Application of the “Hybrid Approach” to Chronic Total Occlusions in Patients With Previous Coronary Artery Bypass Graft Surgery (from a Contemporary Multicenter US Registry)

Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been traditionally associated with lower success rates in patients with previous coronary artery bypass graft surgery (CABG). We sought to examine the success and complication rates of CTO PCI using the “hybrid” crossin...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	The American journal of cardiology 2014-06, Vol.113 (12), p.1990-1994
Hauptverfasser:	Christopoulos, Georgios, MD, Menon, Rohan V., BS, Karmpaliotis, Dimitri, MD, Alaswad, Khaldoon, MD, Lombardi, William, MD, Grantham, J. Aaron, MD, Michael, Tesfaldet T., MD, Patel, Vishal G., MD, Rangan, Bavana V., BDS, MPH, Kotsia, Anna P., MD, Lembo, Nicholas, MD, Kandzari, David E., MD, Lee, James, MD, Kalynych, Anna, MD, Carlson, Harold, MD, Garcia, Santiago, MD, Banerjee, Subhash, MD, Thompson, Craig A., MD, MMSc, Brilakis, Emmanouil S., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute coronary syndromes Aged Algorithms Angioplasty, Balloon, Coronary - methods Angioplasty, Balloon, Coronary - mortality Cardiology Cardiovascular Cause of Death Chronic Disease Confidence intervals Coronary Angiography - methods Coronary Artery Bypass - adverse effects Coronary Artery Bypass - methods Coronary Occlusion - diagnostic imaging Coronary Occlusion - mortality Coronary Occlusion - surgery Coronary Restenosis - diagnostic imaging Coronary Restenosis - therapy Coronary vessels Diabetes Female Follow-Up Studies Heart attacks Heart surgery Hospital Mortality - trends Humans Male Middle Aged Registries Regression analysis Risk Assessment Success Survival Analysis Time Factors Treatment Outcome Veins & arteries
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been traditionally associated with lower success rates in patients with previous coronary artery bypass graft surgery (CABG). We sought to examine the success and complication rates of CTO PCI using the “hybrid” crossing algorithm among patients with a history of previous CABG. The procedural outcomes of 496 consecutive CTO PCIs performed at 5 high-volume PCI centers in the United States from January 2012 to August 2013 were assessed. The outcomes of patients with previous CABG were compared with those of patients without previous CABG. Compared with patients without previous CABG (n = 320), patients with previous CABG (n = 176, 35%) were older, had more coronary artery disease risk factors, and had less favorable baseline angiographic CTO characteristics. Technical and procedural success was slightly lower among patients with previous CABG (88.1% vs 93.4%, p = 0.044 and 87.5 vs 92.5%, p = 0.07, respectively). Patients with previous CABG more commonly underwent CTO PCI using the retrograde approach (39% vs 24%, respectively, p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2014.03.039