Impact of lesion morphology on angiographic and clinical outcomes in patients with chronic total occlusion after recanalization with drug-eluting stents: a multislice computed tomography study

Objectives The aim of this study was to investigate the multislice computed tomography (MSCT) parameters associated with adverse outcomes after chronic total occlusion percutaneous coronary intervention (CTO-PCI) with drug-eluting stents. Methods A total of 285 patients who underwent MSCT before CTO...

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Veröffentlicht in:	European radiology 2015-10, Vol.25 (10), p.3084-3092
Hauptverfasser:	Ito, Tsuyoshi, Tsuchikane, Etsuo, Nasu, Kenya, Suzuki, Yoriyasu, Kimura, Masashi, Ehara, Mariko, Terashima, Mitsuyasu, Kinoshita, Yoshihisa, Habara, Maoto, Suzuki, Takahiko, Ohte, Nobuyuki
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty Calcification Cardiac Cardiovascular disease Chronic Disease Clinical outcomes Contrast agents Coronary Angiography - methods Coronary Occlusion - pathology Coronary Occlusion - surgery Coronary Restenosis - etiology Coronary Restenosis - pathology Coronary Thrombosis - etiology Coronary Thrombosis - pathology Coronary vessels Diagnostic Radiology Drug-Eluting Stents Female Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - pathology Heart attacks Heart rate Humans Imaging Internal Medicine Interventional Radiology Male Medical imaging Medicine Medicine & Public Health Middle Aged Morphology Multidetector Computed Tomography Myocardial Infarction - etiology Myocardial Infarction - pathology Myocardial Revascularization - methods Neuroradiology Patients Percutaneous Coronary Intervention - methods Radiology Reoperation Risk Factors Stents Tomography Treatment Outcome Ultrasound
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Zusammenfassung:	Objectives The aim of this study was to investigate the multislice computed tomography (MSCT) parameters associated with adverse outcomes after chronic total occlusion percutaneous coronary intervention (CTO-PCI) with drug-eluting stents. Methods A total of 285 patients who underwent MSCT before CTO-PCI were analyzed. Lesion morphology was assessed with MSCT. Angiographic restenosis, reocclusion, and MACE (a composite of cardiac death, myocardial infarction, stent thrombosis, and target lesion revascularization) were analyzed. Results MACE was observed in 36 patients (13.6 %). Occlusion length was greater (39.5 ± 19.9 mm vs. 22.3 ± 13.7 mm, p
ISSN:	0938-7994 1432-1084
DOI:	10.1007/s00330-015-3706-3