Impact of Calcium on Chronic Total Occlusion Percutaneous Coronary Interventions

Abstract We sought to examine the impact of calcific deposits on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The outcomes of 1,476 consecutive CTO PCIs performed in 1,453 patients (65.5 ± 10 years; 85% male) between 2012 and 2016 at 11 US centers were eval...

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Veröffentlicht in:	The American journal of cardiology 2017-07, Vol.120 (1), p.40-46
Hauptverfasser:	Karacsonyi, Judit, MD, Karmpaliotis, Dimitri, MD, Alaswad, Khaldoon, MD, Jaffer, Farouc A., MD, PhD, Yeh, Robert W., MD, Patel, Mitul, MD, Mahmud, Ehtisham, MD, Lombardi, William, MD, Wyman, Michael R., MD, Doing, Anthony, MD, Moses, Jeffrey W., MD, Kirtane, Ajay, MD, Parikh, Manish, MD, Ali, Ziad, MD, Kandzari, David, MD, Lembo, Nicholas, MD, Garcia, Santiago, MD, Danek, Barbara A., MD, Karatasakis, Aris, MD, Resendes, Erica, MS, Karsaria, Pratik, MS, Rangan, Bavana V., BDS, MPH, Ungi, Imre, MD, PhD, Thompson, Craig A., MD, MMSc, Banerjee, Subhash, MD, Brilakis, Emmanouil S., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty Calcification Calcium Calcium - metabolism Cardiovascular Catheters Chronic Disease Coronary Angiography Coronary Occlusion - diagnosis Coronary Occlusion - etiology Coronary Occlusion - surgery Coronary vessels Coronary Vessels - diagnostic imaging Coronary Vessels - metabolism Coronary Vessels - surgery Deposits Diabetes Dissection Female Fluoroscopy Follow-Up Studies Heart attacks Heart diseases Humans Hypertension Incidence Intervention Lesions Male Middle Aged Multivariate analysis Occlusion Percutaneous Coronary Intervention - methods Radiation Radiation dosage Registries Risk Factors Severity of Illness Index Stents Success Surgery Time Factors Tomography Treatment Outcome Vascular Calcification - complications Vascular Calcification - diagnosis Vascular Calcification - surgery Veins & arteries
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Zusammenfassung:	Abstract We sought to examine the impact of calcific deposits on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The outcomes of 1,476 consecutive CTO PCIs performed in 1,453 patients (65.5 ± 10 years; 85% male) between 2012 and 2016 at 11 US centers were evaluated. Moderate or severe quantity of calcium was present in 58% of target lesions. Calcified lesions were more tortuous and more likely to have proximal cap ambiguity and interventional collaterals. PCI of moderately/severely calcified CTOs more often required use of the retrograde approach (54% vs. 30%, p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2017.03.263