al., “Usefulness of Oral Anticoagulation in Patients With Coronary Aneurysms: Insights From the CAAR Registry,” Catheterization and Cardiovascular Interventions 98 (2021): 864–871. J. Harnek, S. K. James, and B. Lagerqvist, “Very Long‐Term Outcome of Coronary Covered Stents: A Report From the SCAAR Registry,” EuroIntervention 14 (2019): 1660–1667. G. Piedimonte, E. Cerrato, C. Rolfo, et al., “Percutaneous Coronary Interventions for Aneurysmatic Right Coronary Artery in Acute Coronary Syndrome: RIGHTMARE Registry Outcomes,” Cardiovascular Revascularization Medicine: Including Molecular Interventions 75 (2024): 71–79. |
| Grant Information: | The authors received no specific funding for this work. |
| Contributed Indexing: | Investigator: G Zanda, Interventional Cardiology Unit, Rivoli Infermi Hospital, Rivoli (Turin), Italy.; San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy. |
| Entry Date(s): | Date Created: 20251022 Date Completed: 20251205 Latest Revision: 20251205 |
| Update Code: | 20251205 |
| DOI: | 10.1002/ccd.70233 |
| PMID: | 41121637 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Background: Use of coils during percutaneous coronary interventions (PCI) is often life-saving and useful, although their off-label use according to the instructions for use.<br />Aims: Evaluation of in-hospital and long-term outcomes of patients undergoing PCI with coil implantation for treating coronary perforation or closing coronary artery aneurysms/fistulas.<br />Methods: Among 245,652 PCIs performed in 17 high-volume European centers, 143 patients (0.06%) undergoing coil implantation during PCI were finally included in the analysis. PCI strategy (coiling performed during coronary perforation vs. closing aneurysm/fistulas) and procedural devices used were collected. The primary outcome was technical success, defined as the successful sealing of coronary perforation or aneurysm/fistulas, and procedural success defined as technical success without in-hospital major cardiovascular events (MACE). Long-term MACE and mortality were also reported.<br />Results: The primary outcome occurred in 95.7% of cases, with no significant differences observed between the perforation and aneurysm/fistulas groups (94.5% vs. 100%, p = 0.19). Patients in the perforation group had a significantly lower rate of procedural success (83.5% vs. 96.6%, p = 0.01). Target lesion failure occurred in 11.4% of cases without differences between groups at a median follow-up of 2 years.<br />Conclusions: Coils implantation during PCI is safe and feasible among patients treated for coronary perforations or closing aneurysms/fistulas.<br /> (© 2025 Wiley Periodicals LLC.) |
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| ISSN: | 1522-726X |
| DOI: | 10.1002/ccd.70233 |