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/10400.26/5867 |
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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Position statement on bioresorbable vascular scaffolds in PortugalPosição sobre suportes vasculares restaurativos transitórios coronários em PortugalAbsorbable ImplantsTissue ScaffoldsCoronary Artery DiseasePortugalDoença das Artérias CoronáriasSuportes Vasculares Restaurativos TransitóriosPortugalBACKGROUND: 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 ComumCampante Teles, RPereira, HCyrne de Carvalho, HPatrício, LSantos, RBaptista, JPipa, JFarto e Abreu, PFaria, HRamos, SGama Ribeiro, VMartins, DAlmeida, M2014-02-28T23:17:58Z20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/5867engRev Port Cardiol. 2013;32(12):1013-8.info: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:RCAAP2022-12-20T14:24:57Zoai:comum.rcaap.pt:10400.26/5867Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:22:34.656092Repositório 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 Posição sobre suportes vasculares restaurativos transitórios coronários em Portugal |
title |
Position statement on bioresorbable vascular scaffolds in Portugal |
spellingShingle |
Position statement on bioresorbable vascular scaffolds in Portugal Campante Teles, R Absorbable Implants Tissue Scaffolds Coronary Artery Disease Portugal Doença das Artérias Coronárias Suportes Vasculares Restaurativos Transitórios Portugal |
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 |
Campante Teles, R |
author_facet |
Campante Teles, R Pereira, H Cyrne de Carvalho, H Patrício, L Santos, R Baptista, J Pipa, J Farto e Abreu, P Faria, H Ramos, S Gama Ribeiro, V Martins, D Almeida, M |
author_role |
author |
author2 |
Pereira, H Cyrne de Carvalho, H Patrício, L Santos, R Baptista, J Pipa, J Farto e 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 Comum |
dc.contributor.author.fl_str_mv |
Campante Teles, R Pereira, H Cyrne de Carvalho, H Patrício, L Santos, R Baptista, J Pipa, J Farto e Abreu, P Faria, H Ramos, S Gama Ribeiro, V Martins, D Almeida, M |
dc.subject.por.fl_str_mv |
Absorbable Implants Tissue Scaffolds Coronary Artery Disease Portugal Doença das Artérias Coronárias Suportes Vasculares Restaurativos Transitórios Portugal |
topic |
Absorbable Implants Tissue Scaffolds Coronary Artery Disease Portugal Doença das Artérias Coronárias Suportes Vasculares Restaurativos Transitórios Portugal |
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 2014-02-28T23:17:58Z |
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/10400.26/5867 |
url |
http://hdl.handle.net/10400.26/5867 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2013;32(12):1013-8. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
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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1799130671176744960 |