Long-Term Outcomes after Rotational Atherectomy for Calcified Chronic Total Occlusion versus Nonchronic Total Occlusion Coronary Lesions.
Journal
Journal of interventional cardiology
ISSN: 1540-8183
Titre abrégé: J Interv Cardiol
Pays: United States
ID NLM: 8907826
Informations de publication
Date de publication:
2022
2022
Historique:
received:
13
07
2021
revised:
28
09
2021
accepted:
03
12
2022
entrez:
13
1
2023
pubmed:
14
1
2023
medline:
17
1
2023
Statut:
epublish
Résumé
The role of rotational atherectomy (RA) in contemporary percutaneous coronary intervention (PCI) is expanding to include certain chronic total occlusion (CTO) lesions. However, the long-term outcome of RA in CTOs is still unclear. To investigate in-hospital and long-term outcomes after RA for CTO compared to non-CTO calcified lesions. Moreover, this report evaluates the role of the elective RA approach in calcified CTOs. This study enrolled 812 patients (869 lesions; CTO, Compared to non-CTO, RA for CTO can be performed with a high procedural success rate and comparable in-hospital outcomes. Apart from higher cardiac mortality in the CTO group, the long-term outcomes are comparable in both groups. Elective RA is a feasible and beneficial approach to be used in CTO intervention.
Sections du résumé
Background
UNASSIGNED
The role of rotational atherectomy (RA) in contemporary percutaneous coronary intervention (PCI) is expanding to include certain chronic total occlusion (CTO) lesions. However, the long-term outcome of RA in CTOs is still unclear.
Objective
UNASSIGNED
To investigate in-hospital and long-term outcomes after RA for CTO compared to non-CTO calcified lesions. Moreover, this report evaluates the role of the elective RA approach in calcified CTOs.
Methods and Results
UNASSIGNED
This study enrolled 812 patients (869 lesions; CTO,
Conclusion
UNASSIGNED
Compared to non-CTO, RA for CTO can be performed with a high procedural success rate and comparable in-hospital outcomes. Apart from higher cardiac mortality in the CTO group, the long-term outcomes are comparable in both groups. Elective RA is a feasible and beneficial approach to be used in CTO intervention.
Identifiants
pubmed: 36636261
doi: 10.1155/2022/2593189
pmc: PMC9810405
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2593189Informations de copyright
Copyright © 2022 Karim Elbasha et al.
Déclaration de conflit d'intérêts
M. Abdel-Wahab and G. Richardt report receiving an institutional research grant from Biotronik and St. Jude Medical. G. Richardt is an advisory board member for Abbott Vascular and Boston Scientific and reports receiving lecture fees from Abbott Vascular, Biotronik, Boston Scientific and Edwards Lifesciences. R. Toelg reports receiving honoraria for advisory board membership and lectures from Abbott Vascular and Biotronik. R. Hemetsberger received speaker's honoraria from Boston Scientific. A. Allali is a proctor for Boston Scientific. The other authors declare that they have no conflicts of interest.
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