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Approaches to percutaneous coronary intervention of right coronary artery chronic total occlusions: insights from a multicentre US registry
- Source :
- EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 12(11)
- Publication Year :
- 2016
-
Abstract
- AIMS The goal of this study was to describe the procedural characteristics, strategy selection and associated technical and efficiency outcomes for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of the right coronary artery (RCA). METHODS AND RESULTS We examined the clinical and angiographic characteristics of patients who underwent RCA CTO PCI between 2012 and 2015 at 11 centres in the USA. The RCA was the CTO target vessel in 739 of 1,308 CTO PCIs (56%). Overall technical and procedural success rates were 90% and 88%, respectively. A major adverse cardiovascular event (MACE) occurred in 19 patients (2.6%). Technical success was most frequently achieved using antegrade wire escalation (38% of successful procedures) followed by retrograde (36%) and antegrade dissection/re-entry (26%). Technical success was similar between various locations of RCA CTOs (p=0.11). Compared with antegrade-only procedures, utilisation of any retrograde approach was associated with lower technical (85% vs. 95%, p
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
Risk Factors
Internal medicine
medicine.artery
medicine
Humans
030212 general & internal medicine
Registries
Aged
Aged, 80 and over
business.industry
Percutaneous coronary intervention
Middle Aged
medicine.disease
United States
Surgery
Dissection
Treatment Outcome
Coronary Occlusion
Coronary occlusion
Right coronary artery
Conventional PCI
Chronic Disease
Cardiology
Female
Cardiology and Cardiovascular Medicine
Complication
business
Mace
Subjects
Details
- ISSN :
- 19696213
- Volume :
- 12
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
- Accession number :
- edsair.doi.dedup.....fa889b98dd72072e1e274a8519d76b10