March 30, 2021Journal of Interventional CardiologyOpen Access

Sinus Node Dysfunction due to Occlusion of the Sinus Node Artery during Percutaneous Coronary Intervention

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Why the study?

Sinus node artery occlusion is a rare complication of PCI, and its short- and long-term consequences required analysis.

What are the clinical consequences of sinus node artery occlusion during percutaneous coronary intervention?

Population

1379 consecutive PCIs involving RCA and Cx arteries

Design

Retrospective cohort study

Follow-up

Median 44 ± 5 months

Authors

OKOfir KorenCedars-Sinai Medical Center DADante AntonelliEmek Medical Center RKR Khamaise

Discussion

Member takes

Implication

SNO during proximal RCA/Cx PCI warrants brief monitoring for transient dysfunction; this Level 3 cohort leaves open targeted prevention strategies.

Structured PICO

What are the clinical consequences of sinus node artery occlusion during percutaneous coronary intervention?

Population

1379 consecutive patients undergoing percutaneous coronary intervention (PCI) involving the right coronary artery (RCA) and circumflex (Cx) arteries, including 284 involving the proximal segments, from which 15 patients developed periprocedural sinus node artery occlusion (SNO).

Intervention

Percutaneous coronary intervention (PCI) complicated by sinus node artery occlusion (SNO)

Outcome

Short- and long-term consequences of SNO, including sinus node dysfunction and need for pacingsafety

Sinus node artery occlusion is a rare complication of proximal RCA PCI that frequently causes transient sinus node dysfunction, but rarely requires permanent pacing.

Cite This Study

Koren et al. (2021) studied this question.

synapsesocial.com/papers/6a82b10c4699435f741e102d https://doi.org/10.1155/2021/8810484

Topics

Percutaneous coronary intervention Chronic total occlusion PCI

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Implication

SNO during proximal RCA/Cx PCI warrants brief monitoring for transient dysfunction; this Level 3 cohort leaves open targeted prevention strategies.

Sinus Node Dysfunction due to Occlusion of the Sinus Node Artery during Percutaneous Coronary Intervention

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Sinus Node Dysfunction due to Occlusion of the Sinus Node Artery during Percutaneous Coronary Intervention

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider