The Impact of Proximal Vessel Tortuosity on the Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry

The Impact of Proximal Vessel Tortuosity on the Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry

We examined the impact of proximal vessel tortuosity on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The baseline clinical and angiographic characteristics and procedural outcomes of 1618 consecutive CTO-PCIs performed between 2012 and 2016 at 14 United Sta...

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Veröffentlicht in:The Journal of invasive cardiology 2017-08, Vol.29 (8), p.264-270
Hauptverfasser: Karacsonyi, Judit, Karmpaliotis, Dimitri, Alaswad, Khaldoon, Jaffer, Farouc A, Yeh, Robert W, Patel, Mitul, Mahmud, Ehtisham, Doing, Anthony, Toma, Catalin, Uretsky, Barry, Choi, James, Moses, Jeffrey W, Kirtane, Ajay, Parikh, Manish, Ali, Ziad, Lombardi, William L, Kandzari, David E, Lembo, Nicholas, Garcia, Santiago, Wyman, Michael R, Martinez-Parachini, Jose R, Karatasakis, Aris, Danek, Barbara A, Alame, Aya J, Resendes, Erica, Rangan, Bavana V, Ungi, Imre, Thompson, Craig A, Banerjee, Subhash, Brilakis, Emmanouil S
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Contrast Media
Coronary Angiography - methods
Coronary Occlusion - diagnosis
Coronary Occlusion - surgery
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnosis
Dose-Response Relationship, Drug
Female
Humans
Intraoperative Complications - diagnosis
Intraoperative Complications - etiology
Male
Middle Aged
Operative Time
Outcome and Process Assessment (Health Care)
Percutaneous Coronary Intervention - adverse effects
Percutaneous Coronary Intervention - methods
Radiation Monitoring
Risk Factors
United States
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Zusammenfassung:We examined the impact of proximal vessel tortuosity on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The baseline clinical and angiographic characteristics and procedural outcomes of 1618 consecutive CTO-PCIs performed between 2012 and 2016 at 14 United States centers in 1589 patients were reviewed. Mean patient age was 65.3 ± 10.0 years and 85% were men. Moderate/severe proximal vessel tortuosity was present in 35.7% of target lesions. Compared with non-tortuous lesions, tortuous lesions had longer length (30 mm [interquartile range, 20-50 mm] vs 28 mm [interquartile range, 16-40 mm]; P
ISSN:1557-2501