دورية أكاديمية
Equipment entrapment/loss during chronic total occlusion percutaneous coronary intervention.
| العنوان: | Equipment entrapment/loss during chronic total occlusion percutaneous coronary intervention. |
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| المؤلفون: | Alexandrou M; 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., Mutlu D; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Al Ogaili A; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA., Choi JW; Texas Health Presbyterian Hospital, Dallas, Texas, USA., Poommipanit P; University Hospitals, Case Western Reserve University, Cleveland, OH, USA., Alaswad K; Henry Ford Cardiovascular Division, Detroit, MI, USA., Basir MB; Henry Ford Cardiovascular Division, Detroit, MI, USA., Davies R; WellSpan York Hospital, York, PA, USA., Jaffer FA; Massachusetts General Hospital, Boston, MA, USA., Chandwaney RH; Oklahoma Heart Institute, Tulsa, OK, USA., Azzalini L; Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, USA., Aygul N; Selcuk University, Konya, Turkey., Dattilo P; Medical Center of the Rockies, Loveland, CO, USA., Jefferson BK; Tristar Hospitals, TN, USA., Gorgulu S; Biruni University Medical School, Istanbul, Turkey., Khatri JJ; Cleveland Clinic, Cleveland, OH, USA., Krestyaninov O; Meshalkin Novosibirsk Research Institute, Novosibirsk, Russia., Frizzell J; St. Vincent Hospital, Indianapolis, IN, USA., Elbarouni B; St. Boniface General Hospital, Winnipeg, Manitoba, Canada., Rangan BV; Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital,Minneapolis, MN, USA., Mastrodemos O; 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., Sandoval Y; 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. esbrilakis@gmail.com. |
| المصدر: | The Journal of invasive cardiology [J Invasive Cardiol] 2024 Apr; Vol. 36 (4). |
| نوع المنشور: | Journal Article |
| 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 , Percutaneous Coronary Intervention*/methods , Coronary Occlusion*/diagnosis , Coronary Occlusion*/surgery , Coronary Occlusion*/etiology, Humans ; Treatment Outcome ; Risk Factors ; Coronary Angiography/methods ; Registries ; Chronic Disease |
| مستخلص: | Background: There is limited data on equipment loss or entrapment during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods: We analyzed the baseline clinical and angiographic characteristics and outcomes of equipment loss/entrapment at 43 US and non-US centers between 2017 and 2023. Results: Equipment loss/entrapment was reported in 40 (0.4%) of 10 719 cases during the study period. These included guidewire entrapment/fracture (n = 21), microcatheter entrapment/fracture (n = 11), stent loss (n = 8) and balloon entrapment/fracture/rupture (n = 5). The equipment loss/entrapment cases were more likely to have moderate to severe calcification, longer lesion length, higher J-CTO and PROGRESS-CTO complications scores, and use of the retrograde approach compared with the remaining cases. Retrieval was attempted in 71.4% of the guidewire, 90.9% of the microcatheter, 100% of the stent loss, and 100% of the balloon cases, and was successful in 26.7%, 30.0%, 50%, and 40% of the cases, respectively. Procedures complicated by equipment loss/entrapment had higher procedure and fluoroscopy time, contrast volume and patient air kerma radiation dose, lower procedural (60.0% vs 85.6%, P less than .001) and technical (75.0% vs 86.8%, P = .05) success, and higher incidence of major adverse cardiac events (MACE) (17.5% vs 1.8%, P less than .001), acute MI (7.5% vs 0.4%, P less than .001), emergency coronary artery bypass graft (CABG) (2.5% vs 0.1%, P = .03), perforation (20.0% vs 4.9%, P less than .001), and death (7.5% vs 0.4%, P less than .001). Conclusions: Equipment loss is a rare complication of CTO PCI; it is more common in complex CTOs and is associated with lower technical success and higher MACE. |
| فهرسة مساهمة: | Keywords: chronic total occlusion; complications; equipment entrapment; equipment loss; percutaneous coronary intervention |
| تواريخ الأحداث: | Date Created: 20240227 Date Completed: 20240409 Latest Revision: 20240409 |
| رمز التحديث: | 20240409 |
| DOI: | 10.25270/jic/23.00266 |
| PMID: | 38412445 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1557-2501 |
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| DOI: | 10.25270/jic/23.00266 |