Impact of Calcium on Chronic Total Occlusion Percutaneous Coronary Interventions

Document Type

Article

Publication Date

7-1-2017

Publication Title

The American journal of cardiology

Abstract

We sought to examine the impact of calcific deposits on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The outcomes of 1,476 consecutive CTO PCIs performed in 1,453 patients (65.5 ± 10 years, 85% male) between 2012 and 2016 at 11 US centers were evaluated. Moderate or severe quantity of calcium was present in 58% of target lesions. Calcified lesions were more tortuous and more likely to have proximal cap ambiguity and interventional collaterals. PCI of moderately/severely calcified CTOs more often required use of the retrograde approach (54% vs 30%, p

Medical Subject Headings

Aged; Calcium; Chronic Disease; Coronary Angiography; Coronary Occlusion; Coronary Vessels; Female; Follow-Up Studies; Humans; Male; Middle Aged; Percutaneous Coronary Intervention; Registries; Risk Factors; Severity of Illness Index; Time Factors; Treatment Outcome; Vascular Calcification

PubMed ID

28499595

Volume

120

Issue

1

First Page

40

Last Page

46

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