In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions in Patients With Prior Coronary Artery Bypass Graft Surgery Insights From an International Multicenter Chronic Total Occlusion Registry

被引：30

作者：

Tajti, Peter ^{[1
,2
,3
,4
]}

Karmpaliotis, Dimitri ^{[5
]}

Alaswad, Khaldoon ^{[6
]}

Jaffer, Farouc A. ^{[7
]}

Yeh, Robert W. ^{[8
]}

Patel, Mitul ^{[9
,10
]}

Mahmud, Ehtisham ^{[9
,10
]}

Choi, James W. ^{[11
]}

Burke, M. Nicholas ^{[1
,2
]}

Doing, Anthony H. ^{[12
]}

Dattilo, Phil ^{[12
]}

Toma, Catalin ^{[13
]}

Smith, A. J. Conrad ^{[13
]}

Uretsky, Barry ^{[14
]}

Holper, Elizabeth ^{[15
]}

Potluri, Srinivas ^{[15
]}

Wyman, R. Michael ^{[16
]}

Kandzari, David E. ^{[17
]}

Garcia, Santiago ^{[18
,19
]}

Krestyaninov, Oleg ^{[20
]}

Khelimskii, Dmitrii ^{[20
]}

Koutouzis, Michalis ^{[21
]}

Tsiafoutis, Ioannis ^{[21
]}

Jaber, Wissam ^{[22
]}

Samady, Habib ^{[22
]}

Moses, Jeffrey W. ^{[5
]}

Lembo, Nicholas J. ^{[5
]}

Parikh, Manish ^{[5
]}

Kirtane, Ajay J. ^{[5
]}

Ali, Ziad A. ^{[5
]}

Doshi, Darshan ^{[5
]}

Xenogiannis, Iosif ^{[1
,2
]}

Stanberry, Larissa I. ^{[1
,2
]}

Rangan, Bavana V. ^{[1
,2
]}

Ungi, Imre ^{[3
,4
]}

Banerjee, Subhash ^{[23
,24
]}

Brilakis, Emmanouil S. ^{[1
,2
,23
,24
]}

机构：

[1] Abbott NW Hosp, Minneapolis Heart Inst, Minneapolis, MN USA

[2] Abbott NW Hosp, Minneapolis Heart Inst Fdn, Minneapolis, MN USA

[3] Univ Szeged, Dept Internal Med 2, Div Invas Cardiol, Szeged, Hungary

[4] Univ Szeged, Ctr Cardiol, Szeged, Hungary

[5] Columbia Univ, New York, NY USA

[6] Henry Ford Hosp, Detroit, MI 48202 USA

[7] Massachusetts Gen Hosp, Boston, MA 02114 USA

[8] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[9] VA San Diego Healthcare Syst, La Jolla, CA USA

[10] Univ Calif San Diego, La Jolla, CA 92093 USA

[11] Baylor Heart & Vasc Hosp, Dallas, TX USA

[12] Med Ctr Rockies, Loveland, CO USA

[13] Univ Pittsburgh, Med Ctr, Pittsburgh, PA 15260 USA

[14] VA Cent Arkansas Healthcare Syst, Little Rock, AR USA

[15] Heart Hosp Baylor Plano, Plano, TX USA

[16] Torrance Mem Med Ctr, Torrance, CA USA

[17] Piedmont Heart Inst, Atlanta, GA USA

[18] VA Minneapolis Healthcare Syst, Minneapolis, MN USA

[19] Univ Minnesota, Minneapolis, MN 55455 USA

[20] Minist Hlth Russian Federat, Meshalkin Siberian Fed Biomed Res Ctr, Novosibirsk, Russia

[21] Korgialeneio Benakeio Hellen Red Cross Gen Hosp A, Athens, Greece

[22] Emory Univ, Atlanta, GA 30322 USA

[23] VA North Texas Hlth Care Syst, Dallas, TX USA

[24] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA

来源：

CIRCULATION-CARDIOVASCULAR INTERVENTIONS | 2019年 / 12卷 / 03期

关键词：

chronic total occlusion; coronary bypass graft surgery; percutaneous coronary intervention; outcomes; perforation; LONG-TERM OUTCOMES; RETROGRADE RECANALIZATION; HYBRID APPROACH; HEMATOMA; SUCCESS; PERFORATION; LESIONS; EUROPE;

