Retrograde Recanalization of Chronic Total Occlusions in Europe
| Autor: | Javier Escaned, Alexander Bufe, Artis Kalnins, Bernward Lauer, Leszek Bryniarski, Francesco Marzà, Markus Meyer-Geßner, Euro Cto Club, Omer Goktekin, James C. Spratt, David Hildick-Smith, Alfredo R. Galassi, Aigars Lismanis, Mauro Carlino, Nicolaus Reifart, Marine Castaing, Thierry Lefèvre, Gerald S. Werner, Joachim H. Büttner, Yves Louvard, Leif Thuesen, Simon Elhadad, Andrea Gagnor, Valery Gelev, Salvatore D. Tomasello, Roberto Garbo, Evald Høj Christiansen, Marouane Boukhris, Carlo Di Mario, Antonio Serra, Georgios Sianos |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment medicine.disease Revascularization Surgery Patient age Internal medicine Conventional PCI medicine Long term outcomes Cardiology Myocardial infarction Major complication business Cardiology and Cardiovascular Medicine Stroke |
| Zdroj: | Journal of the American College of Cardiology. 65(22):2388-2400 |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/j.jacc.2015.03.566 |
| Popis: | Background A retrograde approach improves the success rate of percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs). Objectives The authors describe the European experience with and outcomes of retrograde PCI revascularization for coronary CTOs. Methods Follow-up data were collected from 1,395 patients with 1,582 CTO lesions enrolled between January 2008 and December 2012 for retrograde CTO PCI at 44 European centers. Major adverse cardiac and cerebrovascular events were defined as the composite of cardiac death, myocardial infarction, stroke, and further revascularization. Results The mean patient age was 62.0 ± 10.4 years; 88.5% were men. Procedural and clinical success rates were 75.3% and 71.2%, respectively. The mean clinical follow-up duration was 24.7 ± 15.0 months. Compared with patients with failed retrograde PCI, successfully revascularized patients showed lower rates of cardiac death (0.6% vs. 4.3%, respectively; p Conclusions The number of retrograde procedures in Europe has increased, with high percents of success, low rates of major complications, and good long-term outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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