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Antegrade versus Retrograde Approach for Recanalization of Ostial or Stumpless Coronary Chronic Total Occlusion

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اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Wu,Xi; Wu,Mingxing; Huang,Haobo; Liu,Zhe; Cai,Jie; Zhang,Qizhou; Huang,He
  • نوع التسجيلة:
    Electronic Resource
  • الدخول الالكتروني :
    https://www.dovepress.com/antegrade-versus-retrograde-approach-for-recanalization-of-ostial-or-s-peer-reviewed-fulltext-article-IJGM
    info:eu-repo/semantics/altIdentifier/doi/10.2147/IJGM.S429956
  • معلومة اضافية
    • Publisher Information:
      Dove Press 2023-09-01
    • نبذة مختصرة :
      Xi Wu,* Mingxing Wu,* Haobo Huang,* Zhe Liu, Jie Cai, Qizhou Zhang, He Huang Department of Cardiology, Xiangtan Central Hospital, Xiangtan, Hunan, 411100, People’s Republic of China*These authors contributed equally to this workCorrespondence: He Huang, Department of Cardiology, Xiangtan Central Hospital, Xiangtan, Hunan, 411100, People’s Republic of China, Email 1764200045@e.gzhu.edu.cnPurpose: This research aimed to evaluate the procedural and in-hospital clinical outcomes of percutaneous coronary intervention (PCI) for ostial or stumpless chronic total occlusion (CTO) utilizing both the antegrade-only and retrograde approaches.Methods: A comprehensive retrospective examination was conducted on the procedural and in-hospital clinical outcomes of 89 consecutive patients subjected to ostial or stumpless CTO PCI at our institution between April 2015 and October 2022.Results: The antegrade-only technique demonstrated a superior technical success rate (92.0% vs 71.9%, p = 0.041) and procedural success rate (92.0% vs 68.8%, p = 0.022) in comparison to the retrograde approach (RA). The RA group presented a notably elevated Japanese-CTO (J-CTO) score relative to the antegrade-only approach group (2.45± 0.73 vs 1.64± 0.70, p < 0.001). The antegrade-only approach group manifested an increased frequency of microchannels at the proximal stump relative to the RA group (56.0% vs 10.9%, p < 0.001). In-hospital major adverse cardiac events (MACE) and in-hospital myocardial infarction (MI) were observed more prevalently in the RA group (18.8% vs 0, p = 0.003; 15.6% vs 0, p = 0.008; respectively). A J-CTO score below 2 and the manifestation of microchannels at the proximal stump were identified as predictors for successful antegrade-only approach PCI for ostial or stumpless CTO (OR: 2.79 [95% CI: 1.92– 5.03, P =0.003]; OR: 2.89 [95% CI: 1.32– 6.03, P =0.001]; respectively).Conclusion: Relative to RA PCI for ostial or stumpless CTO, th
    • الموضوع:
      International Journal of General Medicine; Original Research; info:eu-repo/semantics/article
    • Note:
      text/html
      English
    • Other Numbers:
      NZDMP oai:dovepress.com/86373
      1409446469
    • Contributing Source:
      DOVE MEDL PRESS LTD
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1409446469
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