Catheterization and Cardiovascular Interventions

Volume 87, Issue 5 pp. E183-E191

E-Only: Coronary Artery Disease

Recanalization of chronic total coronary occlusions—high success rate despite a restrictive use of the retrograde approach

Klaudija Bijuklic MD,

Klaudija Bijuklic MD

Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Hamburg, Germany

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Carsten Schwencke MD,

Carsten Schwencke MD

Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Hamburg, Germany

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Joachim Schofer MD, PhD,

Corresponding Author

Joachim Schofer MD, PhD

Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Hamburg, Germany

Correspondence to: Joachim Schofer, MD; Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Wördemannsweg 25-27, 22527 Hamburg, Germany. E-mail: [email protected]Search for more papers by this author

Klaudija Bijuklic MD,

Klaudija Bijuklic MD

Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Hamburg, Germany

Search for more papers by this author

Carsten Schwencke MD,

Carsten Schwencke MD

Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Hamburg, Germany

Search for more papers by this author

Joachim Schofer MD, PhD,

Corresponding Author

Joachim Schofer MD, PhD

Medical Care Center Prof. Mathey, Prof. Schofer, Hamburg University Cardiovascular Center, Hamburg, Germany

First published: 01 October 2015

https://doi.org/10.1002/ccd.26168

Citations: 2

The study was not funded by the industry.

Conflict of interest: Nothing to report.

The authors take responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.

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Abstract

Aim

The retrograde approach in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is increasingly being used as a first-line intervention despite a higher radiation exposure, contrast volume, and a higher major adverse cardiac event (MACE) rate compared with the antegrade approach.

It was aimed to evaluate the overall success rate of CTO-PCI over time when the retrograde approach was restrictively used only after a failed antegrade attempt.

Methods and Results

In a prospective single operator registry from January 2008 to December 2012 about 436 consecutive patients underwent a CTO-PCI.

Mean age was 63.4 ± 10.3 years, and 86% were male. The overall success rate improved significantly over time [68% (first quartile) to 91% (fourth quartile), P < 0.001] due to a significant increase of the antegrade success rate. This could be achieved by a retrograde approach of less than 20% with no change over time. The overall in-hospital MACE rate was 0.69% with no difference between antegrade and retrograde procedures.

Conclusions

REFERENCES

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Volume87, Issue5

April 2016

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Recanalization of chronic total coronary occlusions—high success rate despite a restrictive use of the retrograde approach

Abstract

Aim

Methods and Results

Conclusions

REFERENCES

Citing Literature

References

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Recanalization of chronic total coronary occlusions—high success rate despite a restrictive use of the retrograde approach

Abstract

Aim

Methods and Results

Conclusions

REFERENCES

Citing Literature

References

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