Effect of chronic total coronary occlusion on treatment strategy

被引：326

作者：

Christofferson, RD

Lehmann, KG

Martin, GV

Every, N

Caldwell, JH

Kapadia, SR

机构：

[1] Cleveland Clin Fdn, Div Cardiovasc Dis, Cleveland, OH 44195 USA

[2] Univ Washington, VA Puget Sound Hlth Care Syst, Div Cardiol, Seattle, WA 98195 USA

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2005年 / 95卷 / 09期

关键词：

D O I：

10.1016/j.amjcard.2004.12.065

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In a registry analysis of 8,004 consecutive patients presenting for diagnostic catheterization at a single institution from 1990 to 2000, chronic total occlusion (CTO) was found in 52% of patients with significant (>= 70% diameter stenosis) coronary artery disease. Peripheral vascular disease was the strongest clinical predictor of the presence of a CTO. In a multivariate analysis, CTO was the strongest predictor against the selection of percutaneous coronary intervention (PCI) as a treatment strategy, indicating that efforts to improve the success rate of PCI in CTO may have a significant impact on management of coronary disease. (c) 2005 by Excerpta Medica Inc.

引用

页码：1088 / 1091

页数：4

共 15 条

[1] Primary stenting versus balloon angioplasty in occluded coronary arteries - The total occlusion study of Canada (TOSCA)
Buller, CE
Dzavik, V
Carere, RG
Mancini, GBJ
Barbeau, G
Lazzam, C
Anderson, TJ
Knudtson, ML
Marquis, JF
Suzuki, T
Cohen, EA
Fox, RS
Teo, KK
[J]. CIRCULATION, 1999, 100 (03) : 236 - 242
[2] Therapeutic strategy with total coronary artery occlusions
Delacretaz, E
Meier, B
[J]. AMERICAN JOURNAL OF CARDIOLOGY, 1997, 79 (02) : 185 - &
[3] ElGaylani N, 1996, IRISH MED J, V89, P60
[4] A RANDOMIZED STUDY OF CORONARY ANGIOPLASTY COMPARED WITH BYPASS-SURGERY IN PATIENTS WITH SYMPTOMATIC MULTIVESSEL CORONARY-DISEASE
HAMM, CW
REIMERS, J
ISCHINGER, T
RUPPRECHT, HJ
BERGER, J
BLEIFELD, W
ENGELSTEIN, E
SCHUCHERT, A
CORTES, A
FRANKE, C
KUCK, KH
TERRES, W
MEINERTZ, T
KALMAR, P
KREBBER, H
DARUP, J
DIETZ, U
MEYER, J
ERBEL, R
OELERT, H
TRAUTMANN, S
IVERSEN, S
DELIUS, W
RIESS, G
ANTONI, D
HACKER, R
MEUDT, M
VOELKER, W
KARSCH, K
SEIPEL, L
SCHANZENBACHER, P
KOCHSIEK, K
UEBIS, R
SIGMUND, M
HANRATH, P
SCHMITT, H
NEUHAUS, KL
SUPPLIETH, M
LUNSTEDT, G
WENDEROTH, U
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (16) : 1037 - 1043
[5] Significant reduction in restenosis after the use of sirolimus-eluting stents in the treatment of chronic total occlusions
Hoye, A
Tanabe, K
Lemos, PA
Aoki, J
Saia, F
Arampatzis, C
Degertekin, M
Hofma, SH
Sianos, G
McFadden, E
van der Giessen, WJ
Smits, PC
de Feyter, PJ
van Domburg, RT
Serruys, PW
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (11) : 1954 - 1958
[6] Kähler J, 2000, CATHETER CARDIO INTE, V49, P45, DOI 10.1002/(SICI)1522-726X(200001)49:1<45::AID-CCD9>3.0.CO
[7] 2-H
[8] ANGIOGRAPHIC SUITABILITY FOR CATHETER REVASCULARIZATION OF TOTAL CORONARY OCCLUSIONS IN PATIENTS FROM A COMMUNITY-HOSPITAL SETTING
KAHN, JK
[J]. AMERICAN HEART JOURNAL, 1993, 126 (03) : 561 - 564
[9] IVUS-guided wiring technique: Promising approach for the chronic total occlusion
Matsubara, T
Murata, A
Kanyama, H
Ogino, A
[J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2004, 61 (03) : 381 - 386
[10] Morales P A, 2001, J Interv Cardiol, V14, P611, DOI 10.1111/j.1540-8183.2001.tb00379.x

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