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chronic total coronary occlusion

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https://www.readbyqxmd.com/read/29237747/coronary-chronic-total-occlusions-time-to-abandon-a-culture-of-therapeutic-nihilism
#1
EDITORIAL
Gabby Elbaz-Greener, Harindra C Wijeysundera
No abstract text is available yet for this article.
December 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29237745/dyspnea-among-patients-with-chronic-total-occlusions-undergoing-percutaneous-coronary-intervention-prevalence-and-predictors-of-improvement
#2
Mohammed Qintar, J Aaron Grantham, James Sapontis, Kensey L Gosch, William Lombardi, Dimitri Karmpaliotis, Jeffery Moses, Adam C Salisbury, David J Cohen, John A Spertus, Suzanne V Arnold
BACKGROUND: Dyspnea is a common angina equivalent that adversely affects quality of life, but its prevalence in patients with chronic total occlusions (CTOs) and predictors of its improvement after CTO percutaneous coronary intervention (PCI) are unknown. We examined the prevalence of dyspnea and predictors of its improvement among patients selected for CTO PCI. METHODS AND RESULTS: In the OPEN CTO registry (Outcomes, Patient health status, and Efficiency iN Chronic Total Occlusion) of 12 US experienced centers, 987 patients undergoing CTO PCI (procedure success 82%) were assessed for dyspnea with the Rose Dyspnea Scale at baseline and 1 month after CTO PCI...
December 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29224054/lesion-characteristics-and-procedural-outcomes-of-re-attempted-percutaneous-coronary-interventions-for-chronic-total-occlusion
#3
Masaki Tanabe, Kenji Kodama, Kohei Asada, Takeo Kunitomo
This study was performed to investigate lesion characteristics and procedural outcomes of re-attempted percutaneous coronary intervention (PCI) for chronic total occlusion (CTO). Prior failure of percutaneous revascularization of CTO has been identified as an independent predictor of failure at subsequent attempts. However, procedural outcomes of re-attempted PCI for CTO have not been elucidated. We evaluated lesion characteristics and procedural outcomes in 310 consecutive patients undergoing CTO-PCI, and compared the results between re-attempted (n = 59) and initial procedures (n = 251)...
December 9, 2017: Heart and Vessels
https://www.readbyqxmd.com/read/29220345/a-randomized-trial-of-bifurcation-stenting-technique-in-chronic-total-occlusions-percutaneous-coronary-intervention
#4
Vitaly I Baystrukov, Evgeniy I Kretov, Marouane Boukhris, Alexander G Osiev, Igor O Grazhdankin, Alexey V Biryukov, Hatem Najjar, Vladimir V Verin, Dmitriy D Zubarev, Ivan A Naryshkin, Alexander V Bogachev-Prokophiev, Kambis Mashayekhi, Alfredo R Galassi, Alexey A Prokhorikhin
BACKGROUND: The optimal strategy to treat bifurcation lesions (BFLs) in a percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) remains unknown. AIMS: We sought to assess whether T-provisional or mini-crush is appropriate for BFLs within CTO vessels. PATIENTS AND METHODS: From January 2011 to December 2013, patients who underwent successful CTO guidewire crossing and with a BFL within the CTO target vessel were enrolled prospectively and assigned randomly to either T-provisional stenting or the mini-crush technique for BFL treatment...
January 2018: Coronary Artery Disease
https://www.readbyqxmd.com/read/29214718/coronary-artery-disease-revascularization-and-clinical-outcomes-in-transcatheter-aortic-valve-replacement-real-world-results-from-the-east-denmark-heart-registry
#5
Oscar Millan-Iturbe, Fadi J Sawaya, Jacob Lønborg, Danny H F Chow, Gintautas Bieliauskas, Thomas Engstrøm, Lars Søndergaard, Ole De Backer
Transcatheter aortic valve replacement (TAVR) has become an established therapeutic option for patients with symptomatic, severe aortic stenosis. The optimal treatment strategy for concomitant coronary artery disease (CAD) has not been tested prospectively in a randomized clinical trial. This study aimed to describe the degree of CAD, revascularization strategies, and long-term clinical outcomes in a large-scale all-comers TAVR-population. Nine hundred and forty-four consecutive patients underwent TAVR. Obstructive CAD was reported in 224 patients (23...
December 7, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29208580/wire-externalisation-techniques-for-retrograde-percutaneous-coronary-interventions-of-chronic-total-occlusions
#6
Kambis Mashayekhi, Zivile Valuckiene, Hans Neuser, Ibrahim Akin, Nicolaus Reifart, Aurel Toma, Franz-Josef Neumann, Michael Behnes
No abstract text is available yet for this article.
