Role of pre-procedure CCTA in predicting failed percutaneous coronary intervention for chronic total occlusions

Autor: Hua Zhou, Xiaojun Fan, Mingyuan Yuan, Wei Wang, Qiyuan Wu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: European Journal of Radiology Open, Vol 13, Iss , Pp 100616- (2024)
Druh dokumentu: article
ISSN: 2352-0477
DOI: 10.1016/j.ejro.2024.100616
Popis: Purpose: This study aimed to identify major lesion characteristics of chronic total occlusions (CTOs) that predict failed percutaneous coronary intervention (PCI) using pre-procedure coronary computed tomography angiography (CCTA) in combination with conventional coronary angiography (CCA). Methods: Consecutive patients with at least one CTO of the native coronary arteries received CCTA and CCA-guided PCI, with computed tomography performed before or during PCI. Results: A total of 76 patients with CTO were included in this study. 76 patients were divided into successful and failed PCI groups based on their PCI outcome. There were 62 (81.58 %) patients in the successful PCI group and 14 (18.42 %) in the failed PCI group. The occlusion length ≥20 mm, ostial or bifurcation lesions, negative remodeling, microchannels, and good collateral vessels were the CCTA morphologic parameters associated with PCI outcome (P
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