Document Server@UHasselt >
Research >
Research publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/16348

Title: Chronic total occlusions for intermediate volume operators: An antegrade step-up algorithm allows high success in easy and intermediate difficult CTO lesions.
Authors: MAEREMANS, Joren
Selleslagh, Philippe
Di Serafino, Luigi
Barbato, Emanuele
Issue Date: 2013
Citation: World Journal of Cardiovascular Diseases, 3 (9), p. 536-542
Abstract: To improve the success rates of chronic total occlusion (CTO) intervention, a large range of CTO-dedicated guidewires (GWs), devices and techniques have been developed. However, such an abundant choice of materials confuses inexperienced operators. Therefore, the usefulness of a simple antegrade treatment algorithm with a limited set of GWs, for easy to intermediate lesions, was investigated. Between November 2011 and March 2013, 105 patients were included, who underwent CTO PCI following the algorithm. Lesions were classified according to the Multicenter CTO Registry of Japan score. Overall technical success was achieved in 77%. Study endpoint was successful GW crossing within 30 min and was reached in 57%. High success rates were achieved in easy (81%) and intermediate (64%) lesion types. In both types, a soft wire could successfully cross in 57% and 51% respectively, with the Fielder XT® (Asahi Intecc Co.) capable of crossing most commonly (90%). The proposed treatment algorithm simplifies the percutaneous treatment of easy to intermediate CTO lesions. However, it merits further evaluation, especially for operators/centers who perform a low to intermediate amount of CTO PCI.
URI: http://hdl.handle.net/1942/16348
DOI: 10.4236/wjcd.2013.39085
ISSN: 2164-5329
Category: A3
Type: Journal Contribution
Appears in Collections: Research publications

Files in This Item:

Description SizeFormat
Main article618.39 kBAdobe PDF

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.