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Current Cardiology Reports
Published in: Current Cardiology Reports 2/2014

01-02-2014 | Ischemic Heart Disease (D Mukherjee, Section Editor)

Long-Term Clinical Outcomes after Percutaneous Coronary Intervention for Chronic Total Occlusions

Authors: Spyretta Golemati, Elias A. Sanidas, George D. Dangas

Published in: Current Cardiology Reports | Issue 2/2014

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Abstract

Optimal treatment of chronic total occlusions (CTOs) remains one of the major challenges in interventional cardiology. A number of factors, including both patient clinical conditions and technical procedural considerations, have been identified to affect percutaneous coronary intervention (PCI) success and long-term outcomes, in large multicenter cohorts as well as smaller patient groups. As opposed to patient-centered factors, technical factors can be managed and as a result, a lot of research aims at improving stent technology and imaging guidance, toward enhancing PCI efficiency, in regards to patient safety.
Literature
1.
Levine GN, Bates ER, Blankenship JC, et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011;124:2574–609.PubMedCrossRef
2.••
Tamburino C, Capranzano P, Capodanno D, et al. Percutaneous recanalization of chronic total occlusions: wherein lies the body of proof? Am Heart J. 2013;165:133–42. Systematic literature review proposing a clinical approach algorithm.PubMedCrossRef
3.
Fefer P, Knudtson ML, Cheema AN, et al. Current perspectives on coronary chronic total occlusions: the Canadian Multicenter Chronic Total Occlusions Registry. J Am Coll Cardiol. 2012;59:991–7.PubMedCrossRef
4.
Claessen BE, Chieffo A, Dangas GD, et al. Gender differences in long-term clinical outcomes after percutaneous coronary intervention of chronic total occlusions. J Invasive Cardiol. 2012;24:484–8.PubMed
5.
Hoye A. Management of chronic total occlusion by percutaneous coronary intervention. Heart. 2012;98:822–8.PubMedCrossRef
6.••
Brilakis ES, Grantham JA, Rinfret S, et al. A percutaneous treatment algorithm for crossing coronary chronic total occlusions. JACC Cardiovasc Interv. 2012;5:367–79. Comprehensive step wised description of the contemporary treatment strategy for CTOs.PubMedCrossRef
7.
Uehara Y, Shimizu M, Yoshimura M. A case with successful retrograde stent delivery via AC branch for tortuous right coronary artery. J Invasive Cardiol. 2013;25:E39–41.PubMed
8.
Strauss BH, Osherov AB, Radhakrishnan S, et al. Collagenase Total Occlusion-1 (CTO-1) trial: a phase I, dose-escalation, safety study. Circulation. 2012;125:522–8.PubMedCrossRef
9.
Syrseloudis D, Secco GG, Barrero EA, et al. Increase in J-CTO lesion complexity score explains the disparity between recanalisation success and evolution of chronic total occlusion strategies: insights from a single-centre 10-year experience. Heart. 2013;99:474–9.PubMedCrossRef
10.
Grantham JA, Marso SP, Spertus J, House J, Holmes Jr DR, Rutherford BD. Chronic total occlusion angioplasty in the United States. JACC Cardiovasc Interv. 2009;2:479–86.PubMedCrossRef
11.
Suttorp MJ, Laarman GJ, Rahel BM, et al. Primary Stenting of Totally Occluded Native Coronary Arteries II (PRISON II): a randomized comparison of bare metal stent implantation with sirolimus-eluting stent implantation for the treatment of total coronary occlusions. Circulation. 2006;114:921–8.PubMedCrossRef
12.
Garcia S, Brilakis ES. Optimal stenting strategy for coronary chronic total occlusion interventions: what is next? Catheter Cardiovasc Interv. 2013;81:800–1.PubMedCrossRef
13.
Uehara Y, Shimizu M, Yoshimura M. A case of CTO treated with minimum use of contrast media. Catheter Cardiovasc Interv. 2013;82:E884–7.
14.
Park KW, Kang SH, Yang HM et al. Impact of intravascular ultrasound guidance in routine percutaneous coronary intervention for conventional lesions: data from the EXCELLENT trial. Int J Cardiol. 2013;167:721–6.
15.
Jones DA, Weerackody R, Rathod K, et al. Successful recanalization of chronic total occlusions is associated with improved long-term survival. JACC Cardiovasc Interv. 2012;5:380–8.PubMedCrossRef
16.
Hoebers LP, Claessen BE, Dangas GD, et al. Long-term clinical outcomes after percutaneous coronary intervention for chronic total occlusions in elderly patients (>/=75 years): five-year outcomes from a 1,791 patient multi-national registry. Catheter Cardiovasc Interv. 2013;82:85–92.PubMedCrossRef
17.
Michael TT, Karmpaliotis D, Brilakis ES et al. Impact of prior coronary artery bypass graft surgery on chronic total occlusion revascularisation: insights from a multicentre US registry. Heart. 2013;99:1515–8.
18.
