Clinical and angiographic predictors of successful percutaneous coronary intervention in chronic total coronary occlusions

Document Type : Original Research Papers

Authors

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) is considered one of the most challenging
procedures I interventional cardiology & may lead to multiple complications. Multiple factors may adversely influence the
success rate of the procedure however the benefits of the revascularization usually outweigh the risks of the procedure. Is to
assess the clinical and angiographic predictors of successful PCI in CTO of native coronary artery. 100 patients who have
referred to Damanhur teaching hospital for elective PCI of CTO, mean age was 53.9 ± 8.49, were assessed clinically &
angiographically with reporting the procedure outcome among them. The overall success rate was 83% mostly in LAD
(82%) leas in the LCX (75%), there was no significant affection of the clinical & demographic factors on the success rate
of the PCI however angiographic characteristics including stump shape, calcifications, presence of bridging collaterals, side
branch at occlusion point, vessel tortuosity, site of the lesion, length of the lesion and vessel diameter were strong
predictors for success in the study. The duration of occlusion, length of the lesion, vessel diameter, stump shape, presence
of bridging collaterals, side branch at occlusion point, calcifications, vessel tortuosity and lesion location were independent
predictors of successful CTO revascularization, whereas patient's characteristics and clinical risk factors are not.

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