Impact of Calcium on Chronic Total Occlusion Percutaneous Coronary Interventions.
Karacsonyi J, Karmpaliotis D, Alaswad K, Jaffer FA, Yeh RW, Patel M, Mahmud E, Lombardi W, Wyman MR, Doing A, Moses JW, Kirtane A, Parikh M, Ali Z, Kandzari D, Lembo N, Garcia S, Danek BA, Karatasakis A, Resendes E, Kalsaria P, Rangan BV, Ungi I, Thompson CA, Banerjee S, Brilakis ES. Impact of calcium on chronic total occlusion percutaneous coronary interventions. Am J Cardiol. 2017 Jul 1;120(1):40-46.
The American journal of cardiology
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