D O I：

10.1161/CIRCINTERVENTIONS.118.007338

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: We examined the procedural outcomes of chronic total occlusions (CTO) percutaneous coronary interventions in patients with prior coronary artery bypass graft surgery (CABG). METHODS AND RESULTS: We compared the clinical, angiographic characteristics and outcomes of 3486 CTO interventions performed in patients with (n=1101) and without (n=2317) prior CABG at 21 centers. Prior CABG patients (32% of total cohort) were older (67 +/- 9 versus 63 +/- 10 years; P<0.001) and had more comorbidities and lower left ventricular ejection fraction (50% [40-58] versus 55% [45-60]; P<0.001). The CTO target vessel in prior CABG patients was the right coronary artery (56%), circumflex (26%), and left anterior descending artery (17%). The mean J-CTO (2.9 +/- 1.2 versus 2.2 +/- 1.3; P<0.001) and PROGRESS-CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention; 1.5 +/- 1.1 versus 1.2 +/- 1.0; P<0.001) score was higher in prior CABG patients. Retrograde (53% versus 30%, P<0.001) and antegrade dissection reentry (35% versus 28%; P<0.001) techniques were used more frequently in prior CABG patients. Prior CABG patients had lower technical (84% versus 89%; P<0.001) and procedural (82% versus 87%, P<0.001) success, but similar incidence of in-hospital major complications (3.1% versus 2.5%; P=0.287). In-hospital mortality (1% versus 0.4%; P=0.016) and coronary perforation (7.1% versus 3.1%; P<0.001) occurred more frequently in prior CABG patients, however, CABG patients had a lower incidence of pericardial tamponade (0.1% versus 1.0%; P=0.002) and pericardiocentesis (0% versus 1.3%; P<0.001). CONCLUSIONS: In a large multicenter CTO percutaneous coronary interventions registry, prior CABG patients had lower success rate but similar overall risk for complications, although mortality was higher and the incidence of tamponade was lower.

引用

页数：12

共 30 条

[1] Pseudo-Pericardial Tamponade From Right Ventricular Hematoma After Chronic Total Occlusion Percutaneous Coronary Intervention of the Right Coronary Artery: Successfully Managed Percutaneously With Computerized Tomographic Guided Drainage [J].

Adusumalli, Sundeep ;

Morris, Michael ;

Pershad, Ashish .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2016, 88 (01) :86-88

[2] Long-Term Outcomes of Percutaneous Coronary Intervention for Chronic Total Occlusion in Patients Who Have Undergone Coronary Artery Bypass Grafting vs Those Who Have Not [J].

Azzalini, Lorenzo ;

Ojeda, Soledad ;

Karatasakis, Aris ;

Maeremans, Joren ;

Tanabe, Masaki ;

La Manna, Alessio ;

Dautov, Rustem ;

Ybarra, Luiz F. ;

Benincasa, Susanna ;

Bellini, Barbara ;

Candilio, Luciano ;

Demir, Ozan M. ;

Hidalgo, Francisco ;

Karacsonyi, Judit ;

Gravina, Giacomo ;

Micciche, Eligio ;

D'Agosta, Guido ;

Venuti, Giuseppe ;

Tamburino, Corrado ;

Pan, Manuel ;

Carlino, Mauro ;

Dens, Joseph ;

Brilakis, Emmanouil S. ;

Colombo, Antonio ;

Rinfret, Stephane .

CANADIAN JOURNAL OF CARDIOLOGY, 2018, 34 (03) :310-318

[3] A New Treatment Strategy for Saphenous Vein Graft Lesions? Letting it Go [J].

Brilakis, Emmanouil S. ;

Banerjee, Subhash ;

Burke, M. Nicholas .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 71 (18) :1983-1985

[4]

Brilakis ES, 2016, JACC-CARDIOVASC INTE, V9, P884, DOI 10.1016/j.jcin.2016.01.034

[5] Procedural Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention [J].

