Immediate and long-term outcome of recanalization of chronic total coronary occlusions.

Abstract:

:Eighty-three consecutive patients with 85 coronary total occlusions undergoing coronary angioplasty were retrospectively studied. Patients were divided into two groups according to the occlusion age that was < 30 days (subacute total occlusion [STO]: 25 patients; range 1-30 days) or > 30 days (chronic total occlusion [CTO]: 58 patients; range 3-144 months). All procedures were carried out using a hydrophilic guidewire. Clinical success, consisting of crossing the lesion, balloon dilatation, stent deployment without complications, was 96% in STO and 81% in CTO. Multiple stepwise logistic regression analysis identified a family history of coronary artery disease (CAD), left anterior descending and right coronary artery occlusions as independent predictors of a successful procedure. No major events occurred during or immediately after the angioplasty. After a mean follow-up of 24 +/- 2 months, no difference was found in survival or freedom from myocardial infarction or target vessel revascularization among the STO and CTO patients. Successful recanalization by using a hydrophilic guidewire was achieved in a high percentage of chronic total occlusions with a low incidence of complications and a satisfactory late clinical outcome. Family history of CAD and occlusion of left anterior descending or right coronary arteries are independent predictors of procedural success.

journal_name

J Interv Cardiol

authors

Piscione F,Galasso G,Maione AG,Pisani A,Golino P,Leosco D,Indolfi C,Chiariello M

doi

10.1111/j.1540-8183.2002.tb01052.x

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

173-9

issue

3

eissn

0896-4327

issn

1540-8183

journal_volume

15

pub_type

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