Online citations, reference lists, and bibliographies.

Procedure Failure Of Chronic Total Occlusion Percutaneous Coronary Intervention In An Algorithm Driven Contemporary Asia-Pacific Chronic Total Occlusion Club (APCTO Club) Multicenter Registry.

Chi Yuen Chan, Eugene B Wu, Bryan P. Yan, Etsuo Tsuchikane
Published 2019 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
OBJECTIVE With the evolution of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) technique and equipment, the success rate of CTO PCI has improved over the years. We examined the failed cases in this expert registry and looked at the mode of failure. METHODS In 2016, consecutive CTO PCI performed by eight high volume CTO with an agreed CTO algorithm were examined in a registry. RESULTS There was a total of 485 patients with 497 CTOs were treated with technical and procedural success rates of 93.8% and 89.9%, respectively. The mean J-CTO score was 2.9 ± 1.2. The main mode of failure in cases with only antegrade attempt was inability to wire to true lumen despite advanced antegrade wiring technique for example, parallel wiring or IVUS guided wiring (10 out of 11 cases). The mode of failure in retrograde attempt was: 30% was due to inability to wire the collateral channel; 30% was due to failed reverse controlled antegrade and retrograde subintimal tracking (CART); 30% was due to inability to cross CTO by retrograde microcatheter. Four cases were terminated prematurely due to procedure complications. CONCLUSION Similar to previous reported studies, primary failure mode of only antegrade attempt was inability to wire to true lumen. However, contrary to other registries where failure to cross the retrograde channel with wire was the predominant failure mode, the retrograde failure mode was equally divided between failure to cross the channel with wire, failure to do reverse CART, and failure to cross the CTO with the microcatheter.
This paper references
10.1002/ccd.10796
IVUS-guided wiring technique: promising approach for the chronic total occlusion.
Tetsuo Matsubara (2004)
10.1253/circj.68.1088
Novel technique using intravascular ultrasound-guided guidewire cross in coronary intervention for uncrossable chronic total occlusions.
Shigenori Ito (2004)
10.1111/joic.12083
Application of the "hybrid approach" to chronic total occlusion interventions: a detailed procedural analysis.
Tesfaldet T. Michael (2014)
10.1016/j.amjcard.2013.04.008
Procedural outcomes of revascularization of chronic total occlusion of native coronary arteries (from a multicenter United States registry).
Tesfaldet T. Michael (2013)
10.1016/j.jcin.2018.02.036
The Hybrid Approach to Chronic Total Occlusion Percutaneous Coronary Intervention: Update From the PROGRESS CTO Registry.
Péter Tajti (2018)
10.1002/ccd.20307
Treating chronic total occlusions using subintimal tracking and reentry: the STAR technique.
Antonio Colombo (2005)
10.1016/j.carrev.2016.06.004
"Subintimal external crush" technique for a "balloon uncrossable" chronic total occlusion.
Georgios Christopoulos (2017)
10.4244/EIJ-D-17-00867
Overview and proposed terminology for the reverse controlled antegrade and retrograde tracking (reverse CART) techniques.
Shunsuke Matsuno (2018)
10.1002/ccd.25370
Validation and incremental value of the hybrid algorithm for CTO PCI.
Ashish Pershad (2014)
10.1136/heartjnl-2015-308891
Hybrid approach improves success of chronic total occlusion angioplasty
William M Wilson (2016)
10.1161/CIRCINTERVENTIONS.115.003515
Recanalization of Chronic Total Occlusions in Patients With Previous Coronary Bypass Surgery and Consideration of Retrograde Access via Saphenous Vein Grafts.
Rustem Dautov (2016)
New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique.
Jean-François Surmely (2006)
10.4244/EIJV11I11A244
Novel retrograde approach for percutaneous treatment of chronic total occlusions of the right coronary artery using ipsilateral collateral connections: a European centre experience.
Kambis Mashayekhi (2016)
10.1016/j.jacc.2016.08.034
The Hybrid Algorithm for Treating Chronic Total Occlusions in Europe: The RECHARGE Registry.
Joren Maeremans (2016)
10.1002/ccd.27104
The inherent catastrophic traps in retrograde CTO PCI
Eugene B Wu (2018)
10.1016/j.jcin.2017.06.071
A New Algorithm for Crossing Chronic Total Occlusions From the Asia Pacific Chronic Total Occlusion Club.
Scott A. Harding (2017)
10.1016/j.jcin.2017.06.024
Outcomes of Percutaneous Coronary Interventions for Chronic Total Occlusion Performed by Highly Experienced Japanese Specialists: The First Report From the Japanese CTO-PCI Expert Registry.
Yoriyasu Suzuki (2017)
10.1016/j.jcin.2016.06.057
Utility of Intravascular Ultrasound in Percutaneous Revascularization of Chronic Total Occlusions: An Overview.
Alfredo Ruggero Galassi (2016)
10.1002/ccd.20816
Coronary septal collaterals as an access for the retrograde approach in the percutaneous treatment of coronary chronic total occlusions.
Jean-François Surmely (2007)
10.1002/ccd.24823
Japanese multicenter registry evaluating the retrograde approach for chronic coronary total occlusion.
Etsuo Tsuchikane (2013)
10.1016/j.jcin.2009.10.030
A novel modification of the retrograde approach for the recanalization of chronic total occlusion of the coronary arteries intravascular ultrasound-guided reverse controlled antegrade and retrograde tracking.
Sudhir Rathore (2010)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar