Rotational atherectomy in CTO lesions: too risky? Outcome of rotational atherectomy in CTO lesions compared to non-CTO lesions
| Autor: | Amnon Eitan, Carsten Schwencke, Detlef G. Mathey, Joachim Schofer, Christina Brinkmann |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Atherectomy
Coronary medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Rotational atherectomy Coronary Angiography Total occlusion Atherectomy 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Internal medicine medicine Humans 030212 general & internal medicine business.industry Percutaneous coronary intervention Dissection Treatment Outcome Coronary Occlusion Baseline characteristics Conventional PCI Chronic Disease Cardiology Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 14(11) |
| ISSN: | 1969-6213 |
| Popis: | AIMS The aim of this study was to determine the feasibility of rotational atherectomy (RA) in chronic total occlusion (CTO) PCI and compare the success and complication rates of RA in CTO lesions versus non-occluded lesions. Data on RA in CTO are rare and it is unknown how procedural success and risk of RA in CTO lesions compare to RA in non-CTO lesions. METHODS AND RESULTS RA was performed in 392 out of 17,919 PCI procedures (2.2% of the PCI cohort) and classified as RA CTO (n=75) and RA non-CTO (n=317). Procedural success and MACCE in both groups were assessed by two investigators. All RA procedures were analysed for dissections prior to RA, which were defined according to the NHLBI classification. Baseline characteristics were not significantly different in the two groups but, in RA CTO, lesion type was more complex (p |
| Databáze: | OpenAIRE |
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