In-hospital outcome of re-attempted percutaneous coronary interventions for chronic total occlusion
Autor: | Alexander Bufe, Jan-Erik Guelker, Christian Blockhaus, Dimitrios Ilousis, Knut Kroeger, Kambis Mashayekhi, Julian Kürvers |
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Rok vydání: | 2023 |
Předmět: |
medicine.medical_specialty
Percutaneous medicine.diagnostic_test business.industry medicine.medical_treatment Psychological intervention Percutaneous coronary intervention General Medicine medicine.disease Total occlusion Surgery Coronary artery disease Hospital outcomes Internal medicine Conventional PCI medicine Cardiology Fluoroscopy Cardiology and Cardiovascular Medicine business |
Zdroj: | Cardiology Journal. 30:44-50 |
ISSN: | 1898-018X 1897-5593 |
Popis: | Background: With the advent of novel recanalization techniques and emerging devices, percutaneous coronary intervention (PCI) has become a promising leading treatment option for patients with chronic total occlusions (CTO). The present study aims to evaluate the acute outcomes of PCI in previously failed re-attempted vs. first-attempted CTO-lesions. Methods: Between 2012 and 2019, 619 patients were included and treated with PCI of at least one CTO. 253 patients were re-attempted lesions, while 366 were initially attempted lesions. Results: Re-attempted lesions were more complex, including higher Japanese-CTO (J-CTO) score and the need for a retrograde approach. The procedure time and fluoroscopy time were longer in this group. Nevertheless, overall success rates were comparable between both groups of patients. In-hospital events were rare and without significant differences. Conclusions: Re-attempted CTO lesions are more complex than first-attempt lesions and are associated with longer procedural times. However, they can be safely intervened by experienced operators with a similar success rate. |
Databáze: | OpenAIRE |
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