PMID- 28425767
OWN - NLM
STAT- MEDLINE
DCOM- 20170905
LR  - 20170906
IS  - 1651-2006 (Electronic)
IS  - 1401-7431 (Linking)
VI  - 51
IP  - 4
DP  - 2017 Aug
TI  - Chronic total coronary occlusion: treatment results.
PG  - 197-201
LID - 10.1080/14017431.2017.1319575 [doi]
AB  - OBJECTIVES: To describe the clinical and procedural coronary chronic total 
      occlusion (CTO) treatment results in a Nordic PCI centre during the 
      implementation of a CTO treatment program. DESIGN: In a retrospective registry 
      study, we assessed; (1) indication for the procedure, (2) Canadian Cardiovascular 
      Society angina pectoris score (CCS)/New York Heart Association (NYHA) heart 
      failure score, (3) lesion complexity and (4) adverse events during hospital stay 
      and three months following the index procedure. RESULTS: The study cohort 
      included 503 patients (594 lesions). From 2010 to 2013 96% of procedures were 
      performed with antegrade wire-escalation technique and 4% performed using 
      retrograde techniques, from 2013-2016 the corresponding numbers were 83% and 
      17.0%. The procedural success rate was 69%, increasing from 64% before to 72% 
      (p = .06) after routinely using the retrograde approach. No individual patient 
      characteristic, lesion variable or score was strongly associated with procedural 
      success or failure. There were 4% serious procedure related complications. In 
      patients with PCI of a CTO lesion only, 87% were in CCS or NYHA functional class 
      >/=2 before the index procedure vs. 22% at follow-up. CONCLUSIONS: Routine use of 
      retrograde techniques tended to increase the procedural success rate. Clinical 
      results after three months were acceptable, but the complication rate was higher 
      than for non-CTO PCI. Individual patient and lesion characteristics had a low 
      predictability for procedural success. Therefore, clinical symptoms, objective 
      signs of myocardial ischemia and procedural risk should be focus points in 
      coronary chronic total occlusion treatment strategies.
FAU - Kirk Christensen, Martin
AU  - Kirk Christensen M
AUID- ORCID: 0000-0003-4136-409X
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
FAU - Freeman, Phillip Fischer
AU  - Freeman PF
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
FAU - Rasmussen, Jeppe Groendal
AU  - Rasmussen JG
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
FAU - Villadsen, Anton Boel
AU  - Villadsen AB
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
FAU - Raungaard, Bent
AU  - Raungaard B
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
FAU - Eggert Jensen, Svend
AU  - Eggert Jensen S
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
FAU - Thuesen, Leif
AU  - Thuesen L
AD  - a Department of Cardiology , Aalborg University Hospital , Aalborg , Denmark.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20170420
PL  - England
TA  - Scand Cardiovasc J
JT  - Scandinavian cardiovascular journal : SCJ
JID - 9708377
SB  - IM
MH  - Aged
MH  - Chronic Disease
MH  - Coronary Occlusion/diagnostic imaging/*therapy
MH  - Denmark
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/adverse effects/*methods
MH  - Registries
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Chronic total occlusion
OT  - angina
OT  - coronary
OT  - cto
OT  - pci
OT  - percutaneus coronary intervention
EDAT- 2017/04/21 06:00
MHDA- 2017/09/07 06:00
CRDT- 2017/04/21 06:00
PHST- 2017/04/21 06:00 [pubmed]
PHST- 2017/09/07 06:00 [medline]
PHST- 2017/04/21 06:00 [entrez]
AID - 10.1080/14017431.2017.1319575 [doi]
PST - ppublish
SO  - Scand Cardiovasc J. 2017 Aug;51(4):197-201. doi: 10.1080/14017431.2017.1319575. 
      Epub 2017 Apr 20.