A comparison of debulking versus dilatation of bifurcation coronary arterial narrowings (from the CAVEAT I Trial). Coronary Angioplasty Versus Excisional Atherectomy Trial-I

S J Brener; F S Leya; C Apperson-Hansen; M J Cowley; R M Califf; E J Topol

doi:10.1016/s0002-9149(96)00531-0

A comparison of debulking versus dilatation of bifurcation coronary arterial narrowings (from the CAVEAT I Trial). Coronary Angioplasty Versus Excisional Atherectomy Trial-I

Am J Cardiol. 1996 Nov 1;78(9):1039-41. doi: 10.1016/s0002-9149(96)00531-0.

Authors

S J Brener¹, F S Leya, C Apperson-Hansen, M J Cowley, R M Califf, E J Topol

Affiliation

¹ Cleveland Clinic Foundation, Ohio 44195, USA.

PMID: 8916485
DOI: 10.1016/s0002-9149(96)00531-0

Abstract

We compared the effectiveness of percutaneous transluminal coronary angioplasty and directional coronary atherectomy for the management of bifurcation coronary lesions in 1,012 patients enrolled in the Coronary Angioplasty Versus Excisional Atherectomy Trial-I. Directional coronary atherectomy was associated with less angiographic residual stenosis, but with a higher rate of side-branch closure and non-Q-wave myocardial infarction.

Publication types

Clinical Trial
Comparative Study
Multicenter Study
Randomized Controlled Trial

MeSH terms

Aged
Atherectomy, Coronary*
Catheterization*
Coronary Disease / etiology
Coronary Disease / mortality
Coronary Disease / pathology
Coronary Disease / surgery*
Coronary Disease / therapy*
Coronary Vessels / pathology*
Female
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction / etiology
Postoperative Complications / etiology*
Recurrence
Risk Factors
Treatment Outcome