Impact of target vessel on the procedural techniques and outcomes of chronic total occlusion percutaneous coronary intervention.

التفاصيل البيبلوغرافية
العنوان:	Impact of target vessel on the procedural techniques and outcomes of chronic total occlusion percutaneous coronary intervention.
المؤلفون:	Kostantinis S; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Rempakos A; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Simsek B; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Karacsonyi J; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Allana SS; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Alaswad K; Henry Ford Cardiovascular Division, Detroit, MI, USA., Basir MB; Henry Ford Cardiovascular Division, Detroit, MI, USA., Davies RE; Wellspan York Hospital, York, PA, USA., Benton SM Jr; Wellspan York Hospital, York, PA, USA., Krestyaninov O; Meshalkin Novosibirsk Research Institute, Novosibirsk, Russia., Khelimskii D; Meshalkin Novosibirsk Research Institute, Novosibirsk, Russia., Jaber WA; Emory University Hospital Midtown, Atlanta, GA, USA., Rinfret S; Emory University Hospital Midtown, Atlanta, GA, USA., Nicholson W; Emory University Hospital Midtown, Atlanta, GA, USA., Frizzell J; The Christ Hospital, Ohio Heart and Vascular, Cincinnati, OH, USA., Jaffer FA; Massachusetts General Hospital, Boston, MA, USA., Khatri JJ; Cleveland Clinic, Cleveland, OH, USA., Poommipanit P; University Hospitals, Case Western Reserve University, Cleveland, OH, USA., Choi JW; Texas Health Presbyterian Hospital, Dallas, TX, USA., Chandwaney R; Oklahoma Heart Institute, Tulsa, OK, USA., Jefferson BK; Tristar Centennial Medical Center, Nashville, TN, USA., Patel TN; Tristar Centennial Medical Center, Nashville, TN, USA., Al-Azizi KM; The Heart Hospital - Plano, Plano, TX, USA., Potluri S; The Heart Hospital - Plano, Plano, TX, USA., Aygul N; Selcuk University Medical Faculty, Konya, Turkey., ElGuindy AM; Aswan Heart Center, Magdi Yacoub Foundation, Cairo, Egypt., Abi Rafeh N; North Oaks Health System, Hammond, LA, USA., Goktekin O; Memorial Bahcelievler Hospital, Istanbul, Turkey., Alexandrou M; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Mastrodemos OC; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Rangan BV; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Sandoval Y; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Burke MN; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Brilakis ES; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Gorgulu S; Biruni University Medical School, Istanbul, Turkey. E-mail: sevket5@yahoo.com.
المصدر:	The Journal of invasive cardiology [J Invasive Cardiol] 2023 Sep; Vol. 35 (9).
نوع المنشور:	Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: HMP Communications Country of Publication: United States NLM ID: 8917477 Publication Model: Print Cited Medium: Internet ISSN: 1557-2501 (Electronic) Linking ISSN: 10423931 NLM ISO Abbreviation: J Invasive Cardiol Subsets: MEDLINE
أسماء مطبوعة:	Publication: Malvern, PA : HMP Communications Original Publication: [King of Prussia, PA] : Health Management Publications, [c1988-
مواضيع طبية MeSH:	Percutaneous Coronary Intervention/adverse effects , Vascular Diseases, Humans ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Angiography
مستخلص:	Background: There is limited information on the impact of the target vessel on the procedural techniques and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods: We analyzed the baseline clinical and angiographic characteristics and procedural outcomes of 11,580 CTO PCIs performed between 2012 and 2022 at 44 centers. Results: The most common CTO target vessel was the right coronary artery (RCA) (53.1%) followed by the left anterior descending artery (LAD) (26.0%) and the left circumflex artery (LCX) (19.8%). RCA CTOs were longer and more complex, with a higher Japanese CTO score compared with LAD or LCX CTOs. Technical success was higher among LAD (88.8%) lesions when compared with RCA (85.7%) or LCX (85.8%) lesions (P less than .001). The incidence of major adverse cardiovascular events (MACE) was overall 1.9% (n = 220) and was similar among target vessels (P=.916). There was a tendency toward more frequent utilization of the retrograde approach for more proximal occlusions in all 3 target vessels. When compared with all other RCA lesions combined, distal RCA lesions had higher technical success (87.7% vs 85.3%; P=.048). Technical success was similar between various locations of LAD CTOs (P=.704). First/second/third obtuse marginal branch had lower technical success when compared with all other LCX lesion locations (82.7% vs 86.8%; P=.014). There was no association between MACE and CTO location in all 3 target vessels. Conclusions: LAD CTO PCIs had higher technical and procedural success rates among target vessels. The incidence of MACE was similar among target vessels and among various locations within the target vessel.
فهرسة مساهمة:	Keywords: CTO-PCI; chronic total occlusion
تواريخ الأحداث:	Date Created: 20231120 Date Completed: 20231121 Latest Revision: 20240425
رمز التحديث:	20240425
DOI:	10.25270/jic/23.00139
PMID:	37983108
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	1557-2501
DOI:	10.25270/jic/23.00139