Articles

Evaluation of Effective Factors in Success Rate of Intervention on CTO

Abstract

Chronic total occlusion (CTO) intervention is still a challenging problem. The aim of this study is to determine factors that affect PCI results.The study was conducted on 72 patients in two centers. CTO angioplasty was done by the antegrade approach from the femoral and/or radial approach. The role of age, gender, anatomical variations such as calcification, length of the lesion, proximal bending, retrograde filling and occluded coronary artery (LAD, CCK or RCA), and wires were assessed. The success rate was 79.6%, and presence of calcification was an important factor in CTO PCI. Operator's experience, use of appropriate equipment and calcification are important factors in predicting a successful PCI.

Chistofferson RD, Lehmann KG, Martin GV, et al. Effect of Chronic Total Coronary Occlusion on Treatment Strategy. AM J Cardiol 2005:95(9):1088-91.

Nguyen T, Hu D, Kim MH, et al, editors. Practical Handbook of advanced interventional cardiology: Tips and Tricks. 4th ed. Manhattan: Wiley-Blackwell; 2013: p. 207.

Lane RE, Ilsley CD, Wallis W, et al. Percutancous coronary intervention of a circum flex chronic total oculusion using all EpiCardial collateral retrograde approach. Catheter Cardiovasc Interv 2006;69(6):842-4.

Pedro A.Lemos, MD. Intraplaque contrast injection for the recanalization of total occlusions: the drop that hollows out the stone? Catheter Cardiovasc Interv 2008;71(1):27.

Juero JA, Marso SP, Jones PG, et al. Procedural outcomes and long – term survival among patients undergoing percutaneous Coronary intervention of s chronic total occlusion in native coronary arteries: A 20 year experience. J Am Coll Cordial 2001;38(2):409-14. Table 2. Kind of stents used

Nauyen T, Colombo A, Hu D, et al, edition. Practical handbook of Advanced interventional cardiology. 3rd ed. Manhattan: Wiley-Blackwell; 2008; p. 173-204.

Sito S. Different strategies for retrograde Approach in coronary angioplasty for chronic total occlusion. Catheter Cordiovasc Interv 2008:71(1):8-19.

Ge JB, Zhang F, Ge L, et al. Wire trapping technique combined with retrograde approach for recanalization of chronic total occlusion. Chin Med J 2008;121(17):1753-6.

Giora Weisz. New insight into the importance of incomplete revascularization. tctmd. (Accessed in March 20, 2014, http://www.tctmd.com/show.aspx?id=398&ref_id=114080).

Carlo Di Mario,MD,FRCP,FESC,FACC,Royal Bromton Hospital,London,Joint 2010 ESC-WACTs Guidelines on Myocardial Revascularisation,TCT 2012. (Accessed in March 20, 2014, http://www.sha-education.com/sites/ all/sha23_presentations/28-1-2012/019007.pdf).

Taherkhani M, Namazi MH, Safi M, et al. The evaluation of chronic total occlusion angioplasty results, in patients suffering from coronary artery disease. Pak Heart J 2012;45(3):191-5.

Kilian JG, Celermajer DS, Adams MR. Safety of coronary anjioplasty to chronic total occlusions. Int J Cardiol 2005;103(3):256-8.

Han YL, Wang SL, Jing QM, et al. Percutaneous coronary intervention for chronic total occlusion in 1263 patients:a single center report. Chin Med J 2006;119(14):1165-70.

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IssueVol 53, No 3 (2015) QRcode
SectionArticles
Keywords
Calcification Angioplasty Chronic total occlusion

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Namazi M, Safi M, Vakili H, Saadat H, Alipour S, Mahjoob P, Taherkhani M, Pedari S, Taherion M, Rajabi Moghaddam H, Alhazifi A, Vatanparast M, Khaligh S. Evaluation of Effective Factors in Success Rate of Intervention on CTO. Acta Med Iran. 1;53(3):173-176.