Impact of single‐plane versus Bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion percutaneous coronary intervention

Objective The aim of the study is to evaluate the impact of single‐plane and bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods Between January 2008 and December 2015, a tota...

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Veröffentlicht in:Journal of interventional cardiology 2018-12, Vol.31 (6), p.799-806
Hauptverfasser: Fang, Hsiu‐Yu, Wu, Chiung‐Jen, Lee, Wei‐Chieh
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Wu, Chiung‐Jen
Lee, Wei‐Chieh
description Objective The aim of the study is to evaluate the impact of single‐plane and bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods Between January 2008 and December 2015, a total of 359 patients received scheduled retrograde CTO PCI and were enrolled in the study; 119 patients underwent PCI by single‐plane imaging, and another 240 patients underwent PCI by bi‐plane imaging. Results A 95.0% rate of technical success was noted in the single‐plane imaging group, and a 95.8% rate of technical success was noted in the bi‐plane imaging group. All patients received the CTO approach via the retrograde method, and the retrograde method success rate was 88.2% in single‐plane imaging group, and 81.7% in the bi‐plane imaging group. A longer procedural time (153.73 ± 53.15 vs 172.88 ± 61.30 min; P = 0.004), longer fluorescence time (71.40 ± 25.96 vs 80.95 ± 34.70 min; P = 0.008), and more contrast medium volume (342.77 ± 102.25 vs 394.58 ± 156.41 mL; P = 0.001) were noted in the bi‐plane imaging group. After propensity score match, a longer procedural time, longer fluorescence time, and more contrast volume was noted in bi‐plane group. Conclusion Bi‐plane imaging could not decrease procedural time, fluorescence time, and contrast medium volume in retrograde CTO PCI.
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Methods Between January 2008 and December 2015, a total of 359 patients received scheduled retrograde CTO PCI and were enrolled in the study; 119 patients underwent PCI by single‐plane imaging, and another 240 patients underwent PCI by bi‐plane imaging. Results A 95.0% rate of technical success was noted in the single‐plane imaging group, and a 95.8% rate of technical success was noted in the bi‐plane imaging group. All patients received the CTO approach via the retrograde method, and the retrograde method success rate was 88.2% in single‐plane imaging group, and 81.7% in the bi‐plane imaging group. A longer procedural time (153.73 ± 53.15 vs 172.88 ± 61.30 min; P = 0.004), longer fluorescence time (71.40 ± 25.96 vs 80.95 ± 34.70 min; P = 0.008), and more contrast medium volume (342.77 ± 102.25 vs 394.58 ± 156.41 mL; P = 0.001) were noted in the bi‐plane imaging group. After propensity score match, a longer procedural time, longer fluorescence time, and more contrast volume was noted in bi‐plane group. Conclusion Bi‐plane imaging could not decrease procedural time, fluorescence time, and contrast medium volume in retrograde CTO PCI.</description><identifier>ISSN: 0896-4327</identifier><identifier>EISSN: 1540-8183</identifier><identifier>DOI: 10.1111/joic.12545</identifier><identifier>PMID: 30069907</identifier><language>eng</language><publisher>United States: Hindawi Limited</publisher><subject>Aged ; Angioplasty ; Chronic Disease ; chronic total occlusion percutaneous coronary intervention ; Contrast Media - administration &amp; dosage ; Contrast Media - adverse effects ; contrast medium volume ; Coronary Angiography - adverse effects ; Coronary Angiography - methods ; Coronary Occlusion - diagnostic imaging ; Coronary Occlusion - surgery ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - surgery ; Cost reduction ; Female ; Fluorescence ; Fluorescence time ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Occlusion ; Operative Time ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - methods ; Percutaneous Coronary Intervention - statistics &amp; numerical data ; Propensity Score ; Prospective Studies ; Radiodermatitis - epidemiology ; Radiodermatitis - etiology ; Registries ; retrograde ; Retrospective Studies ; Risk Factors ; single‐plane vs Bi‐plane ; Success ; Time Factors ; Treatment Outcome</subject><ispartof>Journal of interventional cardiology, 2018-12, Vol.31 (6), p.799-806</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3575-3ada7151f8f16b57c374d9a48c6d75308ae185966ee68d2440ca59c91615e5763</citedby><cites>FETCH-LOGICAL-c3575-3ada7151f8f16b57c374d9a48c6d75308ae185966ee68d2440ca59c91615e5763</cites><orcidid>0000-0003-0585-6134</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30069907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fang, Hsiu‐Yu</creatorcontrib><creatorcontrib>Wu, Chiung‐Jen</creatorcontrib><creatorcontrib>Lee, Wei‐Chieh</creatorcontrib><title>Impact of single‐plane versus Bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion percutaneous coronary intervention</title><title>Journal of interventional cardiology</title><addtitle>J Interv Cardiol</addtitle><description>Objective The aim of the study is to evaluate the impact of single‐plane and bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods Between January 2008 and December 2015, a total of 359 patients received scheduled retrograde CTO PCI and were enrolled in the study; 119 patients underwent PCI by single‐plane imaging, and another 240 patients underwent PCI by bi‐plane imaging. Results A 95.0% rate of technical success was noted in the single‐plane imaging group, and a 95.8% rate of technical success was noted in the bi‐plane imaging group. All patients received the CTO approach via the retrograde method, and the retrograde method success rate was 88.2% in single‐plane imaging group, and 81.7% in the bi‐plane imaging group. A longer procedural time (153.73 ± 53.15 vs 172.88 ± 61.30 min; P = 0.004), longer fluorescence time (71.40 ± 25.96 vs 80.95 ± 34.70 min; P = 0.008), and more contrast medium volume (342.77 ± 102.25 vs 394.58 ± 156.41 mL; P = 0.001) were noted in the bi‐plane imaging group. After propensity score match, a longer procedural time, longer fluorescence time, and more contrast volume was noted in bi‐plane group. Conclusion Bi‐plane imaging could not decrease procedural time, fluorescence time, and contrast medium volume in retrograde CTO PCI.</description><subject>Aged</subject><subject>Angioplasty</subject><subject>Chronic Disease</subject><subject>chronic total occlusion percutaneous coronary intervention</subject><subject>Contrast Media - administration &amp; dosage</subject><subject>Contrast Media - adverse effects</subject><subject>contrast medium volume</subject><subject>Coronary Angiography - adverse effects</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Occlusion - diagnostic imaging</subject><subject>Coronary Occlusion - surgery</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - surgery</subject><subject>Cost reduction</subject><subject>Female</subject><subject>Fluorescence</subject><subject>Fluorescence time</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occlusion</subject><subject>Operative Time</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>Percutaneous Coronary Intervention - statistics &amp; numerical data</subject><subject>Propensity Score</subject><subject>Prospective Studies</subject><subject>Radiodermatitis - epidemiology</subject><subject>Radiodermatitis - etiology</subject><subject>Registries</subject><subject>retrograde</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>single‐plane vs Bi‐plane</subject><subject>Success</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0896-4327</issn><issn>1540-8183</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9uEzEQxi0EoiFw4QGQJS4VYou9XnvXxxIBDarUC5xXrnc2OPLawX-Ccusj8EK8DE-C0w09cMAXS6PffPPNfAi9pOSClvdu642-oDVv-CO0oLwhVUc79hgtSCdF1bC6PUPPYtwSUhPO66fojBEipCTtAv1aTzulE_YjjsZtLPy--7mzygHeQ4g54vfmoWImtSkM9g7vgtcw5KAsTmaCt3i02QeIGpyGU0m5AWvvUlAx4QkGkye89zZPRcnhACn4TVADYP0teGc0Tj4VPa-1zdEch0DQOZXJvvjQvkAqHEpvgrAHlwryHD0ZlY3w4vQv0dePH76srqrrm0_r1eV1pRlvecXUoFrK6diNVNzyVrO2GaRqOi2GljPSKaAdl0IAiG6om4ZoxaWWVFAOvBVsic5n3bL39wwx9ZMpu1o7m-tr0tVE1o1kBX39D7r1Objirq9pI7ngrISzRG9mSgcfY4Cx34Vy3nDoKemPofbHUPv7UAv86iSZb8sdH9C_KRaAzsAPY-HwH6n-8816NYv-ARNysog</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Fang, Hsiu‐Yu</creator><creator>Wu, Chiung‐Jen</creator><creator>Lee, Wei‐Chieh</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0585-6134</orcidid></search><sort><creationdate>201812</creationdate><title>Impact of single‐plane versus Bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion percutaneous coronary intervention</title><author>Fang, Hsiu‐Yu ; Wu, Chiung‐Jen ; Lee, Wei‐Chieh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3575-3ada7151f8f16b57c374d9a48c6d75308ae185966ee68d2440ca59c91615e5763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Angioplasty</topic><topic>Chronic