American Journal of Cardiology
Volume 78, Issue 9 , Pages 1039-1041 , 1 November 1996

A comparison of debulking versus dilatation of bifurcation coronary arterial narrowings (from the CAVEAT I trial)

  • Sorin J. Brener, MD

      Affiliations

    • From the Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
    • From the Loyola Medical Center, Maywood, Illinois, U.S.A.
    • From the Medical College of Virginia, Richmond, Virginia, U.S.A.
    • From the Duke Medical Center, Durham, North Carolina, U.S.A.
    • ,
  • Ferdinand S. Leya, MD

      Affiliations

    • From the Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
    • From the Loyola Medical Center, Maywood, Illinois, U.S.A.
    • From the Medical College of Virginia, Richmond, Virginia, U.S.A.
    • From the Duke Medical Center, Durham, North Carolina, U.S.A.
    • ,
  • Carolyn Apperson-Hansen, MS

      Affiliations

    • From the Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
    • From the Loyola Medical Center, Maywood, Illinois, U.S.A.
    • From the Medical College of Virginia, Richmond, Virginia, U.S.A.
    • From the Duke Medical Center, Durham, North Carolina, U.S.A.
    • ,
  • Michael J. Cowley, MD

      Affiliations

    • From the Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
    • From the Loyola Medical Center, Maywood, Illinois, U.S.A.
    • From the Medical College of Virginia, Richmond, Virginia, U.S.A.
    • From the Duke Medical Center, Durham, North Carolina, U.S.A.
    • ,
  • Robert M. Califf, MD

      Affiliations

    • From the Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
    • From the Loyola Medical Center, Maywood, Illinois, U.S.A.
    • From the Medical College of Virginia, Richmond, Virginia, U.S.A.
    • From the Duke Medical Center, Durham, North Carolina, U.S.A.
    • ,
  • Eric J. Topol, MD

      Affiliations

    • From the Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
    • From the Loyola Medical Center, Maywood, Illinois, U.S.A.
    • From the Medical College of Virginia, Richmond, Virginia, U.S.A.
    • From the Duke Medical Center, Durham, North Carolina, U.S.A.
    • Dr. Topol's address is: Department of Cardiology, Desk F-25, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195.

Received 19 January 1996 ,Accepted 10 May 1996.

References 

  1. Mansour M, Fishman R, Kuntz R, Carrozza J, Miller M, Safian R, et al. Feasibility of directional atherectomy for the treatment of bifurcation lesions. Coron Artery Dis. 1992;3:761–765
  2. Topol E, Leya F, Pinkerton C, Whitlow P, Hofling B, Simonton C, et al. A comparison of directional atherectomy with coronary angioplasty in patients with coronary artery disease. N Engl J Med. 1993;329:221–227
  3. Harrington RA, Lincoff AM, Califf RM, Holmes DR, Berdan LG, O'Hanesian M, et al. Characteristics and consequences of myocardial infarction after percutaneous coronary intervention: insights from the Coronary Angioplasty Versus Excisional Atherectomy Trial (CAVEAT). J Am Coll Cardiol. 1995;25:1693–1699
  4. Renkin J, Wijns W, Hanet C, Michel X, Cosyns J, Col J. Angioplasty of coronary bifurcation stenoses: immediate and long-term results of the protecting branch technique. Cathet Cardiovasc Diagn. 1991;22:167–173
  5. Ciampricotti R, El-Gamal M, van Gelder B, Bonnier J, Taverne R. Coronary angioplasty of bifurcational lesions without protection of large side branches. Cathet Cardiovasc Diagn. 1992;27:191–196
  6. Talasz H, Genser N, Mair J, Dworzak EA, Friedrich G, Moes N, et al. Side-branch occlusion during percutaneous transluminal coronary angioplasty. Lancet. 1992;339:1380–1382
  7. Vetrovec G, Cowley M, Wolfgang T, Ducey K. Effects of percutaneous transluminal coronary angioplasty on lesion-associated branches. Am Heart J. 1985;109:921–925
  8. Meier B, Gruentzig A, King SI, Douglas JJ, Hollman J, Ischinger T, et al. Risk of side branch occlusion during coronary angioplasty. Am J Cardiol. 1984;53:10–14
  9. Campos-Esteve MA, Laird JR, Kufs WM, Wortham DC. Side-branch occlusion with directional coronary atherectomy: incidence and risk factors. Am Heart J. 1994;128:686–690
  10. USDCAI . Complications of directional coronary atherectomy in a multicenter experience. Circulation. 1990;82(suppl III):III–131
  11. Vaska KJ, Franco I, Whitlow PW. Risk of side-branch occlusion following directional coronary atherectomy. Circulation. 1991;84(suppl II):II–81
  12. Sanborn T, Bittl J, Hershman R, Siegel R. Percutaneous coronary excimer laser-assisted angioplasty: initial multicenter experience in 141 patients. J Am Coll Cardiol. 1991;17:169B–173B
  13. Pan M, Medina A, Suarez de Lezo J, Romero M, Melian F, Pavlovic D, et al. Follow-up patency of side branches covered by intracoronary Palmaz-Schatz stent. Am Heart J. 1995;129:436–440
  14. Mazur W, Grinstead WC, Hakim AH, Debaghi SF, Abukhalil JM, Ali NM, et al. Fate of side branches after intracoronary implantation of the Gianturco-Roubin flex-stent for acute or threatened closure after percutaneous transluminal coronary angioplasty. Am J Cardiol. 1994;74:1207–1210

PII: S0002-9149(96)00531-0

American Journal of Cardiology
Volume 78, Issue 9 , Pages 1039-1041 , 1 November 1996

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