Back to Search
Start Over
Application of the 'hybrid approach' to chronic total occlusions in patients with previous coronary artery bypass graft surgery (from a Contemporary Multicenter US registry)
- Source :
- The American journal of cardiology. 113(12)
- Publication Year :
- 2014
-
Abstract
- Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been traditionally associated with lower success rates in patients with previous coronary artery bypass graft surgery (CABG). We sought to examine the success and complication rates of CTO PCI using the "hybrid" crossing algorithm among patients with a history of previous CABG. The procedural outcomes of 496 consecutive CTO PCIs performed at 5 high-volume PCI centers in the United States from January 2012 to August 2013 were assessed. The outcomes of patients with previous CABG were compared with those of patients without previous CABG. Compared with patients without previous CABG (n = 320), patients with previous CABG (n = 176, 35%) were older, had more coronary artery disease risk factors, and had less favorable baseline angiographic CTO characteristics. Technical and procedural success was slightly lower among patients with previous CABG (88.1% vs 93.4%, p = 0.044 and 87.5 vs 92.5%, p = 0.07, respectively). Patients with previous CABG more commonly underwent CTO PCI using the retrograde approach (39% vs 24%, respectively, p
- Subjects :
- Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Balloon
Coronary Angiography
Risk Assessment
Coronary Restenosis
Interquartile range
Angioplasty
Internal medicine
Cause of Death
medicine
Humans
cardiovascular diseases
Hospital Mortality
Registries
Angioplasty, Balloon, Coronary
Coronary Artery Bypass
Cause of death
Aged
business.industry
Percutaneous coronary intervention
Middle Aged
Survival Analysis
Surgery
surgical procedures, operative
medicine.anatomical_structure
Treatment Outcome
Coronary Occlusion
Conventional PCI
Chronic Disease
Cardiology
Female
Cardiology and Cardiovascular Medicine
Complication
business
Algorithms
Artery
Follow-Up Studies
Subjects
Details
- ISSN :
- 18791913
- Volume :
- 113
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- The American journal of cardiology
- Accession number :
- edsair.doi.dedup.....84c03582dec27e85af67ba1e8b5d5bde