Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention via Saphenous Vein Graft

Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention via Saphenous Vein Graft

The aim of this study was to examine the use of saphenous vein grafts (SVGs) for retrograde crossing during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The use of SVGs for retrograde crossing during CTO PCI has received limited study. A total of 1,615 retrograde CTO PCIs...

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Veröffentlicht in:JACC. Cardiovascular interventions 2020-02, Vol.13 (4), p.517-526
Hauptverfasser: Xenogiannis, Iosif, Gkargkoulas, Fotis, Karmpaliotis, Dimitri, Krestyaninov, Oleg, Khelimskii, Dmitrii, Jaffer, Farouc A., Khatri, Jaikirshan J., Kandzari, David E., Wyman, R. Michael, Doing, Anthony H., Dattilo, Phil, Toma, Catalin, Yeh, Robert W., Tamez, Hector, Choi, James W., Jaber, Wissam, Samady, Habib, Sheikh, Abdul M., Potluri, Srinivasa, Patel, Mitul, Mahmud, Ehtisham, Elbaruni, Basem, Love, Michael P., Koutouzis, Michalis, Tsiafoutis, Ioannis, Jefferson, Brian K., Patel, Taral, Uretsky, Barry, Moses, Jeffrey W., Lembo, Nicholas J., Parikh, Manish, Kirtane, Ajay J., Ali, Ziad A., Hall, Allison B., Megaly, Michael S., Vemmou, Evangelia, Nikolakopoulos, Ilias, Rangan, Bavana V., Morley, Pamela W., Bou Dargham, Bassel, Abdullah, Shuaib, Garcia, Santiago, Banerjee, Subhash, Burke, M. Nicholas, Brilakis, Emmanouil S., Alaswad, Khaldoon
Format: Artikel
Sprache:eng
Schlagworte:
chronic total occlusion
collateral
percutaneous coronary interventions
retrograde approach
saphenous vein grafts
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Zusammenfassung:The aim of this study was to examine the use of saphenous vein grafts (SVGs) for retrograde crossing during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The use of SVGs for retrograde crossing during CTO PCI has received limited study. A total of 1,615 retrograde CTO PCIs performed between 2012 and 2019 at 25 centers were examined. Clinical, angiographic, and technical characteristics and procedural outcomes were compared among retrograde cases via SVGs (SVG group) versus other collateral vessels (non-SVG group). Retrograde CTO PCI via SVGs was performed in 189 cases (12%). Patients in the SVG group were older (mean age 70 ± 9 years vs. 64 ± 10 years; p 
ISSN:1936-8798
1876-7605
DOI:10.1016/j.jcin.2019.10.028