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Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention via Saphenous Vein Graft.

逆行慢性完全闭塞经大隐静脉移植物经皮冠状动脉介入治疗。

  • 影响因子:3.31
  • DOI:10.1016/j.jcin.2019.10.028
  • 作者列表:"Xenogiannis I","Gkargkoulas F","Karmpaliotis D","Krestyaninov O","Khelimskii D","Jaffer FA","Khatri JJ","Kandzari DE","Wyman RM","Doing AH","Dattilo P","Toma C","Yeh RW","Tamez H","Choi JW","Jaber W","Samady H","Sheikh AM","Potluri S","Patel M","Mahmud E","Elbaruni B","Love MP","Koutouzis M","Tsiafoutis I","Jefferson BK","Patel T","Uretsky B","Moses JW","Lembo NJ","Parikh M","Kirtane AJ","Ali ZA","Hall AB","Megaly MS","Vemmou E","Nikolakopoulos I","Rangan BV","Morley PW","Bou Dargham B","Abdullah S","Garcia S","Banerjee S","Burke MN","Brilakis ES","Alaswad K
  • 发表时间:2020-02-24
Abstract

OBJECTIVES:The aim of this study was to examine the use of saphenous vein grafts (SVGs) for retrograde crossing during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND:The use of SVGs for retrograde crossing during CTO PCI has received limited study. METHODS:A total of 1,615 retrograde CTO PCIs performed between 2012 and 2019 at 25 centers were examined. Clinical, angiographic, and technical characteristics and procedural outcomes were compared among retrograde cases via SVGs (SVG group) versus other collateral vessels (non-SVG group). RESULTS:Retrograde CTO PCI via SVGs was performed in 189 cases (12%). Patients in the SVG group were older (mean age 70 ± 9 years vs. 64 ± 10 years; p < 0.01) and had higher rates of prior myocardial infarction (62% vs. 51%; p < 0.01) and prior PCI (81% vs. 70%; p < 0.01). They were more likely to have moderate or severe calcification (81% vs. 65%; p < 0.01) and moderate or severe tortuosity (53% vs. 44%; p = 0.02) and had similar J-CTO (Multicenter CTO Registry in Japan) scores (3.2 ± 1.0 vs. 3.1 ± 1.1; p = 0.13) but higher PROGRESS-CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) scores (4.7 ± 1.7 vs. 3.1 ± 1.1; p < 0.01). Technical (85% vs. 78%; p = 0.04) and procedural (81% vs. 74%; p = 0.04) success rates were higher in the SVG group, with no difference in in-hospital major adverse events (6.4% vs. 4.4%; p = 0.22). Contrast volume was lower in the SVG group (225 ml [173 to 325 ml] vs. 292 ml [202 to 400 ml]; p < 0.01). CONCLUSIONS:Use of SVGs for retrograde crossing is associated with higher rates of technical and procedural success and similar rates of in-hospital major adverse cardiac events compared with retrograde CTO PCI via other collateral vessels.

摘要

目的: 本研究的目的是检查在慢性完全闭塞 (CTO) 经皮冠状动脉介入治疗 (PCI) 中使用隐静脉移植物 (SVGs) 逆行交叉。 背景: 在 CTO PCI 期间使用 SVGs 进行逆行交叉的研究有限。 方法: 共检查了 1,615 和 2012年在 25 个中心进行的 2019 例逆行 CTO PCIs。通过 SVGs 逆行病例 (SVG 组) 与其他侧支血管 (非 SVG 组) 比较临床、血管造影和技术特征及手术结局。 结果: 经 SVGs 逆行 CTO PCI 189 例 (12%)。SVG 组患者年龄较大 (平均年龄 70 ± 9 岁 vs.64 ± 10 岁; p

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影响因子:10.49
发表时间:2020-01-02
DOI:10.1172/JCI124708
作者列表:["Jain M","Dhanesha N","Doddapattar P","Chorawala MR","Nayak MK","Cornelissen A","Guo L","Finn AV","Lentz SR","Chauhan AK"]

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影响因子:4.65
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DOI:10.1161/ATVBAHA.119.313602
作者列表:["Lee SY","Ahn JM","Mintz GS","Hong SJ","Ahn CM","Park DW","Kim JS","Kim BK","Ko YG","Choi D","Jang Y","Park SJ","Hong MK"]

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