Influence of the Single Coronary Vessel on Acute Outcomes of In-Stent CTO Recanalization

Influence of the Single Coronary Vessel on Acute Outcomes of In-Stent CTO Recanalization

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Objective: Recanalization of in-stent chronic total occlusion (IS-CTO) is challenging and has resulted in inconsistent results.The aim of our study was to analyze the influence of the individual coronary vessels on the acute outcomes following IS-CTO PCI.Methods: This was an observational retrospective study, including 66 2014 dodge ram 1500 fender flares patients undergoing recanalization of a CTO.The CTO interventions were performed bi-femoral using 7-French guiding catheters.A composite endpoint summarizing severe complications was evaluated, including emergency coronary artery bypass grafting surgery (CABG) and cardiac death.

Results: We subdivided our cohort into three groups (LAD group, LCX group, RCA group).The retrograde technique and the utilization of an extension catheter were used more frequently in patients 9x11 pergola with a RCA IS-CTO.There was no significant difference between the composite safety endpoints amongst the three groups.Technical success was independent of the involved vessel.Conclusions: Success and complication rates are independent of the occluded vessel.

This challenging and complex coronary intervention is feasible and can be carried out in complete safety.