December 8, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29207367/subadventitial-advancement-of-a-mother-and-child-catheter-to-allow-successful-recanalization-of-a-complex-in-stent-chronic-total-occlusion-testing-the-resistance-of-the-adventitia
#7
Luciano Candilio, Satoru Mitomo, Mauro Carlino, Antonio Colombo, Lorenzo Azzalini
In-stent chronic total occlusion (CTO) represents a challenging lesion subset for percutaneous coronary intervention (PCI), and although a true-to-true lumen crossing is the first-line strategy, a subadventitial approach may become necessary. Here we describe a case of successful in-stent right coronary artery CTO-PCI performed with subadventitial crossing, crushing of the occluded stents, and advancement of a mother-and-child catheter to the distal right coronary artery through the subadventitial space to allow stent delivery...
December 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29205158/prognostic-impact-of-non-culprit-chronic-total-occlusions-in-infarct-related-cardiogenic-shock-results-of-the-randomized-iabp-shock-ii-trial
#8
Mohammed Saad, Georg Fuernau, Steffen Desch, Ingo Eitel, Suzanne de Waha, Janine Pöss, Taoufik Ouarrak, Steffen Schneider, Uwe Zeymer, Holger Thiele
AIMS: To investigate the impact of a chronic total occlusion (CTO) in a non-infarct-related coronary artery (non-IRA) on 1-year mortality and occurrence of cardiac arrhythmia in patients with cardiogenic shock (CS) complicating acute myocardial infarction (AMI). METHODS AND RESULTS: In a retrospective sub-analysis of the Intraaortic Balloon Pump in Cardiogenic Shock II trial (IABP-SHOCK II) and its accompanying registry, 201 (26%) of 761 patients had a CTO in a non-IR major coronary artery...
December 5, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29193753/safety-and-efficacy-of-the-hybrid-approach-in-coronary-chronic-total-occlusion-percutaneous-coronary-intervention-the-hybrid-video-registry
#9
David V Daniels, Sudeshna Banerjee, Khaldoon Alaswad, Anthony H Doing, Philip B Dattilo, Arun Kalyanasundaram, James C Spratt, Colm G Hanratty, Julian W Strange, Simon Walsh, William L Lombardi, J Aaron Grantham
OBJECTIVES: The aim of the Hybrid Video Registry (HVR) is to assess the acute safety and efficacy of the Hybrid Approach in comparison to other contemporary methods of CTO-PCI. BACKGROUND: Recently, multiple techniques in Percutaneous Coronary Intervention (PCI) for coronary Chronic Total Occlusions (CTO) have been synthesized into a method referred to as the "Hybrid Approach". METHODS: About 194 video-taped timed live cases from CTO-PCI training workshops were analyzed by independent data abstractors and compared to three contemporary CTO-PCI registries stratified by case complexity based on the J-CTO score...
November 29, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29183248/assessing-the-landscape-of-percutaneous-coronary-chronic-total-occlusion-treatment-in-belgium-and-luxembourg-the-belgian-working-group-on-chronic-total-occlusions-bwgcto-registry
#10
Joren Maeremans, Peter Kayaert, Yoann Bataille, Johan Bennett, Claudiu Ungureanu, Steven Haine, Tom Vandendriessche, Jeroen Sonck, Benjamin Scott, Patrick Coussement, Daniël Dendooven, Bruno Pereira, Peter Frambach, Luc Janssens, Philippe Debruyne, Carlos Van Mieghem, Emanuele Barbato, Kristoff Cornelis, Francis Stammen, Frederic De Vroey, Steven Vercauteren, Benny Drieghe, Adel Aminian, Jan Debrauwere, Stéphane Carlier, Mark Coosemans, Bert Van Reet, Peter Vandergoten, Jo Andre Dens
BACKGROUND: Important developments in materials, devices, and techniques have improved outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), and resulted in a growing interest in CTO-PCI. The Belgian Working Group on Chronic Total Occlusions (BWGCTO) working group aims to assess the evolution within the CTO-PCI landscape over the next years. METHODS: From May 2016 onwards, patients undergoing CTO-PCI were included in the BWGCTO registry by 15 centres in Belgium and Luxemburg...
