Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention After a Previous Failed Attempt

Autor: Athanasios Rempakos, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, James W. Choi, Paul Poommipanit, Jaikirshan J. Khatri, Wissam Jaber, Stephane Rinfret, William Nicholson, Sevket Gorgulu, Farouc A. Jaffer, Raj Chandwaney, Luiz F. Ybarra, Rodrigo Bagur, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitrios Karmpaliotis, Barry F. Uretsky, Korhan Soylu, Ufuk Yildirim, Srinivasa Potluri, Bavana V. Rangan, Olga C. Mastrodemos, Salman Allana, Yader Sandoval, Nicholas M. Burke, Emmanouil S. Brilakis
Přispěvatelé: Tıp Fakültesi
Rok vydání: 2023
Předmět:
Zdroj: The American Journal of Cardiology. 193:61-69
ISSN: 0002-9149
Popis: The impact of a previous failure on procedural techniques and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. We examined the clinical and angiographic characteristics and procedural outcomes of 9,393 patients who underwent 9,560 CTO PCIs at 42 United States and non-United States centers between 2012 and 2022. A total of 1,904 CTO lesions (20%) had a previous failed PCI attempt. Patients who underwent reattempt CTO PCI were more likely to have a family history of coronary artery disease (37% vs 31%, p 30 CTO PCIs annually were more likely to achieve technical success in patients with previous failure. In conclusion, a previous failed CTO PCI attempt was associated with higher lesion complexity, longer procedure time, and lower technical success; however, the association with lower technical success did not remain significant in multivariable analysis.
Databáze: OpenAIRE