In-stent chronic total occlusion angioplasty in the LATAM-CTO registry

被引：9

作者：

Lamelas, Pablo ^{[1
,2
]}

Padilla, Lucio ^{[1
]}

Abud, Marcelo ^{[1
]}

Cigalini, Ignacio ^{[1
]}

Vaca, Ignacio ^{[1
]}

Ordonez, Santiago ^{[1
]}

Santiago, Ricardo ^{[3
]}

de Paula, Joao Eduardo Tinoco ^{[4
]}

Ybarra, Luiz Fernando ^{[5
]}

Da Silva, Antonio Carlos Botelho ^{[6
]}

Campos, Carlos ^{[7
,8
]}

de Oliveira, Pedro Piccaro ^{[9
]}

Belli, Karlyse Claudino ^{[9
]}

de Quadros, Alexandre Schaan ^{[9
,10
]}

机构：

[1] Inst Cardiovasc Buenos Aires, Intervent Cardiol Div, Buenos Aires, DF, Argentina

[2] McMaster Univ, Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada

[3] Hosp Pavia Santurce, PCI Cardiol Grp, San Juan, PR USA

[4] Inst Cardiovasc Linhares UNICOR, Intervent Cardiol Div, Linhares, Brazil

[5] Western Univ, Schulich Sch Med & Dent, London Hlth Sci Ctr, London, ON, Canada

[6] Hosp Sao Jose do Avai, Intervent Cardiol Div, Rio De Janeiro, Brazil

[7] Univ Sao Paulo, Med Sch, Heart Inst InCor, Sao Paulo, SP, Brazil

[8] Hosp Israelita Albert Einstein, Intervent Cardiol Div, Sao Paulo, SP, Brazil

[9] Inst Cardiol Rio Grande Do Sul, Intervent Cardiol Div, Porto Alegre, RS, Brazil

[10] Soc Brasileira Hemodinam & Cardiol Intervencionis, Intervent Cardiol Div, Belo Horizonte, MG, Brazil

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2021年 / 97卷 / 01期

关键词：

coronary artery disease; percutaneous coronary intervention; stent restenosis; PERCUTANEOUS CORONARY INTERVENTION; RESTENOSIS; OUTCOMES;

D O I：

10.1002/ccd.28937

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives To inform about contemporary PCI practice of in-stent (IS) chronic total occlusions (CTO) from a large international registry in Latin America. Background IS-CTO represent a distinctive challenge for PCI, but literature is limited and restricted to high-resource regions of the world. Methods Patients undergoing CTO PCI enrolled in the LATAM CTO registry from 42 centers in eight countries were included. We analyzed demographics, angiographic, procedure technique, success and postprocedural outcomes between IS-CTO and non-IS-CTO PCI. Results From 1,565 patients IS-CTO was present in 181 patients (11.5%). IS-CTO patients had higher prevalence of diabetes and hypertension than patients without IS-CTO. IS-CTOs had less calcification (32.5 vs. 46.7%, p < .001), lower prevalence of a proximal branch (36.3 vs. 50.1%, p < .001), more likely to be ostial (24.4 vs. 18.1%, p = .042), were longer (28.5 vs. 25.2 mm, p = .062), and had less interventional collaterals (49.1 vs. 57.3%, p = .038) compared with non-IS-CTO. CTO complexity scores were similar between both groups. There was no statistically significant difference in the initial or successful strategy between IS-CTO and non-IS-CTO PCI. Technical success rates remained high in IS-CTO (86.7%) and non-IS-CTO (83.1%, p = .230). There was no independent association between IS-CTO and technical success in multivariable analysis. There were no differences between IS-CTO and non-IS-CTO groups for in-hospital clinical outcomes. Conclusion In a contemporary, multicenter, and international registry from Latin America, IS-CTO PCI is frequent and has comparable technical success and safety profile compared to non-IS-CTO PCI.

引用

页码：E34 / E39

页数：6

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