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open access

Ahead of print
Original Article
Submitted: 2021-01-04
Accepted: 2021-01-27
Published online: 2021-02-05
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In-hospital outcome of re-attempted percutaneous coronary interventions for chronic total occlusion

Jan-Erik Guelker12, Christian Blockhaus13, Alexander Bufe13, Knut Kroeger4, Julian Kürvers3, Dimitrios Ilousis3, Kambis Mashayekhi5
DOI: 10.5603/CJ.a2021.0012
·
Pubmed: 33634842
Affiliations
  1. Universität Witten/ Herdecke, Germany
  2. Petrus Hospital, Department of Cardiology, Wuppertal, Germany
  3. Helios Clinic Krefeld, Lutherplatz 40, 47805 Krefeld, Germany
  4. Helios Klinikum Krefeld, Department of Angiology
  5. Gottsegen György Hungarian Institute of Cardiology, Budapest, Hungary

open access

Ahead of print
Original articles
Submitted: 2021-01-04
Accepted: 2021-01-27
Published online: 2021-02-05

Abstract

Background: With the advent of novel recanalization techniques and emerging devices, percutaneous coronary intervention (PCI) has become a promising leading treatment option for patients with chronic total occlusions (CTO). The present study aims to evaluate the acute outcomes of PCI in previously failed re-attempted vs. first-attempted CTO-lesions. Methods: Between 2012 and 2019, 619 patients were included and treated with PCI of at least one CTO. 253 patients were re-attempted lesions, while 366 were initially attempted lesions. Results: Re-attempted lesions were more complex, including higher Japanese-CTO (J-CTO) score and the need for a retrograde approach. The procedure time and fluoroscopy time were longer in this group. Nevertheless, overall success rates were comparable between both groups of patients. In-hospital events were rare and without significant differences. Conclusions: Re-attempted CTO lesions are more complex than first-attempt lesions and are associated with longer procedural times. However, they can be safely intervened by experienced operators with a similar success rate.

Abstract

Background: With the advent of novel recanalization techniques and emerging devices, percutaneous coronary intervention (PCI) has become a promising leading treatment option for patients with chronic total occlusions (CTO). The present study aims to evaluate the acute outcomes of PCI in previously failed re-attempted vs. first-attempted CTO-lesions. Methods: Between 2012 and 2019, 619 patients were included and treated with PCI of at least one CTO. 253 patients were re-attempted lesions, while 366 were initially attempted lesions. Results: Re-attempted lesions were more complex, including higher Japanese-CTO (J-CTO) score and the need for a retrograde approach. The procedure time and fluoroscopy time were longer in this group. Nevertheless, overall success rates were comparable between both groups of patients. In-hospital events were rare and without significant differences. Conclusions: Re-attempted CTO lesions are more complex than first-attempt lesions and are associated with longer procedural times. However, they can be safely intervened by experienced operators with a similar success rate.

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Keywords

re-attempt, chronic total occlusion, coronary artery disease, percutaneous coronary intervention

About this article
Title

In-hospital outcome of re-attempted percutaneous coronary interventions for chronic total occlusion

Journal

Cardiology Journal

Issue

Ahead of print

Article type

Original Article

Published online

2021-02-05

Page views

949

Article views/downloads

394

DOI

10.5603/CJ.a2021.0012

Pubmed

33634842

Keywords

re-attempt
chronic total occlusion
coronary artery disease
percutaneous coronary intervention

Authors

Jan-Erik Guelker
Christian Blockhaus
Alexander Bufe
Knut Kroeger
Julian Kürvers
Dimitrios Ilousis
Kambis Mashayekhi

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