Brilakis, Emmanouil S. ;

Banerjee, Subhash ;

Karmpaliotis, Dimitri ;

Lombardi, William L. ;

Tsai, Thomas T. ;

Shunk, Kendrick A. ;

Kennedy, Kevin F. ;

Spertus, John A. ;

Holmes, David R., Jr. ;

Grantham, Aaron .

JACC-CARDIOVASCULAR INTERVENTIONS, 2015, 8 (02) :245-253

[6] A NEW METHOD OF CLASSIFYING PROGNOSTIC CO-MORBIDITY IN LONGITUDINAL-STUDIES - DEVELOPMENT AND VALIDATION [J].

CHARLSON, ME ;

POMPEI, P ;

ALES, KL ;

MACKENZIE, CR .

JOURNAL OF CHRONIC DISEASES, 1987, 40 (05) :373-383

[7] Development and Validation of a Novel Scoring System for Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Interventions The PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) Score [J].

Christopoulos, Georgios ;

Kandzari, David E. ;

Yeh, Robert W. ;

Jaffer, Farouc A. ;

Karmpaliotis, Dimitri ;

Wyman, Michael R. ;

Alaswad, Khaldoon ;

Lombardi, William ;

Grantham, J. Aaron ;

Moses, Jeffrey ;

Christakopoulos, Georgios ;

Rangan, Bavana V. ;

Lembo, Nicholas ;

Garcia, Santiago ;

Cipher, Daisha ;

Thompson, Craig A. ;

Banerjee, Subhash ;

Brilakis, Emmanouil S. .

JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (01) :1-9

[8] Application of the "Hybrid Approach" to Chrome Total Occlusions in Patients With Previous Coronary Artery Bypass Graft Surgery (from a Contemporary Multicenter US Registry) [J].

Christopoulos, Georgios ;

Menon, Rohan V. ;

Karmpaliotis, Dimitri ;

Alaswad, Khaldoon ;

Lombardi, William ;

Grantham, J. Aaron ;

Michael, Tesfaldet T. ;

Patel, Vishal G. ;

Rangan, Bavana V. ;

Kotsia, Anna P. ;

Lembo, Nicholas ;

Kandzari, David E. ;

Lee, James ;

Kalynych, Anna ;

Carlson, Harold ;

Garcia, Santiago ;

Banerjee, Subhash ;

Thompson, Craig A. ;

Brilakis, Emmanouil S. .

AMERICAN JOURNAL OF CARDIOLOGY, 2014, 113 (12) :1990-1994

[9] Development and Validation of a Scoring System for Predicting Periprocedural Complications During Percutaneous Coronary Interventions of Chronic Total Occlusions: The Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS CTO) Complications Score [J].

Danek, Barbara Anna ;

Karatasakis, Aris ;

Karmpaliotis, Dimitri ;

Alaswad, Khaldoon ;

Yeh, Robert W. ;

Jaffer, Farouc A. ;

Patel, Mitul P. ;

Mahmud, Ehtisham ;

Lombardi, William L. ;

Wyman, Michael R. ;

Grantham, J. Aaron ;

Doing, Anthony ;

Kandzari, David E. ;

Lembo, Nicholas J. ;

Garcia, Santiago ;

Toma, Catalin ;

Moses, Jeffrey W. ;

Kirtane, Ajay J. ;

Parikh, Manish A. ;

Ali, Ziad A. ;

Karacsonyi, Judit ;

Rangan, Bavana V. ;

Thompson, Craig A. ;

Banerjee, Subhash ;

Brilakis, Emmanouil S. .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2016, 5 (10)

[10] Recanalization of Chronic Total Occlusions in Patients With Previous Coronary Bypass Surgery and Consideration of Retrograde Access via Saphenous Vein Grafts [J].

Dautov, Rustem ;

Nguyen, Can Manh ;

Altisent, Omar ;

Gibrat, Claire ;

Rinfret, Stephane .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (07)

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