Recanalisation of coronary chronic total occlusion by retrograde approach: the first experience in Poland

Bryniarski, Leszek; Surowiec, Sławomir; Klima, Łukasz; Terlecki, Michał; Jankowski, Piotr; Rajzer, Marek; Kusak, Piotr; Królikowski, Tadeusz; Curyło, Adam; Żmudka, Krzysztof; Dudek, Dariusz; Czarnecka, Danuta

doi:10.5603/kp.a2014.0167

Cited by 8 publications

(5 citation statements)

References 26 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In specialised centres using the modern devices and new techniques the efficacy of revascularization procedures of CTO has improved and reached up to 90% even when attempting more complex CTO than 10 years ago [ 8 ]. Those findings are in concordance with our own data: in the last 3 years we achieved an 88.2% success rate [ 9 ]. The CTO angioplasty is a highly individualized discipline, but there are some general principles and consensuses.…”

Section: Introductionsupporting

confidence: 93%

Knowledge of chronic total occlusion among Polish interventional cardiologists

Bryniarski¹,

Zabojszcz²,

Dębski³

et al. 2015

pwki

Self Cite

View full text Add to dashboard Cite

IntroductionChronic total occlusion (CTO) recanalization is indicated in patients with symptoms and evidence of ischemia, but in most cases those types of lesions are still treated medically. In the last few years CTO angioplasty technique has changed dramatically due to considerable advances in techniques and dedicated equipment.AimAn attempt to assess the state of knowledge of technical aspects of CTO angioplasty of coronary arteries among Polish interventional cardiologists.Material and methodsQuestionnaire survey performed during two major Polish invasive cardiology workshops.ResultsIn the study there participated 113 physicians with an average length of work experience of 13 years, most of them cardiologists certified as independent primary operators. The majority of respondents recognized the need of prevention of thrombotic complications through control of activated coagulation time during the CTO procedures. Prevention of renal complications and X-ray protection are also recognized as a significant part of the procedures. The benefits from the use of over-the-wire microcatheters and balloons, the proper choice of dedicated guidewires, contralateral injections and retrograde technique are underestimated.ConclusionsDespite satisfactory knowledge about indications and qualification for the CTO procedure, the awareness of procedural aspects (particularly the retrograde technique) as well as the dedicated CTO equipment among Polish interventional cardiologists is still insufficient.

show abstract

Section: Introductionsupporting

confidence: 93%

Knowledge of chronic total occlusion among Polish interventional cardiologists

Bryniarski¹,

Zabojszcz²,

Dębski³

et al. 2015

pwki

Self Cite

View full text Add to dashboard Cite

show abstract

“…Complications specific for CTO PCI, i.e. coronary perforations occurred in 6 (3.5%) cases and 1 (0.6%) cardiac tamponade, are consistent with other reports [ 5 , 6 ].…”

supporting

confidence: 91%

Which parameters are important before attempting chronic total occlusions recanalization?

Bryniarski¹,

Bryniarski²

2016

pwki

Self Cite

View full text Add to dashboard Cite

“…According to the unpublished data of the Polish Cardiac Society for the years 2009–2012 the success rate in Poland was 63.6% for the antegrade technique. In our center the success rate in recanalization of CTO was 87.9% (antegrade technique) and altogether for both techniques (ante- and retrograde) was 88.2% (135 vessels out of 153 occlusions) [ 14 ]. In the past studies the highest prevalence of CTO was in the RCA, followed by the Cx and LAD.…”

Section: Discussionmentioning

confidence: 99%

Does the effectiveness of recanalization of chronic occlusion depend on the location of the obstruction?

Bryniarski

Klima²,

Surowiec³

et al. 2018

pwki

Self Cite

View full text Add to dashboard Cite

IntroductionIn past studies, it has been questioned whether success of recanalization of chronic total occlusion (CTO) depends on the location of the occlusion – the circumflex artery (Cx) was considered as the most difficult to open.AimTo determine whether the effectiveness of recanalization of CTO depends on the location of the obstruction.Material and methodsFrom January 2011 to January 2016, a single operator dedicated to chronic total occlusions performed in our center 357 procedures on 337 patients.ResultsAmong 337 patients included in the study, 83.4% were male. Mean age was 62.8 ±9.3 years. Most of the patients had hypertension (86.4%) and hyperlipidemia (99.4%), and 28.8% of them had diabetes. The most frequently opened artery was the right coronary artery (RCA; 52.4%), followed by the left anterior descending artery (LAD; 29.4%), and last the Cx (18.2%). The mean J-CTO score was comparable between the three groups. The success rate of recanalization of CTO was similar for all arteries: 84.5% in the RCA, 81.9% in the LAD and 89.2% in the Cx (overall p = 0.437). Neither procedural complications nor adverse events depended on the location of the CTO.ConclusionsOur study shows the same efficacy of CTO procedures of all epicardial arteries. We did not observe that effectiveness of recanalization of CTO depends on the location of the obstruction.

show abstract

Recanalisation of coronary chronic total occlusion by retrograde approach: the first experience in Poland

Abstract: Using novel equipment with adequate experience allowed high rates of successful revascularisation. The retrograde technique for CTO revascularisation showed good overall success and was safe.

Cited by 8 publications

References 26 publications

Knowledge of chronic total occlusion among Polish interventional cardiologists

Knowledge of chronic total occlusion among Polish interventional cardiologists

Which parameters are important before attempting chronic total occlusions recanalization?

Does the effectiveness of recanalization of chronic occlusion depend on the location of the obstruction?

Contact Info

Product

Resources

About