1. Impact of Calcium on Chronic Total Occlusion Percutaneous Coronary Interventions
- Author
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Aris Karatasakis, Subhash Banerjee, Khaldoon Alaswad, Farouc A. Jaffer, Bavana V. Rangan, Emmanouil S. Brilakis, Jeffrey W. Moses, Judit Karacsonyi, Michael R. Wyman, Craig A. Thompson, Erica Resendes, Imre Ungi, Robert W. Yeh, Manish Parikh, Ziad A. Ali, Anthony Doing, Mitul Patel, Pratik Kalsaria, Santiago Garcia, Ehtisham Mahmud, Dimitri Karmpaliotis, William Lombardi, Ajay J. Kirtane, David E. Kandzari, Barbara A. Danek, and Nicholas Lembo
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Percutaneous ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Coronary Angiography ,Balloon ,Severity of Illness Index ,Lesion ,03 medical and health sciences ,Percutaneous Coronary Intervention ,0302 clinical medicine ,Risk Factors ,Angioplasty ,Internal medicine ,Severity of illness ,medicine ,Humans ,Registries ,030212 general & internal medicine ,Vascular Calcification ,Aged ,business.industry ,Percutaneous coronary intervention ,Middle Aged ,Coronary Vessels ,Surgery ,Treatment Outcome ,Coronary Occlusion ,Chronic Disease ,Conventional PCI ,Cardiology ,Calcium ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Complication ,business ,Follow-Up Studies - Abstract
We sought to examine the impact of calcific deposits on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The outcomes of 1,476 consecutive CTO PCIs performed in 1,453 patients (65.5 ± 10 years, 85% male) between 2012 and 2016 at 11 US centers were evaluated. Moderate or severe quantity of calcium was present in 58% of target lesions. Calcified lesions were more tortuous and more likely to have proximal cap ambiguity and interventional collaterals. PCI of moderately/severely calcified CTOs more often required use of the retrograde approach (54% vs 30%, p
- Published
- 2017