1. Use of Intravascular Imaging During Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry
- Author
-
Karacsonyi, Judit, Alaswad, Khaldoon, Jaffer, Farouc A, Yeh, Robert W, Patel, Mitul, Bahadorani, John, Karatasakis, Aris, Danek, Barbara A, Doing, Anthony, Grantham, J Aaron, Karmpaliotis, Dimitri, Moses, Jeffrey W, Kirtane, Ajay, Parikh, Manish, Ali, Ziad, Lombardi, William L, Kandzari, David E, Lembo, Nicholas, Garcia, Santiago, Wyman, Michael R, Alame, Aya, Nguyen‐Trong, Phuong‐Khanh J, Resendes, Erica, Kalsaria, Pratik, Rangan, Bavana V, Ungi, Imre, Thompson, Craig A, Banerjee, Subhash, and Brilakis, Emmanouil S
- Subjects
Biomedical Imaging ,Heart Disease ,Heart Disease - Coronary Heart Disease ,Cardiovascular ,Aged ,Chronic Disease ,Coronary Angiography ,Coronary Occlusion ,Female ,Humans ,Male ,Multimodal Imaging ,Percutaneous Coronary Intervention ,Registries ,Tomography ,Optical Coherence ,Ultrasonography ,Interventional ,chronic total occlusion ,intravascular ultrasound ,optical coherence tomography ,percutaneous coronary intervention ,Cardiorespiratory Medicine and Haematology - Abstract
Intravascular imaging can facilitate chronic total occlusion (CTO) percutaneous coronary intervention. We examined the frequency of use and outcomes of intravascular imaging among 619 CTO percutaneous coronary interventions performed between 2012 and 2015 at 7 US centers. Mean age was 65.4±10 years and 85% of the patients were men. Intravascular imaging was used in 38%: intravascular ultrasound in 36%, optical coherence tomography in 3%, and both in 1.45%. Intravascular imaging was used for stent sizing (26.3%), stent optimization (38.0%), and CTO crossing (35.7%, antegrade in 27.9%, and retrograde in 7.8%). Intravascular imaging to facilitate crossing was used more frequently in lesions with proximal cap ambiguity (49% versus 26%, P
- Published
- 2016