Position statement on bioresorbable vascular scaffolds in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/1721 |
Resumo: | BACKGROUND: Bioresorbable vascular scaffolds (BVS) were recently approved for percutaneous coronary intervention in Europe. The aim of this position statement is to review the information and studies on available BVS, to stimulate discussion on their use and to propose guidelines for this treatment option in Portugal. METHODS AND RESULTS: A working group was set up to reach a consensus based on current evidence, discussion of clinical case models and individual experience. The evidence suggests that currently available BVS can produce physiological and clinical improvements in selected patients. There are encouraging data on their durability and long-term safety. Initial indications were grouped into three categories: (a) consensual and appropriate - young patients, diabetic patients, left anterior descending artery, long lesions, diffuse disease, and hybrid strategy; (b) less consensual but possible - small collateral branches, stabilized acute coronary syndromes; and (c) inappropriate - left main disease, tortuosity, severe calcification. CONCLUSION: BVS are a viable treatment option based on the encouraging evidence of their applicability and physiological and clinical results. They should be used in appropriate indications and will require technical adaptations. Outcome monitoring and evaluation is essential to avoid inappropriate use. It is recommended that medical societies produce clinical guidelines based on high-quality registries as soon as possible. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Position statement on bioresorbable vascular scaffolds in PortugalAngioplastia coronáriaBioersorbable vascular scaffoldsCoronary angioplastyDiabetesDiabeticIntervenção coronária percutâneaPercutaneous coronary interventionStentSuportes vasculares restaurativos transitóriosBACKGROUND: Bioresorbable vascular scaffolds (BVS) were recently approved for percutaneous coronary intervention in Europe. The aim of this position statement is to review the information and studies on available BVS, to stimulate discussion on their use and to propose guidelines for this treatment option in Portugal. METHODS AND RESULTS: A working group was set up to reach a consensus based on current evidence, discussion of clinical case models and individual experience. The evidence suggests that currently available BVS can produce physiological and clinical improvements in selected patients. There are encouraging data on their durability and long-term safety. Initial indications were grouped into three categories: (a) consensual and appropriate - young patients, diabetic patients, left anterior descending artery, long lesions, diffuse disease, and hybrid strategy; (b) less consensual but possible - small collateral branches, stabilized acute coronary syndromes; and (c) inappropriate - left main disease, tortuosity, severe calcification. CONCLUSION: BVS are a viable treatment option based on the encouraging evidence of their applicability and physiological and clinical results. They should be used in appropriate indications and will require technical adaptations. Outcome monitoring and evaluation is essential to avoid inappropriate use. It is recommended that medical societies produce clinical guidelines based on high-quality registries as soon as possible.Sociedade Portuguesa de CardiologiaRepositório Científico do Centro Hospitalar Universitário de Santo AntónioTeles, R.Pereira, H.Cyrne-Carvalho, H.Patrício, L.Santos, R.Baptista, J.Pipa, J.Farto-Abreu, P.Faria, H.Ramos, S.Gama-Ribeiro, V.Martins, D.Almeida, M.2014-10-23T12:33:43Z20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/10400.16/1721engRev Port Cardiol. 2013;32(12):1013-10180870-255110.1016/j.repc.2013.05.004info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T10:57:13Zoai:repositorio.chporto.pt:10400.16/1721Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:04.912779Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Position statement on bioresorbable vascular scaffolds in Portugal |
title |
Position statement on bioresorbable vascular scaffolds in Portugal |
spellingShingle |
Position statement on bioresorbable vascular scaffolds in Portugal Teles, R. Angioplastia coronária Bioersorbable vascular scaffolds Coronary angioplasty Diabetes Diabetic Intervenção coronária percutânea Percutaneous coronary intervention Stent Suportes vasculares restaurativos transitórios |
title_short |
Position statement on bioresorbable vascular scaffolds in Portugal |
title_full |
Position statement on bioresorbable vascular scaffolds in Portugal |
title_fullStr |
Position statement on bioresorbable vascular scaffolds in Portugal |
title_full_unstemmed |
Position statement on bioresorbable vascular scaffolds in Portugal |
title_sort |
Position statement on bioresorbable vascular scaffolds in Portugal |
author |
Teles, R. |
author_facet |
Teles, R. Pereira, H. Cyrne-Carvalho, H. Patrício, L. Santos, R. Baptista, J. Pipa, J. Farto-Abreu, P. Faria, H. Ramos, S. Gama-Ribeiro, V. Martins, D. Almeida, M. |
author_role |
author |
author2 |
Pereira, H. Cyrne-Carvalho, H. Patrício, L. Santos, R. Baptista, J. Pipa, J. Farto-Abreu, P. Faria, H. Ramos, S. Gama-Ribeiro, V. Martins, D. Almeida, M. |
author2_role |
author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Teles, R. Pereira, H. Cyrne-Carvalho, H. Patrício, L. Santos, R. Baptista, J. Pipa, J. Farto-Abreu, P. Faria, H. Ramos, S. Gama-Ribeiro, V. Martins, D. Almeida, M. |
dc.subject.por.fl_str_mv |
Angioplastia coronária Bioersorbable vascular scaffolds Coronary angioplasty Diabetes Diabetic Intervenção coronária percutânea Percutaneous coronary intervention Stent Suportes vasculares restaurativos transitórios |
topic |
Angioplastia coronária Bioersorbable vascular scaffolds Coronary angioplasty Diabetes Diabetic Intervenção coronária percutânea Percutaneous coronary intervention Stent Suportes vasculares restaurativos transitórios |
description |
BACKGROUND: Bioresorbable vascular scaffolds (BVS) were recently approved for percutaneous coronary intervention in Europe. The aim of this position statement is to review the information and studies on available BVS, to stimulate discussion on their use and to propose guidelines for this treatment option in Portugal. METHODS AND RESULTS: A working group was set up to reach a consensus based on current evidence, discussion of clinical case models and individual experience. The evidence suggests that currently available BVS can produce physiological and clinical improvements in selected patients. There are encouraging data on their durability and long-term safety. Initial indications were grouped into three categories: (a) consensual and appropriate - young patients, diabetic patients, left anterior descending artery, long lesions, diffuse disease, and hybrid strategy; (b) less consensual but possible - small collateral branches, stabilized acute coronary syndromes; and (c) inappropriate - left main disease, tortuosity, severe calcification. CONCLUSION: BVS are a viable treatment option based on the encouraging evidence of their applicability and physiological and clinical results. They should be used in appropriate indications and will require technical adaptations. Outcome monitoring and evaluation is essential to avoid inappropriate use. It is recommended that medical societies produce clinical guidelines based on high-quality registries as soon as possible. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013 2013-01-01T00:00:00Z 2014-10-23T12:33:43Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/1721 |
url |
http://hdl.handle.net/10400.16/1721 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2013;32(12):1013-1018 0870-2551 10.1016/j.repc.2013.05.004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133642684891136 |