Does the effectiveness of recanalization of chronic occlusion depend on the location of the obstruction?
pl
dc.type
JournalArticle
pl
dc.description.physical
258-262
pl
dc.abstract.en
Introduction: In past studies, it has been questioned whether success of recanalization of chronic total occlusion (CTO) depends on the location of the occlusion – the circumflex artery (Cx) was considered as the most difficult to open. Aim: To determine whether the effectiveness of recanalization of CTO depends on the location of the obstruction. Material and methods: From January 2011 to January 2016, a single operator dedicated to chronic total occlusions performed in our center 357 procedures on 337 patients. Results: Among 337 patients included in the study, 83.4% were male. Mean age was 62.8 ±9.3 years. Most of the patients had hypertension (86.4%) and hyperlipidemia (99.4%), and 28.8% of them had diabetes. The most frequently opened artery was the right coronary artery (RCA; 52.4%), followed by the left anterior descending artery (LAD; 29.4%), and last the Cx (18.2%). The mean J-CTO score was comparable between the three groups. The success rate of recanalization of CTO was similar for all arteries: 84.5% in the RCA, 81.9% in the LAD and 89.2% in the Cx (overall p = 0.437). Neither procedural complications nor adverse events depended on the location of the CTO. Conclusions: Our study shows the same efficacy of CTO procedures of all epicardial arteries. We did not observe that effectiveness of recanalization of CTO depends on the location of the obstruction.
pl
dc.subject.en
chronic total occlusion
pl
dc.subject.en
percutaneous coronary intervention
pl
dc.subject.en
lesion characteristics
pl
dc.description.volume
14
pl
dc.description.number
3 (53)
pl
dc.description.points
15
pl
dc.identifier.doi
10.5114/aic.2018.78328
pl
dc.identifier.eissn
1897-4295
pl
dc.title.journal
Postępy w Kardiologii Interwencyjnej
pl
dc.language.container
eng
pl
dc.affiliation
Wydział Lekarski : Instytut Kardiologii
pl
dc.subtype
Article
pl
dc.rights.original
CC-BY-NC-SA; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0
Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa