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Title: | Chronic total occlusions for intermediate volume operators: An antegrade step-up algorithm allows high success in easy and intermediate difficult CTO lesions. | Authors: | MAEREMANS, Joren Selleslagh, Philippe Di Serafino, Luigi Barbato, Emanuele DENS, Jo |
Issue Date: | 2013 | Source: | World Journal of Cardiovascular Diseases, 3 (9), p. 536-542 | Abstract: | To improve the success rates of chronic total occlusion (CTO) intervention, a large range of CTO-dedicated guidewires (GWs), devices and techniques have been developed. However, such an abundant choice of materials confuses inexperienced operators. Therefore, the usefulness of a simple antegrade treatment algorithm with a limited set of GWs, for easy to intermediate lesions, was investigated. Between November 2011 and March 2013, 105 patients were included, who underwent CTO PCI following the algorithm. Lesions were classified according to the Multicenter CTO Registry of Japan score. Overall technical success was achieved in 77%. Study endpoint was successful GW crossing within 30 min and was reached in 57%. High success rates were achieved in easy (81%) and intermediate (64%) lesion types. In both types, a soft wire could successfully cross in 57% and 51% respectively, with the Fielder XT® (Asahi Intecc Co.) capable of crossing most commonly (90%). The proposed treatment algorithm simplifies the percutaneous treatment of easy to intermediate CTO lesions. However, it merits further evaluation, especially for operators/centers who perform a low to intermediate amount of CTO PCI. | Keywords: | Percutaneous Coronary Intervention; Chronic Total Occlusion; Interventional Cardiology; Coronary Angioplasty; Guidewires | Document URI: | http://hdl.handle.net/1942/16348 | ISSN: | 2164-5329 | DOI: | 10.4236/wjcd.2013.39085 | Rights: | © 2013 Joren Maeremans et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In accor-dance of the Creative Commons Attribution License all Copyrights © 2013 are reserved for SCIRP and the owner of the intellectual property Joren Maeremans et al. All Copyright © 2013 are guarded by law and by SCIRP as a guardian. | Category: | A3 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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