Intravascular Ultrasound Analysis of Intraplaque Versus Subintimal Tracking in Percutaneous Intervention for Coronary Chronic Total Occlusions and Association With Procedural Outcomes

JACC. Cardiovascular Interventions
Lei SongDimitri Karmpaliotis

Abstract

Using intravascular ultrasound (IVUS), the authors compared outcomes by observed wire position (intraplaque vs. subintimal) achieved during successful chronic total occlusion (CTO) lesion treatment. Recent successes in CTO percutaneous coronary intervention (PCI) have used both intraluminal and subintimal wire tracking to improve procedural success. IVUS may be used to determine the course of wire tracking after crossing a CTO. From March 2014 to March 2016, data were collected into a single-center database from 219 patients undergoing CTO PCI with concomitant IVUS imaging. IVUS-visualized wire tracking patterns were then retrospectively examined. Clinical outcomes with a composite in-hospital cardiovascular endpoint of all-cause death, periprocedural myocardial infarction, and in-hospital target lesion revascularization were analyzed along with IVUS-detected vascular injury. Of the 524 lesions assessed, 219 patients with successfully recanalized CTO lesions had adequate IVUS imaging and were included. Subintimal tracking was detected in 52.1% of overall cases (86.7% dissection re-entry, 27.9% wire escalation). Minimal stent area of the CTO segment and prevalence of significant edge dissection were similar in the 2 groups. In t...Continue Reading

Citations

May 23, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Georgios Sianos
Jan 14, 2018·Journal of the American Heart Association·Peter Tajti, Emmanouil S Brilakis
Dec 21, 2018·Circulation. Cardiovascular Interventions·Grigoris V KaramasisThomas R Keeble
Feb 27, 2019·Cardiovascular Intervention and Therapeutics·Wataru TakeuchiTakahiko Suzuki
Apr 27, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marc D Feldman, Joel Michalek
Mar 9, 2019·Minerva cardioangiologica·Evan ShlofmitzHector M Garcia-Garcia
Nov 30, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Matthew T FinnDimitri Karmpaliotis
Jan 15, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Alfredo R GalassiGeorgios Sianos
Jul 21, 2020·Interventional Cardiology·Calum Creaney, Simon J Walsh
Nov 26, 2020·Circulation. Cardiovascular Interventions·Evan ShlofmitzAllen Jeremias
Dec 16, 2019·JACC. Cardiovascular Interventions·Faisal Hasan
Oct 20, 2020·The Canadian Journal of Cardiology·Luiz F Ybarra, Stéphane Rinfret
Feb 16, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ashish PershadWilliam L Lombardi
Aug 5, 2020·European Journal of Clinical Investigation·Tao TianWeixian Yang
Mar 6, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tianjie WangWeixian Yang
Jun 24, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Gerald S Werner
Jun 20, 2020·JACC. Cardiovascular Interventions·Simon J WalshJames C Spratt
Jun 20, 2020·JACC. Cardiovascular Interventions·Gary S Mintz
Feb 17, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Yongzhen FanDimitrios Karmpaliotis
Oct 7, 2021·Journal of the American Heart Association·Yusuke TomoiUNKNOWN IVORY Study Investigators
Jun 18, 2021·Minerva Cardiology and Angiology·Simone CalcagnoRoberto Garbo
Jun 2, 2021·Current Cardiology Reviews·Mohamed Farag, Mohaned Egred

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