November 28, 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/29174825/when-intravascular-ultrasound-becomes-indispensable-in-percutaneous-coronary-intervention-of-a-chronic-total-occlusion
#11
REVIEW
Mohsen Mohandes, Hugo Vinhas, Francisco Fernández, Cristina Moreno, Mauricio Torres, Jordi Guarinos
Percutaneous coronary intervention of chronic total occlusion is a particular interventional area which requires high level of operator's experience and the support of additional tools based on intracoronary image such as intravascular ultrasound in many cases to clarify difficulties during procedures and to increase success rate. Implantation of long stents in many cases, the presence of stump ambiguity, and the use of specific techniques in this kind of interventions, such as reverse controlled antegrade and retrograde subintimal tracking (CART) and reverse CART make necessary in many cases the use of intravascular ultrasound for a better understanding of the situation, for reducing eventual complications and increasing procedural success rate...
October 13, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29169983/novel-proctorship-effectively-teaches-interventionists-coronary-artery-chronic-total-occlusion-lesions
#12
Masanori Yamamoto, Etsuo Tsuchikane, Ai Kagase, Tetsuro Shimura, Tomohiko Teramoto, Masashi Kimura, Hitoshi Matsuo, Yoshiaki Kawase, Yoriyasu Suzuki, Seiji Kano, Maoto Habara, Kenya Nasu, Yoshihisa Kinoshita, Mitsuyasu Terashima, Tetsuo Matsubara, Takahiko Suzuki
BACKGROUND: Interventionists' experience and skills are essential factors for successful chronic total occlusion-percutaneous coronary intervention (CTO-PCI). However, the construction of theoretical strategy independent from interventionists' procedure may also improve it. We sought to assess the feasibility of CTO-PCI using an educational system supported by a single expert proctor. METHODS: A total of 160 patients underwent CTO-PCI between 2009 and 2016 at 92 Japanese centers in the Hands-on proctorship project...
October 26, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29164408/long-term-clinical-outcome-of-early-generation-versus-new-generation-drug-eluting-stents-in-481-patients-undergoing-rotational-atherectomy-a-retrospective-analysis
#13
Abdelhakim Allali, Erik W Holy, Dmitry S Sulimov, Ralph Toelg, Gert Richardt, Mohamed Abdel-Wahab
INTRODUCTION: New-generation drug-eluting stents (NG-DES) are superior to early generation DES (EG-DES) in the majority of lesion and patient subsets, but comparative data in patients with severely calcified coronary lesions are lacking. This study aims to compare clinical outcomes of EG-DES and NG-DES in patients undergoing rotational atherectomy (RA) in calcified lesions. METHODS: Data of 268 patients (288 lesions) treated with EG-DES and 213 patients (225 lesions) receiving NG-DES after RA were retrospectively analyzed from a single-center registry...
November 21, 2017: Cardiology and Therapy
https://www.readbyqxmd.com/read/29146551/dual-lumen-microcatheters-for-complex-percutaneous-coronary-interventions
#14
REVIEW
Jacopo A Oreglia, Roberto Garbo, Andrea Gagnor, Gabriele L Gasparini
In some bifurcation anatomies side branch wiring can be difficult particularly when side branch is highly angulated. Furthermore a combination of bifurcations and chronic total occlusion can be a real challenge for interventional cardiologists. New devices have been produced to facilitate complex PCI and recently introduced dual lumen microcatheters can be really helpful in these scenarios. All these devices have both a rapid-exchange and an over-the-wire lumen. The rationale for dual lumen microcatheters is to preserve the highest number of side-branches...
October 4, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29146022/performance-of-j-cto-and-progress-cto-scores-in-predicting-angiographic-success-and-long-term-outcomes-of-percutaneous-coronary-interventions-for-chronic-total-occlusions
#15
Farshad Forouzandeh, Jon Suh, Eric Stahl, Yi-An Ko, Suegene Lee, Udit Joshi, Nitin Sabharwal, Zakaria Almuwaqqat, Rounak Gandhi, Hee Su Lee, Sung Gyun Ahn, Bill D Gogas, John S Douglas, Gregory Robertson, Wissam Jaber, Dimitri Karmpaliotis, Emmanouil S Brilakis, William J Nicholson, Spencer B King, Habib Samady
Patient selection for and predicting clinical outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) remain challenging. We hypothesized that both J-CTO (Multicenter Chronic Total Occlusion Registry of Japan) and PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) scores will predict not only angiographic success but also long-term clinical outcomes of the patients who underwent PCI of CTO. Of 325 CTO PCIs performed at 2 Emory University hospitals from January 2012 to August 2015, 249 patients with complete baseline clinical, angiographic and follow-up data, were included in this analysis...
