Safety and efficacy of the hybrid approach in coronary chronic total occlusion percutaneous coronary intervention: The Hybrid Video Registry.

Autor: Daniels DV; Palo Alto Medical Foundation, Palo Alto, California., Banerjee S; Sacred Heart Medical Center, Eugene, Oregon., Alaswad K; Appleton Heart Institute, Appleton, Wisconsin., Doing AH; University of Colorado Health, Ft. Collins, Colorado., Dattilo PB; Intermountain Healthcare, Ogden, Utah., Kalyanasundaram A; Seattle Heart and Vascular Institute, Seattle, Washington., Spratt JC; Forth Valley Royal Hospital, Edinburgh, Scotland., Hanratty CG; Belfast Health and Social Trust, Belfast, Ireland., Strange JW; Bristol Heart Institute, University Hospitals Bristol, Bristol, United Kingdom., Walsh S; Belfast Health and Social Trust, Belfast, Ireland., Lombardi WL; St. Joseph Medical Center, Bellingham, Washington., Aaron Grantham J; Mid America Heart Institute, Kansas City, Missouri.
Jazyk: angličtina
Zdroj: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2018 Feb 01; Vol. 91 (2), pp. 175-179. Date of Electronic Publication: 2017 Nov 29.
DOI: 10.1002/ccd.26501
Abstrakt: Objectives: The aim of the Hybrid Video Registry (HVR) is to assess the acute safety and efficacy of the Hybrid Approach in comparison to other contemporary methods of CTO-PCI.
Background: Recently, multiple techniques in Percutaneous Coronary Intervention (PCI) for coronary Chronic Total Occlusions (CTO) have been synthesized into a method referred to as the "Hybrid Approach".
Methods: About 194 video-taped timed live cases from CTO-PCI training workshops were analyzed by independent data abstractors and compared to three contemporary CTO-PCI registries stratified by case complexity based on the J-CTO score.
Results: Overall procedural success was 95% of all cases attempted with an excellent safety profile. In the most complex lesion subset, which made up 45% of all HVR cases, success was 92.8%, which was significantly higher than either the Royal Bromptom (78.9%), or Japanese-CTO (73.3%) registries, P = 0.04 Hybrid vs. Royal Brompton, P = 0.006 Hybrid vs. Japanese-CTO). The Hybrid Approach was also associated with shorter procedure times and lower contrast utilization.
Conclusions: In a real world angiographic registry of complex CTOs, the Hybrid Approach to CTO-PCI is safe, and may be superior to other contemporary approaches to CTO intervention with respect to procedural success and efficiency among a diverse group of operators and lesion complexity. © 2017 Wiley Periodicals, Inc.
(© 2017 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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