| Immediate and long-term outcome of recanalization of chronic total coronary occlusions. | |
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MedLine Citation:
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PMID: 12141140 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Eighty-three consecutive patients with 85 coronary total occlusions undergoing coronary angioplasty were retrospectively studied. Patients were divided into two groups according to the occlusion age that was < 30 days (subacute total occlusion [STO]: 25 patients; range 1-30 days) or > 30 days (chronic total occlusion [CTO]: 58 patients; range 3-144 months). All procedures were carried out using a hydrophilic guidewire. Clinical success, consisting of crossing the lesion, balloon dilatation, stent deployment without complications, was 96% in STO and 81% in CTO. Multiple stepwise logistic regression analysis identified a family history of coronary artery disease (CAD), left anterior descending and right coronary artery occlusions as independent predictors of a successful procedure. No major events occurred during or immediately after the angioplasty. After a mean follow-up of 24 +/- 2 months, no difference was found in survival or freedom from myocardial infarction or target vessel revascularization among the STO and CTO patients. Successful recanalization by using a hydrophilic guidewire was achieved in a high percentage of chronic total occlusions with a low incidence of complications and a satisfactory late clinical outcome. Family history of CAD and occlusion of left anterior descending or right coronary arteries are independent predictors of procedural success. |
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Authors:
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Federico Piscione; Gennaro Galasso; Anton Giulio Maione; Alfonso Pisani; Paolo Golino; Dario Leosco; Ciro Indolfi; Massimo Chiariello |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of interventional cardiology Volume: 15 ISSN: 0896-4327 ISO Abbreviation: J Interv Cardiol Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-07-26 Completed Date: 2002-10-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8907826 Medline TA: J Interv Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 173-9 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Federico II University, Via S. Pansini 5, 80131 Naples, Italy. piscione@unina.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary* / adverse effects, methods Chronic Disease Constriction, Pathologic / therapy Coronary Disease / pathology, therapy* Coronary Restenosis / therapy Female Humans Male Middle Aged Recurrence Retrospective Studies Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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