Early assessment of percutaneous coronary interventions for chronic total occlusions analyzed by novel echocardiographic techniques

Autor: Ercan Erdogan, Mehmet Akkaya, Ahmet Bacaksiz, Abdurrrahman Tasal, Osman Sonmez, Mehmet Ali Elbey, Seref Kul, Mehmet Akif Vatankulu, Murat Turfan, Omer Goktekin
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Clinics, Vol 68, Iss 10, Pp 1333-1337 (2013)
Druh dokumentu: article
ISSN: 1980-5322
DOI: 10.6061/clinics/2013(10)07
Popis: OBJECTIVE: Successful revascularization of chronic total occlusions has been associated with improved left ventricular systolic function, reduced anginal symptoms, increased exercise capacity, and increased survival. This study was conducted to determine the impact of revascularization in chronic total occlusion on left ventricular function using novel echocardiographic techniques. METHODS: A total of 129 patients with chronic total occlusion who underwent revascularization between April 2011 and November 2012 were included in this study. Echocardiographic assessments with two-dimensional speckle tracking echocardiography and real-time three-dimensional echocardiography were performed before the procedure and one month after the procedure. The left ventricular ejection fraction, left ventricular volumes, and three-dimensional systolic dyssynchrony index were quantified. RESULTS: An immediate procedural success was obtained in 118 patients (91.5%). There were no acute or subacute stent thromboses during follow-up. The mean left ventricular ejection fraction significantly increased (p
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