October 10, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/29145812/successful-percutaneous-coronary-intervention-for-an-in-stent-chronic-total-occlusion-in-a-patient-with-dextrocardia-a-case-report
#16
Johannes Wild, Tommaso Gori, Thomas Münzel, Philip Wenzel
No abstract text is available yet for this article.
November 16, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29138365/one-year-clinical-outcomes-of-the-hybrid-cto-revascularization-strategy-after-hospital-discharge-a-subanalysis-of-the-multicenter-recharge-registry
#17
Joren Maeremans, Alexandre Avran, Simon Walsh, Paul Knaapen, Colm G Hanratty, Benjamin Faurie, Pierfrancesco Agostoni, Erwan Bressollette, Peter Kayaert, Dave Smith, Alexander Chase, Margaret B Mcentegart, William H T Smith, Alun Harcombe, John Irving, Andrew Ladwiniec, James C Spratt, Jo Dens
OBJECTIVES: Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) has historically been associated with higher event rates during follow-up. The hybrid algorithm and contemporary wiring and dissection re-entry (DR) techniques can potentially improve long-term outcomes after CTO-PCI. This study assessed the long-term clinical outcomes of the hybrid CTO practice, when applied by operators with varying experience levels. METHODS: We examined the 1-year clinical events after hospital discharge of the RECHARGE population, according to technical outcome and final technique...
November 15, 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29138364/retrograde-cto-pci-of-native-coronary-arteries-via-left-internal-mammary-artery-grafts-insights-from-a-multicenter-u-s-registry
#18
Peter Tajti, Aris Karatasakis, Dimitri Karmpaliotis, Khaldoon Alaswad, Farouc A Jaffer, Robert W Yeh, Mitul Patel, Ehtisham Mahmud, James W Choi, Anthony H Doing, Catalin Toma, Barry Uretsky, Santiago Garcia, Jeffrey W Moses, Manish Parikh, Ajay Kirtane, Ziad A Ali, Raja Hatem, Judit Karacsonyi, Barbara A Danek, Bavana V Rangan, Subhash Banerjee, Imre Ungi, Emmanouil S Brilakis
BACKGROUND: Retrograde percutaneous coronary intervention (PCI) of native coronary artery chronic total occlusion (CTO) via left internal mammary artery (LIMA) graft has received limited study. METHODS AND RESULTS: We compared the clinical and procedural characteristics and outcomes of retrograde CTO-PCI through LIMA grafts vs other conduits in a contemporary multicenter CTO registry. The LIMA was used as the collateral channel in 20 of 990 retrograde CTO-PCIs (2...
November 15, 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29137819/vascular-response-and-healing-profile-of-everolimus-eluting-bioresorbable-vascular-scaffolds-for-percutaneous-treatment-of-chronic-total-coronary-occlusions-a-one-year-optical-coherence-tomography-analysis-from-the-ghost-cto-registry
#19
Alessio La Manna, Eligio Miccichè, Guido D'Agosta, Gabriel Tensol Rodrigues Pereira, Guilherme Ferragut Attizzani, Piera Capranzano, Davide Capodanno, Corrado Tamburino
BACKGROUND: Bioresorbable vascular scaffolds (BVS) have been heralded with potential benefits that are especially desired in long lesions, including chronic total occlusions (CTOs). Procedural feasibility and mid-term outcomes of BVS in CTOs have been reported. However, there is still a paucity of data regarding the vascular and healing response to BVS in CTOs evaluated by optical coherence tomography (OCT). METHODS: This study included prospectively 21 patients who had a CTO lesion treated with a BVS...
November 8, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/29137044/outcomes-of-percutaneous-coronary-intervention-in-patients-with-coronary-chronic-total-occlusions-with-versus-without-type-2-diabetes-mellitus-a-systematic-review-and-meta-analysis
#20
Qiang Wang, Hao Liu, Jiawang Ding
BACKGROUND: Nowadays, due to advanced techniques and well-trained interventionists in catheter labs, new scientific research has shown percutaneous coronary intervention (PCI) to be a safe treatment procedure in patients with chronic total occlusion (CTO). However, no study has systematically compared PCI outcomes in CTO patients with versus without type 2 diabetes mellitus (T2DM). Therefore, through this meta-analysis we aimed to systematically solve this issue. METHODS: Between September 2016 and June 2017, the Cochrane Database of Randomized Trials, EMBASE, and MEDLINE databases were carefully searched for publications comparing PCI outcomes in CTO patients with versus without T2DM...
November 2017: Medicine (Baltimore)
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