Safley DM, House JA, Marso SP, Grantham JA, Rutherford BD. Improvement in survival following successful percutaneous coronary intervention of coronary chronic total occlusions: variability by target vessel. JACC Cardiovasc Interv. 2008;1:295–302.PubMedCrossRef
19.
Claessen BE, Dangas GD, Godino C, et al. Impact of target vessel on long-term survival after percutaneous coronary intervention for chronic total occlusions. Catheter Cardiovasc Interv. 2013;82:76–82.PubMedCrossRef
20.
21.
Murarka S, Heuser RR. Chronic total occlusions: successful recanalization of very old lesions. Catheter Cardiovasc Interv. 2013;81:802–9.PubMedCrossRef
22.••
Claessen BE, Dangas GD, Weisz G, et al. Prognostic impact of a chronic total occlusion in a non-infarct-related artery in patients with ST-segment elevation myocardial infarction: 3-year results from the HORIZONS-AMI trial. Eur Heart J. 2013;33:768–75. Important CTO group related subanalysis from the HORIZONS-AMI trial.CrossRef
23.
Bataille Y, Dery JP, Larose E, et al. Prevalence, predictors and clinical impact of unique and multiple chronic total occlusion in non-infarct-related artery in patients presenting with ST-elevation myocardial infarction. Heart. 2012;98:1732–7.PubMedCrossRef
24.
De Felice F, Fiorilli F, Parma A, Musto C, Nazzaro MS, Confessore P, Scappaticci M, Violini R. Effect of multivessel coronary artery disease with or without a concomitant chronic total occlusion on 1-year survival in patients treated with rescue angioplasty. J Invasive Cardiol. 2013;25:64–8.
25.
26.
Bataille Y, Plourde G, Machaalany J, Abdelaal E, Déry JP, Larose E, Déry U, Noël B, Barbeau G, Roy L, Costerousse O, Bertrand OF. Interaction of chronic total occlusion and chronic kidney disease in patients undergoing primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Am J Cardiol. 2013;112:194–9.
27.
Claessen BE, Dangas GD, Godino C, et al. Long-term clinical outcomes of percutaneous coronary intervention for chronic total occlusions in patients with versus without diabetes mellitus. Am J Cardiol. 2011;108:924–31.PubMedCrossRef
28.
Liu W, Wagatsuma K, Nii H, Toda M, Amano H, Uchida Y. Impact of diabetes on long term follow-up of elderly patients with chronic total occlusion post percutaneous coronary intervention. JGC. 2013;10:16–20.PubMed
29.
Mehran R, Aymong ED, Nikolsky E, et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: development and initial validation. J Am Coll Cardiol. 2004;44:1393–9.PubMed
30.
Valenti R, Vergara R, Migliorini A, Parodi G, Carrabba N, Cerisano G, Dovellini EV, Antoniucci D. Predictors of reocclusion after successful drug-eluting stent-supported percutaneous coronary intervention of chronic total occlusion. J Am Coll Cardiol. 2013;61:545–50.
31.
Hur SH, Ako J, Honda Y, Sudhir K, Fitzgerald PJ. Late-acquired incomplete stent apposition: morphologic characterization. Cardiovasc Revasc Med. 2009;10:236–46.PubMedCrossRef
32.
Hur SH, Kang SJ, Kim YH, Ahn JM, Park DW, Lee SW, Yun SC, Lee CW, Park SW, Park SJ. Impact of intravascular ultrasound-guided percutaneous coronary intervention on long-term clinical outcomes in a real world population. Catheterization and cardiovascular interventions: official J Soc Card Angiography Interv. 2013;81:407–16.
33.
Guo J, Maehara A, Guo N, Ashida K, Chirumamilla A, Shang Y, Pu J, Sanidas E, Moses JW, Leon MB, Weisz G, Stone GW, Mintz GS, Ochiai M. Virtual histology intravascular ultrasound comparison of coronary chronic total occlusions versus non-occlusive lesions. Int J Cardiovasc Imaging. 2013;29:1249–54.
34.••
Khan MF, Wendel CS, Thai HM, Movahed MR. Effects of percutaneous revascularization of chronic total occlusions on clinical outcomes: a meta-analysis comparing successful versus failed percutaneous intervention for chronic total occlusion. Catheter Cardiovasc Interv. 2013;82:95–107. Large metanalysis showing the superiority of PCI over medical treatment.PubMedCrossRef
35.
Gada H, Whitlow PL, Marwick TH. Establishing the cost-effectiveness of percutaneous coronary intervention for chronic total occlusion in stable angina: a decision-analytic model. Heart. 2012;98:1790–7.PubMedCrossRef
36.
Niccoli G, Ferrante G, Galassi AR, Montone RA, Crea F. Optical coherence tomography follow-up of the subintimal tracking and re-entry technique for chronic total occlusion. EuroIntervention. 2010;6:662–3.PubMedCrossRef
Metadata
Title
Long-Term Clinical Outcomes after Percutaneous Coronary Intervention for Chronic Total Occlusions
Authors
Spyretta Golemati
Elias A. Sanidas
George D. Dangas
Publication date
01-02-2014
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 2/2014
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-013-0450-7

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