{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:11:39Z","timestamp":1771233099327,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["17ek0210097h0001"],"award-info":[{"award-number":["17ek0210097h0001"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["21K08064"],"award-info":[{"award-number":["21K08064"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We sought to investigate the 1\u2010year outcomes, including all\u2010cause and cardiovascular mortality, major adverse cardiovascular events (MACEs), and major bleeding, of patients undergoing percutaneous coronary intervention (PCI)\u00a0with or without the revived directional coronary atherectomy (DCA)\u00a0catheter in a Japanese nationwide registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Clinical data regarding the midterm outcomes of patients undergoing PCI with DCA are scarce in contemporary real\u2010world practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed the data of 74,764 patients who underwent PCI at 179 hospitals from January 2017 to December 2018. The baseline characteristics and 1\u2010year outcomes of patients with stable coronary artery disease or unstable angina who underwent PCI with or without DCA were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 431 patients (0.6%) underwent PCI with DCA. Patients in the DCA group were younger and predominantly male, with fewer comorbidities than patients in the non\u2010DCA group. Stentless PCI with DCA following additional drug\u2010coated balloon (DCB) angioplasty was the dominant strategy in the DCA group (43.6%). One\u2010year outcomes, including all\u2010cause mortality (1.2% in the DCA group vs. 2.5% in the non\u2010DCA group, respectively, <jats:italic>p<\/jats:italic>\u2009=\u20090.075), cardiovascular death (0.9% vs. 1.0%, <jats:italic>p<\/jats:italic>\u2009=\u20090.69), MACEs (1.9% vs. 1.8%, <jats:italic>p<\/jats:italic>\u2009=\u20090.96), and nonfatal major bleeding requiring readmission (1.2% vs. 1.4%, <jats:italic>p<\/jats:italic>\u2009=\u20090.62), were comparable between the two groups. In the DCA group, 1\u2010year outcomes were comparable, regardless of whether the stent or DCB was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>One\u2010year clinical outcomes after PCI with DCA in patients with stable coronary artery disease or unstable angina are acceptable, regardless of stent use.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30895","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T18:35:20Z","timestamp":1699554920000},"page":"1229-1237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["One\u2010year outcomes of patients undergoing percutaneous coronary intervention with the revived directional coronary atherectomy catheter: Insights from the J\u2010PCI OUTCOME registry"],"prefix":"10.1002","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1739-2800","authenticated-orcid":false,"given":"Yohei","family":"Numasawa","sequence":"first","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Ashikaga Hospital Ashikaga Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuaki","family":"Sawano","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Cardiovascular Medicine Yale School of Medicine, Yale New Haven Hospital Center of Outcomes Research and Evaluation New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4348-0123","authenticated-orcid":false,"given":"Hideki","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Gunma University Graduate School of Medicine Maebashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun","family":"Kohsaka","sequence":"additional","affiliation":[{"name":"Department of Cardiology Keio University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuetsu","family":"Kikuta","sequence":"additional","affiliation":[{"name":"Division of Cardiology Fukuyama Cardiovascular Hospital Fukuyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Matoba","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Amano","sequence":"additional","affiliation":[{"name":"Department of Cardiology Aichi Medical University Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Kozuma","sequence":"additional","affiliation":[{"name":"Division of Cardiology Teikyo University Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The J\u2010PCI Registry 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