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Incidence, Predictors, and Strategies for Failure of Retrograde Microcatheter Tracking After Successful Wiring of Septal Collateral Channels in Chronic Total Occlusions

التفاصيل البيبلوغرافية
العنوان: Incidence, Predictors, and Strategies for Failure of Retrograde Microcatheter Tracking After Successful Wiring of Septal Collateral Channels in Chronic Total Occlusions
المؤلفون: Xiao-jiao Zhang, Yi Li, Cheng-fu Wang, Qing-kun Meng, De-feng Luo, Jie Tao, Bao-jun Chen, Yong Wang, Yu Zhu, Hong-wei Zhao, Bo Luan, Ai-jie Hou
المصدر: Clinical Interventions in Aging
بيانات النشر: Informa UK Limited, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Male, medicine.medical_specialty, collateral channel, Entry angle, medicine.medical_treatment, retrograde microcatheter tracking, Collateral Circulation, predictor, Revascularization, 03 medical and health sciences, Percutaneous Coronary Intervention, 0302 clinical medicine, Internal medicine, Odds Ratio, Humans, Medicine, 030212 general & internal medicine, coronary chronic total occlusion, Original Research, Aged, Retrospective Studies, business.industry, Incidence, Incidence (epidemiology), Collateral channel, General Medicine, Odds ratio, Middle Aged, Confidence interval, Treatment Outcome, medicine.anatomical_structure, Coronary Occlusion, Clinical Interventions in Aging, Chronic Disease, Conventional PCI, Cardiology, Equipment Failure, Female, Geriatrics and Gerontology, business, 030217 neurology & neurosurgery, Artery
الوصف: Yong Wang, Xiao-jiao Zhang, Hong-wei Zhao, Chengfu Wang, Defeng Luo, Qingkun Meng, Yu Zhu, Jie Tao, Baojun Chen, Yi Li, Aijie Hou, Bo Luan Department of Cardiology, The People’s Hospital of China Medical University, The People’s Hospital of Liaoning Province, Shenyang City, Liaoning Province 110016, People’s Republic of ChinaCorrespondence: Bo Luan; Aijie HouDepartment of Cardiology, The People’s Hospital of China Medical University, The People’s Hospital of Liaoning Province, No. 33, Wenyi Road, Shenhe District, Shenyang City, Liaoning Province 110016, People’s Republic of ChinaTel +86-17702488970Email luanbo2016@163.com; 1758624242@qq.comBackground: Retrograde microcatheter collateral channel (CC) tracking after successful wiring of septal CC is crucial for retrograde revascularization of coronary chronic total occlusion (CTO). However, the incidence, predictors, and strategies for failure of retrograde microcatheter CC tracking after successful wiring of septal CC remain unclear.Methods: In total, 298 patients with CTO who underwent retrograde septal CC PCI between January 2015 and May 2019 were retrospectively analyzed. Clinical data were compared to investigate the predictors of initial microcatheter tracking failure.Results: The initial and final microcatheter tracking success rates were 79.2% (236/298) and 96.6% (288/298), respectively. The procedural success rate was 94.0% (280/298). The right coronary artery-to-left anterior descending artery septal ratio (48.4% vs 33.1%, p=0.037) and CC tortuosity (34.6% vs 20.8%, p=0.045) were significantly higher in the initial microcatheter CC tracking failure group than in the successful tracking group. Multivariate logistic regression analysis revealed that severe collateral tortuosity (odds ratio [OR]: 13.241, 95% confidence interval [CI]: 3.429– 27.057, p=0.038), CC entry angle of < 90° (OR:4.921, 95% CI: 1.128– 9.997, p=0.002), CC exit angle of < 90° (OR:5.037, 95% CI: 2.237– 11.182, p=0.004), use of Finecross MG as initial microcatheter (OR:1.826, 95% CI: 1.127– 3.067, p=0.035), and shunning initial retrograde application of Guidezilla (OR:0.321, 95% CI: 0.267– 0.915, p=0.024) were variables independently associated with initial microcatheter CC tracking failure in patients with CTO undergoing retrograde septal CC PCI.Conclusion: The overall initial microcatheter CC tracking failure was 20.8%. Severecollateral tortuosity, CC entry, and exit angle of < 90°, use of Finecross MG as initial microcatheter, and shunning initial retrograde application of Guidezilla were variables independently associated with initial microcatheter CC tracking failure in patients with CTO undergoing retrograde septal PCI.Keywords: coronary chronic total occlusion, retrograde microcatheter tracking, collateral channel, predictor
وصف الملف: text/html
تدمد: 1178-1998
1770-2488
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d2de05707a62238fdcb09d54282078c2
https://doi.org/10.2147/cia.s263216
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....d2de05707a62238fdcb09d54282078c2
قاعدة البيانات: OpenAIRE
الوصف
تدمد:11781998
17702488