Intravascular ultrasound guidance of percutaneous coronary intervention in ostial chronic total occlusions: a description of the technique and procedural results
被引:15
作者:
Ryan, Nicola
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Ryan, Nicola
[1
,2
]
Gonzalo, Nieves
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Gonzalo, Nieves
[1
,2
]
Dingli, Philip
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Dingli, Philip
[1
,2
]
Vedia Cruz, Oscar
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Vedia Cruz, Oscar
[1
,2
]
Jimenez-Quevedo, Pilar
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Jimenez-Quevedo, Pilar
[1
,2
]
Nombela-Franco, Luis
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Nombela-Franco, Luis
[1
,2
]
Nunez-Gil, Ivan
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Nunez-Gil, Ivan
[1
,2
]
Del Trigo, Maria
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Del Trigo, Maria
[1
,2
]
Salinas, Pablo
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Salinas, Pablo
[1
,2
]
Macaya, Carlos
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Macaya, Carlos
[1
,2
]
Fernandez-Ortiz, Antonio
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, SpainHosp Clin San Carlos, Madrid, Spain
Fernandez-Ortiz, Antonio
[1
,2
]
Escaned, Javier
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Hosp Clin San Carlos, Madrid, Spain
Univ Complutense Madrid, Madrid, Spain
Hosp Clin San Carlos, Cardiovasc Inst, Calle Prof Martin Lagos, Madrid 28040, SpainHosp Clin San Carlos, Madrid, Spain
Escaned, Javier
[1
,2
,3
]
机构:
[1] Hosp Clin San Carlos, Madrid, Spain
[2] Univ Complutense Madrid, Madrid, Spain
[3] Hosp Clin San Carlos, Cardiovasc Inst, Calle Prof Martin Lagos, Madrid 28040, Spain
Inability to cross the lesion with a guidewire is the most common reason for failure in percutaneous revascularization (PCI) of chronic total occlusions (CTOs). An ostial or stumpless CTO is an acknowledged challenge for CTO recanalization due to difficulty in successful wiring. IVUS imaging provides the opportunity to visualize the occluded vessel and to aid guidewire advancement. We review the value of this technique in a single-centre experience of CTO PCI. This series involves 22 patients who underwent CTO-PCI using IVUS guidance for stumpless CTO wiring at our institution. CTO operators with extensive IVUS experience in non-CTO cases carried out all procedures. Procedural and outcome data was prospectively entered into the institutional database and a retrospective analysis of clinical, angiographic and technical data performed. 17 (77%) of the 22 procedures were successful. The mean age was 59.8 +/- 11.5 years, and 90.9% were male. The most commonly attempted lesions were located in the left anterior descending 36.4% (Soon et al. in J Intervent Cardiol 20(5):359-366, 2007) and Circumflex artery (LCx) 31.8% (Mollet et al. in Am J Cardiol 95(2):240-243, 2005). Mean JCTO score was 3.09 +/- 0.75 (3.06 +/- 0.68, 3.17 +/- 0.98 in the successful and failed groups respectively p = 0.35). The mean contrast volume was 378.7 ml +/- 114.7 (389.9 ml +/- 130.5, 349.2 ml +/- 52.2 p = 0.3 in the successful and failed groups respectively). There was no death, coronary artery bypass grafting or myocardial infarction requiring intervention in this series. When the success rates were analyzed taking into account the date of adoption of this technique, the learning curve had no significant impact on CTO-PCI success. This series describes a good success rate in IVUS guided stumpless wiring of CTOs in consecutive patients with this complex anatomical scenario.
机构:
Keimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Hur, Seung-Ho
Kang, Soo-Jin
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Kang, Soo-Jin
Kim, Young-Hak
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Kim, Young-Hak
Ahn, Jung-Min
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Ahn, Jung-Min
Park, Duk-Woo
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Park, Duk-Woo
Lee, Seung-Whan
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Lee, Seung-Whan
Yun, Sung-Cheol
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Univ Ulsan, Coll Med, Asan Med Ctr, Ctr Med Res & Informat,Div Biostat, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Yun, Sung-Cheol
Lee, Cheol Whan
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Lee, Cheol Whan
Park, Seong-Wook
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Park, Seong-Wook
Park, Seung-Jung
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
机构:
Keimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Hur, Seung-Ho
Kang, Soo-Jin
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Kang, Soo-Jin
Kim, Young-Hak
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Kim, Young-Hak
Ahn, Jung-Min
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Ahn, Jung-Min
Park, Duk-Woo
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Park, Duk-Woo
Lee, Seung-Whan
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Lee, Seung-Whan
Yun, Sung-Cheol
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Univ Ulsan, Coll Med, Asan Med Ctr, Ctr Med Res & Informat,Div Biostat, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Yun, Sung-Cheol
Lee, Cheol Whan
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Lee, Cheol Whan
Park, Seong-Wook
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea
Park, Seong-Wook
Park, Seung-Jung
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Univ Ulsan, Coll Med, Asan Med Ctr, Cardiac Inst, Seoul 138736, South KoreaKeimyung Univ, Coll Med, Dongsan Med Ctr, Dept Cardiol, Taegu, South Korea