Aortocoronary dissection during percutaneous coronary interventions for chronic total occlusion: Insights from the PROGRESS-CTO registry

被引:2
作者
Kostantinis, Spyridon [1 ,2 ]
Rempakos, Athanasios [1 ,2 ]
Simsek, Bahadir [1 ,2 ]
Karacsonyi, Judit [1 ,2 ]
Allana, Salman S. [1 ,2 ]
Alaswad, Khaldoon [3 ]
Basir, Mir Babar [3 ]
Krestyaninov, Oleg [4 ]
Khelimskii, Dmitrii [4 ]
Gorgulu, Sevket [5 ]
Davies, Rhian E. [6 ]
Benton, Stewart M. [6 ]
Khatri, Jaikirshan J. [7 ]
Poommipanit, Paul [8 ]
Choi, James W. [9 ]
Jaber, Wissam A. [10 ]
Rinfret, Stephane [10 ]
Nicholson, William [10 ]
Aygul, Nazif [11 ]
Altunkeser, Bulent Behlul [11 ]
ElGuindy, Ahmed M. [12 ]
Abi Rafeh, Nidal [13 ]
Goktekin, Omer [14 ]
Mastrodemos, Olga C. [1 ,2 ]
Rangan, Bavana V. [1 ,2 ]
Sandoval, Yader [1 ,2 ]
Burke, M. Nicholas [1 ,2 ]
Brilakis, Emmanouil S. [1 ,2 ,15 ]
机构
[1] Abbott NW Hosp, Minneapolis Heart Inst, Dept Cardiol, Minneapolis, MN USA
[2] Abbott NW Hosp, Minneapolis Heart Inst Fdn, Minneapolis, MN USA
[3] Henry Ford Cardiovasc Div, Dept Cardiol, Detroit, MI USA
[4] Meshalkin Novosibirsk Res Inst, Dept Cardiol, Novosibirsk, Russia
[5] Biruni Univ, Dept Cardiol, Med Sch, Istanbul, Turkiye
[6] Wellspan York Hosp, Dept Cardiol, York, PA USA
[7] Cleveland Clin, Dept Cardiol, Cleveland, OH USA
[8] Case Western Reserve Univ, Univ Hosp, Dept Cardiol, Cleveland, OH USA
[9] Texas Hlth Presbyterian Hosp, Dept Cardiol, Dallas, TX USA
[10] Emory Univ Hosp Midtown, Dept Cardiol, Atlanta, GA USA
[11] Selcuk Univ, Dept Cardiol, Med Fac, Konya, Turkiye
[12] Magdi Yacoub Fdn, Aswan Heart Ctr, Dept Cardiol, Cairo, Egypt
[13] North Oaks Hlth Syst, Dept Cardiol, Hammond, LA USA
[14] Mem Bahcelievler Hosp, Dept Cardiol, Istanbul, Turkiye
[15] Minneapolis Heart Inst, Ctr Complex Coronary Intervent, 920 E 28th St 300, Minneapolis, MN 55407 USA
关键词
aortocoronary dissection; chronic total occlusion; complications; percutaneous coronary intervention; IATROGENIC AORTIC DISSECTION; MANAGEMENT; OUTCOMES; IMMEDIATE; SUCCESS;
D O I
10.1002/ccd.30680
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundAortocoronary dissection is a potentially serious complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). MethodsWe examined the incidence, mechanisms, treatment, and outcomes of aortocoronary dissection among 12,117 CTO PCIs performed between 2012 and 2022 in a large multicenter CTO PCI registry. ResultsThe incidence of aortocoronary dissection was 0.2% (n = 27). Most aortocoronary dissections occurred in the right coronary artery (96.3%, n = 26). The baseline clinical characteristics of patients with and without aortocoronary dissection were similar, except for dyslipidemia, which was less common in patients with aortocoronary dissection (70.4% vs. 86.0%; p = 0.019). The retrograde approach was used more commonly among cases complicated by aortocoronary dissection (59.3% vs. 31.0%; p = 0.002). Technical (74.1% vs. 86.6%; p = 0.049) and procedural (70.4% vs. 85.2%; p = 0.031) success rates were lower among aortocoronary dissection cases, with a similar incidence of in-hospital major adverse cardiovascular events (3.7% vs. 2.0%; p = 0.541). Of the 27 patients with aortocoronary dissection, 19 (70.4%) were treated with ostial stenting and 8 (29.6%) were treated conservatively without subsequent adverse clinical outcomes. No patients required emergency surgery. Follow-up was available for 22 patients (81.5%): during a mean follow up of 767 (+/- 562) days, the incidence of in-stent restenosis was 11.1% (n = 3). ConclusionsAortocoronary dissection occurred in 0.2% of CTO PCIs performed by experienced operators, was associated with lower technical and procedural success, and was treated most commonly with ostial stenting. None of the patients required emergency cardiac surgery.
引用
收藏
页码:56 / 63
页数:8
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Lombardi, William ;
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Moses, Jeffrey ;
Cohen, David J. ;
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Garcia, Santiago ;
Abdullah, Shuaib ;
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Yeh, Robert W. ;
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Karatasakis, Aris ;
Karmpaliotis, Dimitri ;
Jaffer, Farouc A. ;
Yeh, Robert W. ;
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Kirtane, Ajay ;
Parikh, Manish ;
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Garcia, Santiago ;
Karacsonyi, Judit ;
Rangan, Bavana V. ;
Thompson, Craig A. ;
Banerjee, Subhash ;
Brilakis, Emmanouil S. ;
Alaswad, Khaldoon .
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[50]   Comparison Between Traditional and Guide-Catheter Extension Reverse Controlled Antegrade Dissection and Retrograde Tracking: Insights From the PROGRESS-CTO Registry [J].
Xenogiannis, Iosif ;
Karmpaliotis, Dimitri ;
Alaswad, Khaldoon ;
Jaffer, Farouc A. ;
Yeh, Robert W. ;
Patel, Mitul ;
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Choi, James W. ;
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Toma, Catalin ;
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Uretsky, Barry ;
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Khelimskii, Dmitrii ;
Holper, Elizabeth ;
Potluri, Srinivasa ;
Wyman, R. Michael ;
Kandzari, David E. ;
Garcia, Santiago ;
Koutouzis, Michalis ;
Tsiafoutis, Ioannis ;
Jaber, Wissam ;
Samady, Habib ;
Moses, Jeffrey W. ;
Lembo, Nicholas J. ;
Parikh, Manish ;
Kirtane, Ajay J. ;
Ali, Ziad A. ;
Doshi, Darshan ;
Tajti, Peter ;
Rangan, Bavanav ;
Abdullah, Shuaib ;
Banerjee, Subhash ;
Brilakis, Emmanouil S. .
JOURNAL OF INVASIVE CARDIOLOGY, 2019, 31 (01) :27-34