Technical and procedural outcomes of the retrograde approach to chronic total occlusion interventions Insights from an International CTO Registry /

Technical and procedural outcomes of the retrograde approach to chronic total occlusion interventions Insights from an International CTO Registry /

The retrograde approach is critical for achieving high success rates in chronic total occlusion (CTO) percutaneous coronary intervention (PCI), but has been associated with higher risk of complications.We compared the technical and procedural outcomes of retrograde (n=1,515) and antegrade-only CTO P...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Tajti Péter
Xenogiannis Iosif
Gargoulas Fotis
Karmpaliotis Dimitri
Alaswad Khaldoon
Jaffer Farouc A
Patel Mitul
Burke M Nicholas
Garcia Santiago
Krestyaninov Oleg
Koutouzis Michalis
Jaber Wissam
Brilakis Emmanouil S.
Yeh Robert W.
Ungi Imre
Dokumentumtípus: Cikk
Megjelent: 2020
Sorozat:EUROINTERVENTION 16 No. 11
doi:10.4244/EIJ-D-19-00441

mtmt:31371950
Online Access:http://publicatio.bibl.u-szeged.hu/20242
Leíró adatok
Tartalmi kivonat:The retrograde approach is critical for achieving high success rates in chronic total occlusion (CTO) percutaneous coronary intervention (PCI), but has been associated with higher risk of complications.We compared the technical and procedural outcomes of retrograde (n=1,515) and antegrade-only CTO PCIs (n=2,686) in a contemporary multicenter CTO registry. The mean age of patients undergoing retrograde PCI was 65±10 years and 86% were men, with high prevalence of prior myocardial infarction (51%), prior PCI (71%), and coronary artery bypass graft surgery (45%). The mean J-CTO (3±1 vs 2±1 p<0.001) was higher in retrograde PCIs. The most commonly used collateral channels were septals (65%), epicardials (32%), saphenous venous grafts (14%) and left internal mammary artery grafts (2%). Overall technical (79% vs 91%, p<0.001) and procedural (75% vs 90%, p<0.001) success rates were lower with the retrograde approach, and patients had higher in-hospital major complications rate than antegrade-only PCIs (5.1% vs 0.8%, p<0.001), due to higher mortality (1.1% vs. 0.1%, p<0.001), acute myocardial infarction (1.9% vs 0.2%, p<0.001), repeat-PCI (0.7% vs 0.1%, p=0.001), and pericardiocentesis (1.7% vs 0.3%, p<0.001).In summary, retrograde approach to CTO PCI is performed in higher complexity lesions and is associated with lower success and higher major complications rates.
Terjedelem/Fizikai jellemzők:e891-e899
ISSN:1774-024X

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