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Changing strategies of the retrograde approach for chronic total occlusion during the past 7 years
- Source :
- Catheterization and cardiovascular interventions, 81(4), E178-E185. Wiley-Liss Inc., Catheterization and Cardiovascular Interventions
- Publication Year :
- 2013
-
Abstract
- Objective We reviewed the technical changes and results achieved with the retrograde approach since we introduced it 7 years ago. Subjects and Methods The subjects were 1,268 patients who were treated for CTO between January 2004 and December 2010. They were investigated with respect to the success rate, the frequency of employing the retrograde approach and its outcome, and other factors. Results The retrograde approach was employed in ∼30% of chronic total occlusion (CTO) patients (n = 281) and the retrograde guidewire success rate was 81.1%. The kissing wire technique was substituted for the retrograde approach in 126 of the 281 patients, with antegrade crossing of a guidewire being successful in 88 of them (70%). The retrograde approach was combined with the CART and reverse controlled antegrade retrograde tracking (CART) techniques in 22 and 21 patients, respectively. Among 83 patients treated with Corsair catheters, crossing of the CTO was achieved in 63. The overall procedural success rate was 79.7% (224 patients). Complications of the retrograde approach included collateral channel dissection (2.1%), channel perforation (1.7%), CTO perforation (1.7%), and donor artery occlusion (1.1%). Conclusion The success rate and safety of the retrograde approach are both satisfactory if the appropriate devices and techniques are selected. © 2012 Wiley Periodicals, Inc.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Perforation (oil well)
Collateral Circulation
Prosthesis Design
Radiography, Interventional
Cardiac Catheters
Percutaneous Coronary Intervention
Coronary Circulation
Occlusion
Humans
Medicine
Radiology, Nuclear Medicine and imaging
Retrograde approach
Aged
E-Only: Coronary Artery Disease
business.industry
Percutaneous coronary intervention
PCI
Equipment Design
General Medicine
Middle Aged
Collateral circulation
Surgery
CTO
Dissection
Treatment Outcome
Coronary Occlusion
Coronary occlusion
Chronic Disease
Conventional PCI
Female
Stents
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 15221946
- Volume :
- 81
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Catheterization and cardiovascular interventions
- Accession number :
- edsair.doi.dedup.....61b457e21a530b793417a6c8e7c2fa35