Effect of Previous Failure on Subsequent Procedural Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention (from a Contemporary Multicenter Registry)

We sought to examine the impact of previous failure on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We examined the clinical and angiographic characteristics and procedural outcomes of 1,213 consecutive patients who underwent 1,232 CTO PCIs from 2012 to 201...

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Veröffentlicht in:	The American journal of cardiology 2016-04, Vol.117 (8), p.1267-1271
Hauptverfasser:	Karacsonyi, Judit, MD, Karatasakis, Aris, MD, Karmpaliotis, Dimitri, MD, Alaswad, Khaldoon, MD, Yeh, Robert W., MD, Jaffer, Farouc A., MD, PhD, Wyman, Michael R., MD, Lombardi, William L., MD, Grantham, J. Aaron, MD, Kandzari, David E., MD, Lembo, Nicholas, MD, Moses, Jeffrey W., MD, Kirtane, Ajay J., MD, Parikh, Manish A., MD, Green, Philip, MD, Finn, Matthew, MD, Garcia, Santiago, MD, Doing, Anthony, MD, Patel, Mitul, MD, Bahadorani, John, MD, Martinez Parachini, Jose Roberto, MD, Resendes, Erica, MS, Rangan, Bavana V., BDS, MPH, Ungi, Imre, MD, Thompson, Craig A., MD, MMSc, Banerjee, Subhash, MD, Brilakis, Emmanouil S., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Calcification Cardiovascular Cardiovascular disease Chronic Disease Coronary Angiography Coronary Occlusion - diagnostic imaging Coronary Occlusion - surgery Coronary Restenosis - diagnostic imaging Coronary Restenosis - epidemiology Coronary Restenosis - surgery Coronary vessels Diabetes Dissection Family medical history Female Follow-Up Studies Heart attacks Heart failure Heart surgery Humans Hypertension Incidence Male Middle Aged Percutaneous Coronary Intervention Registries Reoperation Retrospective Studies Risk Factors Success Time Factors Treatment Failure Treatment Outcome United States - epidemiology
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Zusammenfassung:	We sought to examine the impact of previous failure on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We examined the clinical and angiographic characteristics and procedural outcomes of 1,213 consecutive patients who underwent 1,232 CTO PCIs from 2012 to 2015 at 12 US centers. Mean age was 65 ± 10 years, and 84.8% of patients were men. A previously failed attempt had been performed in 215 patients (17.5%). As compared with patients without previous CTO PCI failure, patients with previous failure had higher Multicenter CTO Registry in Japan CTO score (2.40 ± 1.13 vs 3.28 ± 1.29, p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2016.01.021