Real world perspective of coronary chronic total occlusion in third world countries: A tertiary care centre study from northern India
| Autor: | Yashpaul Sharma, Ankur Gupta, Parag Barwad, Krishna Prasad Nevali, Suraj Khanal, Prashant Panda, Bhupinder Kumar Sihag, Neelam Dahiya, Himanshu Gupta, Krishna Santosh Vemuri, Ankush Gupta, Sanjeev Naganur, kumar Basant, Ajay Bahl, Saurabh Mehrotra, Rohit Manoj Kumar, Rajesh Vijayvergiya, Parminder Singh |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Coronary angiography medicine.medical_specialty Percutaneous RD1-811 medicine.medical_treatment Coronary Angiography Revascularization Tertiary care Total occlusion Tertiary Care Centers Percutaneous Coronary Intervention Risk Factors Internal medicine Humans Medicine Diseases of the circulatory (Cardiovascular) system Percutaneous coronary intervention (PCI) Registries cardiovascular diseases Developing Countries Retrospective Studies J CTO Score business.industry Third world Chronic total occlusion (CTO) Coronary artery disease (CAD) Management strategy Treatment Outcome Coronary Occlusion RC666-701 Chronic Disease Conventional PCI Cardiology Original Article Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Indian Heart Journal, Vol 73, Iss 2, Pp 156-160 (2021) Indian Heart Journal |
| ISSN: | 0019-4832 |
| Popis: | Objectives The aim of this study is to determine the prevalence, clinical characteristics, angiographic profile and predictors of outcome for percutaneous coronary interventions (PCI) of coronary chronic total occlusions (CTO) in a tertiary referral centre of north India. Background There is no data on the prevalence and very few reports on clinical characteristics, angiographic profile and outcome of PCI in CTO from India. Methods Retrospective analysis was done for the data of 12,020 patients undergoing coronary angiography (CAG) between January 2018 to January 2019 at our centre. Detailed baseline clinical, angiographic and revascularization data was collected. Outcome of CTO PCI was also noted. All baseline parameters were analysed for predicting the outcome of CTO PCI. Results CTO was identified in 16.3% (1968) patients undergoing CAG and in 24.4% of patients with hemodynamically significant CAD. CTO was predominantly found in LAD (48%) followed by RCA (42.9%) and LCx (25.3%) arterial distribution. Mean JCTO score was 1.93 ± 0.7. PCI as a management strategy was adopted in 456 of 1968 patients (23.1%) and was successful in 340 of 456 (74.6%) of patients. Almost all CTO PCI were attempted by an antegrade approach only. Increasing age, male sex, CTO in LCx arterial distribution and higher J CTO score were associated with poorer outcome in CTO PCI. Conclusions CTO’s are commonly encountered during CAG procedures. In patients undergoing CTO PCI, a fair success rate can be achieved in a high volume experienced centre. |
| Databáze: | OpenAIRE |
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