Disease</topic><topic>chronic total occlusion percutaneous coronary intervention</topic><topic>Contrast Media - administration &amp; dosage</topic><topic>Contrast Media - adverse effects</topic><topic>contrast medium volume</topic><topic>Coronary Angiography - adverse effects</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Occlusion - diagnostic imaging</topic><topic>Coronary Occlusion - surgery</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - surgery</topic><topic>Cost reduction</topic><topic>Female</topic><topic>Fluorescence</topic><topic>Fluorescence time</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occlusion</topic><topic>Operative Time</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Percutaneous Coronary Intervention - statistics &amp; numerical data</topic><topic>Propensity Score</topic><topic>Prospective Studies</topic><topic>Radiodermatitis - epidemiology</topic><topic>Radiodermatitis - etiology</topic><topic>Registries</topic><topic>retrograde</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>single‐plane vs Bi‐plane</topic><topic>Success</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fang, Hsiu‐Yu</creatorcontrib><creatorcontrib>Wu, Chiung‐Jen</creatorcontrib><creatorcontrib>Lee, Wei‐Chieh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fang, Hsiu‐Yu</au><au>Wu, Chiung‐Jen</au><au>Lee, Wei‐Chieh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of single‐plane versus Bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion percutaneous coronary intervention</atitle><jtitle>Journal of interventional cardiology</jtitle><addtitle>J Interv Cardiol</addtitle><date>2018-12</date><risdate>2018</risdate><volume>31</volume><issue>6</issue><spage>799</spage><epage>806</epage><pages>799-806</pages><issn>0896-4327</issn><eissn>1540-8183</eissn><abstract>Objective The aim of the study is to evaluate the impact of single‐plane and bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods Between January 2008 and December 2015, a total of 359 patients received scheduled retrograde CTO PCI and were enrolled in the study; 119 patients underwent PCI by single‐plane imaging, and another 240 patients underwent PCI by bi‐plane imaging. Results A 95.0% rate of technical success was noted in the single‐plane imaging group, and a 95.8% rate of technical success was noted in the bi‐plane imaging group. All patients received the CTO approach via the retrograde method, and the retrograde method success rate was 88.2% in single‐plane imaging group, and 81.7% in the bi‐plane imaging group. A longer procedural time (153.73 ± 53.15 vs 172.88 ± 61.30 min; P = 0.004), longer fluorescence time (71.40 ± 25.96 vs 80.95 ± 34.70 min; P = 0.008), and more contrast medium volume (342.77 ± 102.25 vs 394.58 ± 156.41 mL; P = 0.001) were noted in the bi‐plane imaging group. After propensity score match, a longer procedural time, longer fluorescence time, and more contrast volume was noted in bi‐plane group. Conclusion Bi‐plane imaging could not decrease procedural time, fluorescence time, and contrast medium volume in retrograde CTO PCI.</abstract><cop>United States</cop><pub>Hindawi Limited</pub><pmid>30069907</pmid><doi>10.1111/joic.12545</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0585-6134</orcidid></addata></record>
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subjects Aged
Angioplasty
Chronic Disease
chronic total occlusion percutaneous coronary intervention
Contrast Media - administration & dosage
Contrast Media - adverse effects
contrast medium volume
Coronary Angiography - adverse effects
Coronary Angiography - methods
Coronary Occlusion - diagnostic imaging
Coronary Occlusion - surgery
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Cost reduction
Female
Fluorescence
Fluorescence time
Hospital Mortality
Humans
Male
Middle Aged
Occlusion
Operative Time
Percutaneous Coronary Intervention - adverse effects
Percutaneous Coronary Intervention - methods
Percutaneous Coronary Intervention - statistics & numerical data
Propensity Score
Prospective Studies
Radiodermatitis - epidemiology
Radiodermatitis - etiology
Registries
retrograde
Retrospective Studies
Risk Factors
single‐plane vs Bi‐plane
Success
Time Factors
Treatment Outcome
title Impact of single‐plane versus Bi‐plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion percutaneous coronary intervention
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